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APpLICATION FOR ��«<n <br /> '".E"'°'"" C.�NSTRUCTION e <br /> cin oc <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8715 <br /> EVERETT,WA9B201 ��OMBINATION ❑ BUIIDING ❑ME�HANICAL ❑PLUMlING PERMIT NO. <br /> OWNfR M�II�DDMHS CIIY LIP PMO4E <br /> ` " �2—c�c�ln C� <br /> % /-} /rrz ��/ J ���/ZiI1Fi��7`%c SYvi ! Coio'��-�,�2C 'J C- r�F,L!C�`r — <br /> �IICNITLQOPD(SIGN(F M�IIAfDRf55 QTY ZIP PHON[ <br /> � ' 119� <br /> GtNEMI[ONLR�CLOR MAll�0Ul1[55 CIIY ZIP YHONE LIC[NSFI <br /> ���r� <br /> n�ICN�N1UtCO�+Ip�C10R M�Il�UD11E55 fllY LIP PHONE liCEN5E/ <br /> PlU41N14C CONiPACLOR MMl ADDRf55 UtY 21P iHONf IICENS[� <br /> Q�55OF N'OMK�q' <br /> ❑NEW �cx�DDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br /> ��� uenor+o�woeK <br /> ���t�f� <br /> oiscaiet woaa <br /> / U�c G i � �OIZ CJ-/— _ ' _ <br /> rAorosm us�or nunoi�c I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS AP- <br /> d �, pLIGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> im�i oiscp�rnovor rxorcnrv�snowr�euowox ettncH rnuRcorits� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIED HEREIN <br /> ior eiocK_o� OR NOT. THE GRANTINC OF A PERMIT DOfS NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> � (' :�. �� �v.'' L' ���� 1 � ANY OiHER STATE OR LOUL LAW REGULATING CONST(tUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> �� SIGNATURE Of CONTNACTOR OR AUTHORIIED ACENT OATE <br /> �Z /L"L-� <br /> ioeeooxtss � <br /> r.i.�6/'c •f l t29're ��'"zo � X ,..F,•_:_ : . ' _� ��� _ �_ <br /> ►WM�ING MECHANIUL <br /> NO. TY►E OF FI%TUIIE FEE NO. TY�E OF EQ��I�MENT FEE <br /> WATER ClOSET�TOLIFiI AB COND UNITS—N P.F� <br /> BATHTUB 0.EfRICfRATIONUNITS—H7 f� <br /> IAVATORY(W ASH B�SIN) 8011E RS—H P f A <br /> SNOWER CAS FIRED�C UNITS—TONNAGE EA <br /> KITCHEN SINK 6 OISP fORCFD AIR SVSTEMS—B.T U M EA <br /> DISW�SMER W�Lt MEATFRS-8 T.U. M <br /> UUNDNYTRAY UNIiHFATERS—BTU. M <br /> CLOTMES WASHER FVAPONATIVE COOLERS <br /> WATER HfATER �LOTNFS ORYERS <br /> U0.1NAl VLNTILATION FAN <br /> DAINKING fOUNTAIN FANGE MOOD <br /> R000.DRAIN AI0.H�NDIINC UNIT— C.F M. <br /> VACUUM BXFAKERS SIOVE <br /> ROOi ORAINS—RAINLEAOLRS MFiAI FlREPUCE 6 CH�MNEV <br /> SINK�SLRVICE—BAR,ETC 1 <br /> SU�iOiAl SU�iOTAI � <br /> ►EIIMIT l ►[IlMli � <br /> TOTAIiFE f TOfAIiFF � <br /> PLAN CNfIX fEF <br /> S�DF VARD SETOAIX STRFFT SCTPACK RfAR YARD SETBACK PUN CHECK NU��10ER FEE RKEIPT NO. <br /> USE ZONE LOi•�NEA VACANT SITE �FES VAIUAiION �EE � <br /> OV6 ONO <br /> TYPE OF CONST OCNPANCY GROUP NO.OF OWELLINL UNITS <br /> BUIIDINC s <br /> S17[ OF BLDG NO OF STORI6 MA% OCC LOAD <br /> PLUMAING <br /> FIpE ZONE PASEMFNI fllUNOOMS REQU RE�KLERS M«HANIGL <br /> ❑YFS ❑NO <br /> AM�OVAIS �� DAT[ OTMFR <br /> 1 ENVIRONMENI�I CHECK LIS� pFNALiY U.Bt. <br /> SEC. lONal <br /> 7 9UILDING PUNS <br /> tOTAI <br /> 7 FIRF HYDRANT <br /> 1 FIRE PROTECTION SYSTEM HRMIi VALIDAiION <br /> WHEN PROPFNLY VALIDATED(IN TNIS SPACE)THIS IS YOUR PERMIT <br /> 5 G0.AOINGII%CAVATIONBCLF�NINGIGRUBIIING <br /> 6 DRAINACF <br /> 7. fNVIRONMfNTAIIMPACTSTATFMENT <br /> E HfALTH DISTRICT <br /> APPIICATION �CC BY PUNS CMECKFD BY APPR FOR ISSUANCE BY <br />