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M�Er+ryrN^ APPLICATION FOR -� ���,�„ <br /> ��TM�F ..ONSTRUCTION e <br /> everett PE RM IT <br /> DEPT.OF COMMUNITY OEVELOPMENT SERVICES , <br /> CITY HALL 259-8715 <br /> EVERETT,WA9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNEN MMl AU�N[SS CIiY ZIP PNON[ <br /> Ol,! (w �� �oyti ��F�;k��r t�Y �dr�rf ��� �� �s-s ��.s��- <br /> ARCNII CT OR 0[SILrvIN M�II ADOPt55 CIfY ZIP PHONE <br /> �� �� <br /> GINFR�I COHiR�ROM MMl�OORE55 CITY ZIP PNON[ LICENSF/ <br /> se� � <br /> . MICN�NIUI CONiR�CiOR M�II eDDRk55 CILY LIP PNOHE llC[HSE 1 <br /> PIVf�OmGCOHLR�CiOR MAl1,100RE55 CI1Y 21P PNONE ll[ENSEI <br /> ClAS50f wORK <br /> �'rJEW �ADDITION ❑ALTERAiION CIREPAIR ❑DEMOLITION C�FENCE ❑SIGN ❑GARAGE ❑BUILDINGRELOCATION <br /> \'ell�tlOMOf WONR i A(/ VO <br /> � �� �� �� ' <br /> UISIRIB[WORR � <br /> � G�V F"✓/� �%�! � ��-�✓���i <br /> raorosiousF oi nunoirc I HEREBY CENTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IFGM DESCNIPIIONOi PROP[RIY�SNOWN N[IOwON ni1�CN{OUN COPIl51 PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE <br /> OF WORK WILL BE COAIPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi�BLOCK�Of ^' OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO � <br /> GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OP. LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> S�GNATURE OF CONT0.ACT00.OR AUTMORI2ED AGENT DAiE <br /> IOPAl1DR155 � ,v ��, x ��� � 5..��`_�� <br /> G N�/ (°j p. <br /> PWMlING MECHANICAI <br /> r NO. TY/E OF FIXTUIIE FEE NO. TY�E OF EQUI►MENT FEE <br /> i� WATFR ClOSET�TOLIETI AIR COND UNILS—H P.E� <br /> I PATMTUB REfRIGERATION UNITS—MP. FA <br /> UVATORY IWASN fiA51N) POLLERS—M�P EA <br /> SMOwFR GAS FIREO�C UNITS—TONN\CE EA <br />�� KITCHEN SINK 6 DISP FONCFU AIR SYSTEMS—B T U M F'• <br /> DISW�SMfR WAILMk�TERS—BiU M <br />� IAUNDRYTRAY UNITMUTEHS—BiU. M <br /> CIOTMES WASHER FV�PORATIVF COOLENS <br /> WA1ER HEATER CIOTHFS DRYFRS <br /> I U0.1NAL VFNTILA�ION FAN <br />� DRINKING FOUNTAIN RANCE HOOD <br /> FIOON DR�IN AIR NANOLING UNIT– C.F.M. <br /> VACUUM 9RkAKERS STOVE <br /> NOOI�RAINS–R�iNIFADEHS M11ETAl FINFPUC[6 CHIMNEY <br /> SInK�SFRVICE–BAR,ETC 1 <br /> SU�70TA1 SU�70TA1 f <br /> ►[RMIT f ►FIIMIT f <br /> I iOTALFEF S i01AlfEF t <br />` SIDF YARD 5[TBACK STRE[T SCTIfACK RU0.VARD SFTBACK PIAN CHCCK NUh10ER PLAN CMFCK FEE <br /> iEE p RECEIPT NO. <br /> USE ZONE lOT AftU �� � � y +n C� <br /> VACANT SITE FE[S VAIUAiION IEE <br /> OYES ❑NO <br /> TYPE ONS•TI OCCUP.A�N,/CY GROUP NO OF OWFLIING UNttS <br /> � N ' •� ' �UILDING S G_; <br /> SIZE OF�FILDG � NO OF STO8IE5 MA% OQ lOAO '��� C ^c� <br /> �Q.X 2 � -- rwn+mrvc <br /> fBE ZON[ B�SFMFNT IIIUHOOMS FlNE SPRINKLERS <br /> i� �� — R[QUIRF� MECMANIUL <br /> [7Y[5 DCJO <br /> A►��OVAIf �Y DAi[ OTHER <br /> 1. ENVIRONMENTAL CMECK LIST PENAITY . U B C. <br /> SEC JOHa) <br /> 7 OUIIDING PUNS <br /> 7 FlRE HYDRANT TOTAI J 'n <br /> � FIRF PROTfCTION SYSTFM �[RMIT VAIIDATION <br /> WNFN PROPERLV VALIDATED IIN THIS SPACf)TNIS IS YOUR PERMIT <br /> 5 GHA�INGIL%CAVATIONBCLfAAINGfGRUNB�NG <br /> 6 DRAINAGE <br /> 7 [NVIRONMFNTAIIMPACT$1ATfMENT <br /> B IlUlill pISTRICI <br />