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�� <br /> ,�,Ew,o,� APPLICATION �OR ���,�„ <br /> °�r°F :,ONSTRUCTION �, <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPh1ENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT, WA 98201 �COMBINATION D�BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OW/N�ER�, �'����O�M65 CITY 21P PNOHE <br /> Y'y1'.c�c ' C� (,G �� �.!GZ��/yssr,rh -.uc=. �L';- ��?G�T7 � 5 3 J 7� c� <br /> ARCHITt T 00.DESIGHER M�II�DDNFSS CITY 21F INOVE <br /> GfN[qM COHiR�C10R M�IL AOORlSS CITY ZIP PMONE LI[LNSE 1 <br /> ( � . <br /> >C J�-�K <br /> M1�tCM�nIUI ONiRACIOH M�II�p0�E55 CIIY LIP PHONE UCENSE I <br /> PIVNflrvf.(ONiq�CiON M�ILAOOF65 CITY ZIi FNOHE ll[[NSEI <br /> CUSS Of N'ORK <br /> ❑NEW ❑ADDITION � ❑ALTERATION �EPAtR ❑DEMOUTION .�FENCE ❑SIGN ❑GARAGE ❑BUILDING f�.ELOCATION <br /> vnwn�)ov or woeK <br /> x t a� VU.mV <br /> OlSCR19[WOPI: <br /> � yr �r�y� <br /> � � Q- I�"LCL-' �J � V�"— <br /> PROPOSIDl1Sf OI BU�IDINL I HEREBY CERTIFY THAT I HAVE READ"AND El(AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IEWLDISCR�P11pNO1PROPfRLY�5H0 'HB[lON'ORI�tTesNf uacorrts� PROVISIONSOFLAWSANDORDINANCESCOVERNINGTHISTYPE <br /> /q / /�: OF WORK WILL BE COMPLIEO WITH WHETHER Sf-'cCIFIED HEREIN <br /> ioi��,.:11BLOCK�or ^ y � � OR NOT. THE GRANIINC OF A PERMIT DOES NOT PRESUME TO <br /> �A�f ��� �� GIVE AUTHORITY TU VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULAI'I�G CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAtURE OF CONTRACTOR ON AUTHORIZED AGFNT OATE � <br /> IONe00Nf55 � � � � � <br /> X � • ✓ <br /> �� .,t�;' ,G a; X rn,� . , GL, v e. <br /> PLU'MlING MECHANIUL <br /> NO. TYPE OF FIIIiURE FEE NO. TY�E OF EQUI�MENT `EF � <br /> WATER CLOSlT IT���ET� AIR COND UNITS—H P.fA <br /> BATHTUB REFRIG[RATION UNIT$—M.P.EA <br /> UVATORY�WASM BASIN� BOILERS—H P EA <br /> SNOWFR GAS FIRED AC UNIT$—TONNAGE E� <br /> KIT�MEN$INK 6 DISP IORClD AIH SYSTEMS—B T U M EA <br /> �ISWASMER WALIMEATERS—OTU. M <br /> IAUNDRVTRAY UNIiMUTENS—BTU M <br /> ClO1NE51vA5NCR f\'�PORAIIVE COOlERS <br /> WATER MUTE0. CIOTMFS DkYLRS <br /> URINAL VLNTIIATION FAN <br /> , DNINNING FOU`1TAIN RANGF MO00 <br /> � fLOOR DRAIN AI0.HANOL�NC UNIT— C.F M. <br /> VACUVM BREAKERS S10VE <br /> ) NOOf DRAINS—RAINLFAOERS MCTAL fIRFPUCE 6 CHIMNFY <br /> 9 SINK�SERVIC[—BAR,ETC1 <br /> SU�TOTAI SU�TOTAL 1 <br /> i ►FRMIT � f �FIIMIf f <br /> TOTAII[E f TOTAIiEF � <br /> SIOf YARf 5[IAACK STR[FT SCTOACK ACAR VARD SElOAIX PUN CNCCK NUMOFR PLAN CM[CK FEf <br /> FEE RECEIPT NO. <br /> USE LONE LOT AREA VACANT SIiE <br /> �YES ❑NO fEFS � VAIWTION F[E <br /> TYPE OF CONST OCCU7ANCY LROIIP ND OF DWEILING UNIT$ <br /> BUIl01NC S <br /> SIZ[Of UIDG NO OF STORIE$ A/A% OQ IOAD <br /> PWMNING <br /> iBEZONF BASFMENT BLOROOb6 REQU REDKlERS MECMANIUI <br /> flYFS f'NO <br /> A►�IIOVALS �Y DAi[ OTHER <br /> 1 ENVIRONMENTALCHECKl15T PfN��tY UBC. <br /> SEC )ONaI <br /> 1 BUILDINC PUNS <br /> TOTAI <br /> 7 fIRF MYDRANT <br /> 1 fIRE PROTFCTION SVSiEM ►FLLMIT VALI�ATION <br /> WHEN PROPFRIY VALIDAiEDIIN THIS SPACFI7HIS IS VOUR PERMIT <br /> 5 LRADINGIk%CAVATIONBCLkANING;GRUtlHINC <br /> 6 ORAINAGF <br /> 7 ENVIRONMFNTAL IA7PACT STATEMENT <br /> E MFAUN DISTRICT <br /> ApPUGIION ACC 8Y PUNS CH[CKED BY APPR FOR ISSUANCf BY <br />