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� <br /> I <br /> ,�.E�.,,,„� APPLICATION FO�t ���,�r <br /> ��TM�F C. JNSTRUCTION e, <br /> everett PE RM�T <br /> DEPT. OF COMn1UNITY DEVEIOPMENT SERVICES <br /> CITY HALL 259�8745 - <br /> EVERETT,WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ON'N(p +���1 n��NlSS CITY Z�P PNOHE (� <br /> >i d/' f/A 'L � � �tiZn� nt�S � �5 � `7 l(' �'LE/I � 1= ✓-=�t =i T ��i7 _'7��� <br /> A0.CHIifCTOXO[SIGNIN MAIIAD�Nl55 UIV ZIP V110M1E <br /> GtNER�I CONiR�C10R nqll AO�RFSS Ci1Y ZIP PHON[ lIC[NSE t <br /> �<' 1I�' -�� <br /> aLL[NA!.IUI COv1RAC10R null AD�N65 ❑tY tIP PNOaE UCE SE/ , <br /> vll'+IPItiLCON10.nCiON M�IlA0�NI55 Cli1 ZIP PMONF lIC[NSEt <br /> (�ASS Uf N'ORK <br /> ❑NEW ��ADDITION ❑ALTERAiION ❑REPAIR ❑�EMOUTION ❑FENCE ❑SIGN �GARAGE ❑DUILDING RELOCATION <br /> IAlUAl1pN Of U'ORK � <br /> + �'�— �f� <br /> �lSC0.1P!NURA <br /> �n- <br /> raovoseu��st or nunoiYc I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THI$ AP- <br /> . S C,f-' C C . <br /> � PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lfG�l DISCN�F110YOf PROP[Ntt�5110N'N flfl0��'OR etin0�10UR COPIfA PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ('� �� OF WORK WILL �E COMPLIED WITH WHETHER$PECIFIED HEREIN <br /> ini ��-S PIOCK�Oi � � � """"'` � '�� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> PLr�7 pF E4%= �/G�•-'�`� CG'%'�� GIVE AUTHORITY i0 V�OI.ATE OR CANCEL THE PROVISIONS OF <br /> �l-r�w-{—.r.�.�.��;': _ ;,�}�t��>-j.��-+�-f�{�- ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR iHE PERFORM9NCE OF CONSTRUCTION. <br /> SIf.NATURE OF CONTRACTdR OR AUiNOR12[D ACENT DATE <br /> i <br /> ION 1pOR155 � � �� �'� �' � � � <br /> •? �,i`��' GL�ST �=�lt��� ��,� i _x2.� -- ���--' ,S <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FI%TUNE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSCT�TOLIET) AIH CONO UNIiS-H P EA <br /> tl�7M7U8 RIFNILERATIONUNITS-HP EA <br /> LA\'A70NY 1«'ASN IlA51Nl OOILlRS-M P FA <br /> SMp\t[R W$FlRED AC UNITS-TONNAGE EA <br /> �li(ME�SIr:K A DISP fURCFD AIR SYSTEMS-B T U M EA <br /> DIS\tiASMIR K'AILHUifRS-OTU M <br /> UUNDR\'iRAV UM1�i MfAifRS-B 1 U M <br /> ClO7NF5 N'ASHER k\'APORAiI\'C COOLERS <br /> 1YMER M[AiER ClO1Mli DRiFRS <br /> URINAI Vf NiILA7104 fAN <br /> DRIN1;Iv'G FOUNIAIN RANG[ HOO� <br /> fIOOR �NAIN Alfl MANDLING UNIi- C F M <br /> VACUU,N URI�KFAS S70VE <br /> ROOf URAINS-RAINLfADFRS METAL FIHFPIACE 8 CHIMNFY <br /> SINK ISfRviCE-flAR EtC� <br /> SUE TOTAI SU!TOTAL � <br /> PFAMIi S �FRMIT S <br /> TO7Al fFf S TOTAI FEF s <br /> $ID! YARO 5[ilfACK STN[FT SCTltACK H[AR YARD SFTOACK PIAN CHlCA NU.NOER PLAN CMECK FE[ <br /> •9.n�- �� FkE ,�i NKFIPT NO <br /> Crl/ <br /> �� � 2� � %�3�Y� rs" S�1s � <br /> US[ ZO� l0T ARE� VAUNT 5 T[ �F�y VAIUATION FEE <br /> �' i_]YES �i0 <br /> Typ[ p{ p,N1ST OCCUPAN Y GRUUP NO O! DWFLLING UNIT$ <br /> ��+ ! / / PUIL�I4G S�,.I�V � �-}� <br /> M11A% OCC IOA� -J�J <br /> S�Z[ OF J110G / NO OF STQRIES —. <br /> Z `?� 25 l rwnnnnc _ <br /> FlHF ZUtiE 17ASFMENT I7fONOQMt RFQU REINKlEN1 MFCHANIUI <br /> — ^ —' nrrs o <br /> At�ROVAlS SY DATE OTHFP <br /> 1 FNVIRO'dM11ENTALCHECKLIST pFNALTY UBC <br /> SLC 7071a1 <br /> 2 OUIl01NC PUNS �/} <br /> J fBE HYDNANT TOtAI � y <br /> � � FIRE PROT[CTION SYSTEM �FIIMIT VALIDATION �-� <br /> WNtN PROP[RLV VAIID�TED UN 11115 SPACE�TMI$IS 1'OU0.PERMIi <br /> 5 GNA�IACq%CAVATION6QURINGIGRUBNINC .. � , � <br /> b DRAINAGE <br /> 7 ENVIRONMENTAI Ih1PACT SiATFMENT ��� �� ���� �~, ��� ��� <br /> E HFAITH DISTRICT <br /> AVPIIUIION ACC BY PUNS CMfC1:fD BY APPR fOR ISSUANCL 0Y <br /> (.... W, ✓�� ` � G � � <br /> 47 '9 <br />