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r <br /> 1 <br /> ffrsErorpnan APPLICATION FOR <br /> "'"°f :.ONSTRUCTION `""`° <br /> everett PERMIT e <br /> DEPT. Of COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8745 <br /> � EVERETT.\YA9B201 �COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> Owl:ER M11lsLOx65 Clll ZIP PNONE <br /> �oBB✓E � f�Fl,P/�aU �Of7� CcMMea��A�- �iFPFT7' /,J,u 98.7a� 353 9dy6 <br /> �PCMi[CIORO[SIGlR M1IAIIADDPf55 CI1Y ZIP PNONF <br /> G[NIReI COVIRAQOR MAIL n00RL55 CRY ZIP PHONE �IClNS[1 <br /> �ort'�'eni �i�.�i C�n ��� C ri /1�j .�( /1 S� <`ic.f n GIJA r/A/09 r 3casFcc <br /> �?8 /� iasaz. <br /> 1IC � IC t CO 1A QOR M�II ADDRE55 CILY iIP 1'HOu( UC[NS[� � <br /> 1 <br /> 1'lUn�pinC CO�viRnC10P mnR�OOP[A ❑il ZIP PHONE lIC[NSE I <br /> C1�550fN'ORR �rC��(!� n\ � <br /> ❑NEW I�A olilON' �TERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOGTION <br /> \'Al W il/OyY O�F/N�ONN � <br /> s�KJV��/�T <br /> OISCNIfl[N'OR6 <br /> � � Sc�r.� rs� N C'. � . S�Rii �o �s.uewf F � �w+ <br /> raorostoust oi nuimi�c I HEREBY CER IFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> iee+t�pfS R PtlOvO{FROVtRII�SNONN PfIOW OR nlT�[M fOUR COPi(51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> 'y�'����c �B p�N�Nua.d� 1 /Q OF WORK WILL 4E COMPUED WITH WHETHER SPECIFIED HEREIN <br /> l01 yyyLyBIOCA�01 � �, OR NOT. THE CRA�TING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RECULATINC CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SILNATUR[OF CONTRACTOR OR AUTHORIZED ACFNT DATE <br /> ioononaisc \ � <br /> c� x , �'���Q.o.� Auxt , �2�/-83 <br /> PWMBING MECHA AL <br /> � NO. TYPE OF FI%tURE FEE NO. TYPE OF EQUIPMENT iEE <br /> wATENQOSfT�TOIIETI 1BCOND UNITS-MP EA <br /> PATHTUB HE(RIC[RATIpN UNI75- <br /> HP EA <br /> LAVATORV(\vASM BASINI 6011ER5-N F EA <br /> $HOWER GAS FlRED AC.UNITS-10NNAGE EA <br /> KIiCH[K$INK E DISP fORCED AIR SYSTEMS-B T U M EA <br /> DISWASHIR K'All MEATENS-�T U M <br /> LAUND0.Y 7RAY UNIT HkATERi-f1 T U A1 <br /> CIOIHES\YASHER LV�PORAIIVECOOLCR$ <br /> N'A7FR HEAiER CLOTHES ORYE0.5 <br /> UNINAL yLNTILA710N FA11 <br /> DNINKING FOUNTAIN RANGF MOOD � <br /> FLOOR DHAIN AIX HANDLING UNIT- C f M <br /> . VACUUM pREAKERS SiOVE <br /> ROOf DRAINS-RAINLfADERS METAL FIRkPIACF 8 CHIMNEV <br /> $INK�SFRVICI-HAR [/C 7 <br /> � SU�TOTAI <br /> _ SU�TOTAI f <br /> rERMIT 3 ►ERMIT f <br /> TOTAI iEE f 70TA1 fEE f <br /> SIDF v�RD 5[iBACK STRE[T SfT11ACK RUR YARD 5[TOACK PUN CHCCK NUMU[R PLAN CHEf.K fEE <br /> � �Z O . /�� �. � FFE �O �� NECEIP�NO. /� <br /> USF ZONE ^� LOT AREA VACANT SITt <br /> ��' [,� �YFS [31f�� iEFS VALUATION �[F <br /> TYPF Of CONST OCCUPANCY GROUP NO Of DWEILING UNITS <br /> `L'- N �S%�ti! �3 1 ouuoi�c s -2�� LOZ <br /> Si2E O� BIDG F�K�j- NO OF STORICS h1A% OCC LOnD � <br /> � 7 � <br /> D�� �[�`'� l.� � '� PWMl71NG <br /> I fIR[ ZON[ BASfMENT 0l'JROOMS FIRE SPRINKL[RS r� <br /> REQUIRfp � M[CNANIUL <br /> � � — [lVfS lpIQ6 <br /> A�fROVAlS CY D�TE OTMFN <br /> 1 ENVIRONMEN7AL CN[CK UST <br /> PENAITV V B C <br /> 7. BUIIDINL 1'LANS SEC.JOHa) . <br /> J FlR[ MVDRANT TOTAL �� ' n� <br /> 7LJ <br /> ( � FlRf PROT(CTION$YSTFM ►F�MIT VAUDATIUN 1 <br /> WMfN P0.0PfRLV VALIDA7E0(�N 7�IIS SPACF)TMIS IS YpUR PERMIT � <br /> 5 GRAOINGq%UVATIpN 8 CIEARIN:IGRUBHING <br /> 6 DRAINAC[ <br /> 7 fNVIRONMENTAI IMPACT STATCn'�ENT <br /> E. MEALTM DISTRICi <br /> APPIIUTION ACC.BY PlANS CMECKED BY APPR fOR ISSUANCE tlY <br /> �� � T���J�)i �. ` . <br /> 9-1�79 <br /> • � <br />