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��r�F`° " .:ONSTRUCTION e � <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 254B715 � <br /> EVERETT,WA98201 ��OMBINATION ❑ BUILDING ❑MEGHANICAL ❑PLUMlING PERMIT NO. � <br /> � OWNtII MML�DDx61 CIIY 21P PNOME <br /> /�%�5 �e,�,�i � C- 7cC-' Cci°>,yr � � L-vt � rd <br /> AqCXITlCT OR Uf51CNER M�II AOOIIF55 CITY ZI� 1NON[ <br /> GEHFReICONIRACiOR MAIL��DNESS CITY 21P fMOSF UCWS[I <br /> ]�//X /�'a�ir jM✓- �> .c Y J J/��l S � fUY�c-y� _ +s� �.�� �c(- /�/ -GA-R�,� .c.7/1 hL <br /> MECMANIUICONTRACTON � MAllA0�46S <br /> CItY 21Y ^NOnE lIClNS[1 <br /> PIU��BING CONiI1�C10N M�IL AOORESS CI7Y 21P 7qpN( IICENSE I <br /> CUSS Oi M'ORK <br /> ❑NEW ❑ADDITION ❑ALTERATION .�REPAIR ❑DEMOLITION ❑FENCE Ci51GN ❑CARAGE ❑BUILDING REIOCATION <br /> \T W�TION Of 1VONR <br /> y � -G rr <br /> D6C IBF WORK <br /> 20f. � /Vti� �[� .�fi <br /> PIIOPOSEDUSF Oi BUIIDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IFCAl0E5C0.1YT10HOf YROP[RTY�SMOH'�8[lOM'ORAIT�CNiOURCOP�61 PROVISIONS OF LAWS�ND OR�INANCES COVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ior�L_eiocc�or " ` �� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � , GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTI�iER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORM�NCE OF CONSTRUCTION. <br /> StGNATURE OF CONTRACTON OR AUTHORI2E0 AGENT DATE <br /> IOBADDRE55 I . j� l J ' �� �/-Z,�/�"' <br /> � � • �G/'f' /.v . -Vt:p y X -i �.� � 4� . <br /> PLUM�ING MECMANICAL <br /> NO. TY�E OF FIXTURE FEE NO. TY/E OF EQUI►MENT FEE <br /> WnTEF CLOSET(TOLIFT) AIR COND UNITS-HP.EA <br /> BATHTUB REFRIGERATION UNITS-H.P.E� <br /> IAV�T00.Y�WASM B�SIN) BOIlE0.5-M P EA <br /> SHOWER G�5 FIRED AC.UNI75-TONNACE EA <br /> KITCHEN SINK 8 DISP FORC[D AIR SYSTEMS-B TL M EA <br /> WALL HFATERS-B 1 U M <br /> DISWASMER <br /> UUNORY T0.AY UNIT HC'�[Rt-p T U M <br /> CIOTMES WASNER F\'APORATIVE COOLERS <br /> WATER HEATER CLOTMFS DNYERS <br /> URINAI VFNTIIATION iAN <br /> DRINKING FOUNTAIN RANGE MOOD <br /> AIR IUNDLING UNIT- C.F M. <br /> FLOOR DRAIN <br /> VACUUM BMEAKERS STOVE <br /> ROOF D0.AIN5-RAINIEADFRS METAL fINEPIACF 8 CHIMNEY <br /> SINK�SERVICE-BAR.ETC I <br /> SU�101A1 SUt TOiAI S <br /> ►ERMIT f ►FIIMIT � <br /> iOTAI FfF f TOTAL 1[F f <br /> SI�F YARD SCTBACK STRFET SCfBACK RUR VARO SETOACK PLAN CMECN NU��BE0. PL^N C ECEIPTENO. <br /> FEE <br /> USE ZONE LOT ARFA y��AN7 SITE F[ES VAIUAi�ON iFF <br /> ❑YES ❑NO <br /> TYPE UF CONST OCCUPANCY CROUP NO O�DWEILING UNITS <br /> BUIID�NG 3 <br /> SIZE OF BIDG NO OF 5T00.1E5 MAX OCC LOAD <br /> PLUM9ING <br /> fIRE ZONE BASEMfNT UIOROOMS REQU RfIDKlERS MECMANIUL <br /> ❑YFS ❑NO <br /> A��ROVALS �T O�iE OTHER <br /> 1 fNVIRONMENTALCMEIXLIST pENALTY Up�� <br /> SEC JOJ(+1 <br /> 2 BUIIDINL PUNS 7pTAl <br /> ) flRf MYD(tANT <br /> 1 fINE PROiECTION SYSTEM tEI1MlT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN iH15 SPACF)THIS IS YOl1R PERMIT <br /> 5 GRAOINGIf%CAVATIONBCIfARINGGRUB9ING <br /> 6 DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT STAiEMENT <br /> E HFAIiH DISiRICT <br /> APPIICATION ACC. BY PUN$CMECKED BY APPR FOR ISSUANCF BY <br /> 9 1-%9 <br />