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, , <br />� AP�LICATION FOR �- �,�,�„ <br />� �E�"""� C�, NSTRUCTIOh e <br />; everett PERMIT <br />� DEPT. OF COMMUNITY OEVELOPMENT SERVICES <br />� CITV HALL 259-0715 <br />� EVERETT,WA9E201 �LpMSINATION �SUILDING ❑MECHANIGL ❑�IUM�ING PERMITNO. <br />�L "r�� �q,�7�, �" �'���-c= �'�>�- ' �' q��dl `H����/�� <br /> Y <br />� , �RCNIT�ORO[yIGHf■ M��lADD1It55 [ITY ZR �NONE ' <br /> V._ /�=�"D� <br />� GWU l[OHiR�CiOR M�II ADDIIlSS ❑fY ZIP PNON[ IICFNSF� <br /> p ��� <br />� �(CN�HIC CONIP�CtOR MMl�DDRESS CI1Y 21F PHONE IICENSE I <br /> I 1'IUMflINGtOHiIIA[lON MML�UDIBS CI1Y ZIP PHOH[ UC[NSE� ' <br /> CUSS Of KORK un�'L� <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION �FENCE ❑SIGN �CARA BUILDING RELOCATION . <br /> VMUAliON01 WORR /�j n n <br /> 1 <br /> lJ �l /` - <br /> oiscaint woaK /yC�,G+^�� ,• J y:j'—t�'�' i - • ; <br /> .f w� `ti � il� 2 � (' � . <br /> vRoroseo m�o� nw�owc I HEREBY CERTIFY HAT I HAVE�READ AND EXAMINED THIS AP-�.! <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IIG�l0UC0.1PilONOi PIIOPfRiY�SNOWN PlIOW OII A1t�Cj110U11 COV161 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE �, <br /> � � , ; �• �q �� OF WORK WILL BE COMPIIED WITH WHETHER SPEUFIED HEREIN�l, � <br /> io��_aiocK S'.__� or � `�' - OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br /> ` � GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF � <br /> � � 'y - j� /V RI!v� (tJ� �ANY OTHER 51ATE OR LOUL LAW REGULATING CONSTRUCTION ' <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiUR Ot CONTRACTOR OR AUiMORIZED AGENT DATf q/ � <br /> IOP�ODPISS �" � /�}-� ` <br /> Z L' <br /> ►WM�ING MFCHANICAL <br /> NO. TYrE OF FIIITUtE FEE NO. TYfE OF EQUIPMENT FEF � <br /> WATER CLOSET(TOIIFT) AIR COND UNITS-M P.EA � <br /> AATHTUB REfRiCERATIONUNITS-HP F� , <br /> UV�TORY IwASH BAS�N� BOILFRS-HP EA � <br /> SHOwFR C�SFIREDAC UNITS-tO1.NAGEEA <br /> KITCMFN S�NK 6 DISP FORCFD�IR SVSTEMS-B T U M EA , <br /> OISWASHER WALLMEATFRS-BT.0 M <br /> LAUNDRYiRAY UNITMFATERS-BTU �� <br /> CIOiNES W�SHFR FV�PON�TI�'E COOlERS <br /> WATfR MfATFR CLOiMFS DRYERS <br /> � URIN�� VENTII�TION iAN <br /> ORINKINL fOUNTAIN RANCF NOOD <br /> � FIOOR DRAIN AIR MANOIINC UNIi- CfM. <br /> V�CUUM BRF�KEIlS STOVE <br /> POOi D0.AIN5-R�INLEAOERS MET�L FIRFPt�CE 8 CMIMNfY <br /> SiNK(SFRVICE-B�R,EiC� <br /> fU�iOiAl � fU�iOiAl � . <br /> �E�MIi { R�MIi � <br /> TOTAI I!! t TbiAl iFF • <br /> $IDF YARD S[�BACK STREFT S[TBACK RUR YARD SFT9ACK PUv CH[CK NUMPFR PLAN CHECK FFE <br /> FEE RECfIPT NO. <br /> USF ZONE lOT ARE� yACANT SITF <br /> �YES ❑NO fEtf �AWAiION ►!E <br /> TYPF OF CONST OCCUPANCY GROUP NO Of OWELLINf,UNIfS <br /> BUIIDING S S QD 0-' � <br /> SIZE Oi BLOG NO Oi STORIES MAX C.�C �WO <br /> PlL'MBINC <br /> fINE ZONE BASEMFNT flLDROOMS RltU RE1DKlFRS MFCHANICAI <br /> ❑VFS ❑NO <br /> AMIIOVAIf �T D�T[ OiHER <br /> 1 FNVIRONMEN7AlCY.ECKIIST P.N��TY U.BC. <br /> SEC..1031�1 <br /> 1 BUILOING PlANS <br /> TOTAI - <br /> ) FIRf MYDRANi � <br /> � iINE P0.0T[CTION SYSTEM ►ELLMII V�IIDATION <br /> WNFN PROPERIY VALIDATfD(IN THIS SPACE�THIS IS YOUR PERMIT <br /> 5 LRAOINGf%GVATION6QfARINWGNUBBING <br /> b DRAINACE <br /> 7. ENVIRONMENTALIMPACTST�TEMENT - <br /> !. MFAITH DISTqICT <br /> LPPLIUTION ACC.BY PLANS CHECKED BY �PPR iOR ISSUANCE BY <br /> ?7•79 <br /> . _- --__-. —� —� <br />