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APPLICATION FOR ���,�„ <br /> �rE�"'°""' .:ONSTRUCTION e <br /> everett PE RM IT <br /> DEPT. OF COMMUNITY DEVEIOPMENT SERVICES <br /> CITY HAII 259-8715 <br /> EVERETT,WA9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING P�ERMIT NO. <br /> n OWNlR M�II�pDMJ � � CITY ZIP PNOHF <br /> %/p1 ll -rB,,,�.s�,�J �9ok Cd�u.,, ..�.�., r�t�ff �� 2�3 �5 3.5`-S I 3 <br /> �"�c i c*oRo�s�cr+�. M�IIApDRfSS nTr ziv vH�r�[ <br /> J <br /> GENlReI NIRe t MA1l ADDN[55 CIiY ZIP YMOIIE IICENSE� <br /> MICN�NIUI CONIR�QOR MAII�UUP[55 U1Y LIV PHON[ IICENSF I <br /> PIVMHItiLCONiR�QOR M�Il�0UN65 ❑IY 21P PHOv[ IICFN$F� <br /> CU55 Of N'ORR <br /> ❑NEW ❑ADDITION ❑AITEftATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> YAIWiIOVOfWORN � . <br /> n <br /> . '�4_ �_� ��� Sc�G ' _ <br /> OISCRIflf WORN j / <br /> � /� � �I i� � _ . <br /> J W' M'.-`"/' �'l. "��_i <br /> rAorq54uusE or ewton+c 1 H�REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> � V PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> i[cu oisckirno��or raoriKir is�iown {ON'OR e11�CN fOUR COPIt51 � � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ,r� � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io� 1L—u�aK--or '' � � OR NOT. THF :RANTING OF A PERMIT DOES NOT PRESUME TO <br /> CIVE AUTHORITV TO V�OLATE OR CANCEL THE PROVISIONS OF <br /> ANY 07HER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONIRACTOR ON AUTMOHIZED AGENT DATE <br /> io nonxiss , � � � �,% <br /> �� , �- _. �g � <br /> n , , <br /> �° u.�r-G-��� (k¢c.o.�� x � �o-i_ ; .. c.'�,.�ck_c-��./C,.c�� �Zo �. <br /> PLUMlING MECHANIGL � � <br /> NO. TY�E OF FIXTURE FEE NO. TYPf OF EQUIPMENT FEE <br /> WATER CLOSFT�TOLIETI AIR COND UNITS–MP EA <br /> OATM7UB REFRIGEHATION UNI15–HP FA <br /> IAVATORY�WASH 9ASIN) (IOII[RS–H P. U <br /> � SMOwfR LAS fIRED A.0 UNITS-70NNAGE G <br /> KITCN[N SINI,b DISP FORCED AIR$Y$TEMS-0 i U M EA <br /> DIS\WSNf0. N'All ME�TERS–B i U. M <br /> LAUND0.YTRAY UNI7NfATfRS–BiU M <br /> ' CLO1M[5 wASH[R EVAPORAiIVL COOLERS <br /> N'AifR Hf ATFR CLOTHE$DkYFRS <br /> URINAI VENTIU�ION FAN <br /> ORINKING FOUN7AIN NANGE MOOD <br />�I� FIOOR ORAIN �IR MANDIING UNIT– C F M <br /> �I � VnNUM PRFAK[AS SIOVE <br /> ROOF ORAINS–RAINLtADlflS MEUI FlRFPUCE 6 CHIMN[Y <br /> SINK(SEflVIGL–BAR,[TC 1 <br /> SU�TOiAI SU�TOTAI � <br /> 1 <br /> �ERMIT 1 �FRMIT <br /> TOTALFEE f TOTAIiFF � <br /> SIDF ��RO 5[TOACK SiRFET SCTOACK RIAR VA0.D 5[TH�CK PLAN CN[CK HUMOIR PUN CNECK FEE <br /> F[E 0.ECEIPT NO. <br /> � USE ZONE lOT ANU yACANT SITE V�WATION FEF <br /> � ❑Y6 CNO fECS <br /> 1VPf OF CONST OCCUPANCY GNOUP NO OF DWEIIING::NIiS <br /> BUIIDING s <br /> SIZE OF BLDG NO OF STORIIS MA% OCC IOAD <br /> PWAIOING <br /> RRFZONE BAS[MENT OIUNOOMS RFQUI0.E1DKl[RS ��LCMANIUL <br /> fIYK ❑NO <br /> A�MOVALf �1' DAiE pTMFR <br /> � [NVIRONMENTALCH[CKl15T PFN��t� UBC <br /> SEC 3011a� <br /> 2 BUIIDINC PLANS <br /> TOTAI <br /> 7 FlR[ HYO0.�NT <br /> I FlNE PR07[CTION SYST[M �EIIMIT VAIIDATION <br /> WHFN PqOPERLY VALIOATED 114 IMIS SPACEI TMIS IS YOUR PERM�T <br /> 5 LRADINGF%UV�T�ON6CLFARINCIGXUBNING <br /> 6 DRAIN�GE <br /> 7. ENVIRONMENTAIIMPACTSiATFMENT <br /> E MFAITN DISiRICT <br /> APPIICATION ACC BY PlANS CMFCKED BY APPR IOR ISSU�NQ BY <br /> _ _1'_ _ <br />