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• APPLICATION FOR ���.� <br /> mEo"�"� .:ONSTRUCTION e <br /> everett PE�M IT <br /> DEPT.OF COMMUNITY DEVELOPMENT SERVICF.S <br /> CITY HALL 259�8715 <br /> EVERETT,WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT <br /> M�II nODNHt -��JY 2�P PNONF <br /> n-ow��R D� � `� z�3 �5 3.�-S� 3 <br /> �� -�`.`� 9°� J'U-�+ � �fIT� ZIP PHONE <br /> [�1� R OR Df51GNlR MMl ADDK:55 <br /> � � <br /> G[MNAI/ NiR�p <br /> M�IL AUOR[55 C�iY 21P PHONE IICEN$F� <br /> � <br /> � <br /> mltMeNIGICOviReC10R <br /> MMl ADD0.E55 UT1 LP PHONE ��� H <br /> ���Y Z�p PMONE IICENSF1 <br /> PIUMPItiLCONIP�CIOR M�I1�000.[SS <br /> CleS$Of N'OPK <br /> ❑NEW ❑ADDITION ❑ALTCRATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br /> i <br /> \TIUAIIONOf WORR % �1 ��� • <br /> 3 � (L. !c<-' . <br /> OlSCNIBF WOXK yi . � . <br /> � J / � � �"1." �Lt. . _ .:-�-. . <br /> rxovoi ousE o� nunomc `I HpREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> � PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �[GAl Df5C0.1PllOvOf PROPIRiYI5110WN 1�ON'OR�li(�CN i0U0.COPIL51 � � PROVISION$ OF LAWS�ND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WIIETHER SPECIFIED HEREIN <br /> IOIyPIOCk�Oi = <br /> � OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUR[ OF CONTRACTOR OR AUTHORIZED AGENT DATE <br /> i � � 1 <br /> // /�� /, l , �+/ <br /> io r,�Riss � . p�L ,� dlc�.c�ClC.Q-c_.0.l,c.ccJ, G2U c' . <br /> C �c�-.,�-�...-v U-eL� X / � <br /> MECHANIUL � <br /> PLUMlING FEE <br /> NO. TY�E OF FIXTURE FEE NO. TYfE OF EQUI►MENT <br /> AIR CO�.D UNI75-M P EA <br /> WATER ClOSEi ITOIIEiI <br /> REFFIGF0.ATION UNITS-MP.[A <br /> PATNTUB <br /> NOILFNS-MP EA <br /> IAVATORYIW�SH BASIN� <br /> CAS FlNED A C UNIT$-TONNAG[EA <br /> SHOWFR <br /> IORCEDAI0.5YSTEMS-BTU MEA <br /> KlliHfN SINK 8 DISP <br /> N'AlL MEATfRS-B 1.U. M <br /> DISwASNER <br /> UNIT NEAiERS-81 U �� <br /> UUNDRY TRA1' <br /> kVAPORATIVC COO!ERS <br /> ClO7HC5 wASN[R CIOTMES DBYFRS <br /> N'AifR HUiEN <br /> VENiIUTION FAN <br /> URINAL <br /> RANGFMOOD <br /> ORINKING FUUNTAIN <br /> A10.NANDIINC UNIT- C F M <br /> HOOR DRAIN STOVE <br /> VACUUM ORUKERS <br /> MRAL f�REPUCE 8 CHIMNFY <br /> ROOF ORAINS-MA�4LF�DERS <br /> SINK 6ERVICE-BAR ETI�� <br /> SU�iOTAI s <br /> Slll'TOUI ��MIi f <br /> ►ERA11T s f <br /> TOTA� IEE f TOTAI iEE <br /> PLAN CMECK FEE <br /> SI�F YARD SCTOACK STHE[7 5[1BACK HU0.YA0.D SFiflACK �LAN CH[CK NUMl1[R F�E qKE�PT NO. <br /> USf ZONE LOT ARU VAUNT SIiE FEES VAlUAT10N iFE <br /> ❑YES ❑NO <br /> 1YPE Of CONST OCCUPANCY LROl1P NO.OF OWELLING UNI15 <br /> NUIIDINC s <br /> SIZE OF PIOG NO O�5'•ONI[5 MA% OCt LO�D <br /> PlUh101NC <br /> fIR[ ZONE BASEMINT ���U800M5 R�QUIRFOKlf0.5 ��F�HANIUI <br /> f7VI5 ClNO <br /> A�t�OVAIs �Y DATE OTMFR <br /> 1 ENVIRONMENiAL CHlIR 115T U BC. <br /> PENAITY SEC )OJ(al <br /> 2 BNLDING PLANS TOTAL <br /> ] FlR[ MYDRANT <br /> ►[RMIT V�IID�iION <br /> � FIRF PROT[CTION SYSTEM µ��[N P0.0PEFlY VALI�ATED l�N iH15 SPACE�THI515 YOUR PERMIT <br /> 5 GFADINQfXUVATION6CllARINGIGRUBflING <br /> 6 DRAINAGf <br /> 7. FNVIRONM[NTAL IMPACT$TATfMENT <br /> E NFALTN DISTRICT <br /> APPIICATION ACf. BY PIAN$CMFCKED BY APPR fOR ISSU�NCE BY <br /> 9.1�i9 <br />