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- ~� <br /> 1 <br /> APPLICATION FaR ���n„ <br /> �TM�"`"° �O�ISTRUCTION O <br /> �verett PERMIT <br /> DEPT.OF COMMUNITY DEVELOPMENT SERVICE$ <br /> CRY HALL 259�8705 <br /> EVERETT,WA9B207 ��OMBINATfON �BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> . �/OWNIR nUll�D !SS CIIY 21P PIIOt�[ <br /> /\ L <br /> / SUy� � �/ �j� -� we�� 3/9 Gr>.rrr 7> 'dzre�'{ %X.Zo3 a�.1 "3JYJ <br /> ARCIIIIIC�ORDESILNIN MMI.�ODN(SS CIiY ZIP PNON[ <br /> GlNt0.�LCONiNeCfOR MAllA00R[55 ���Y LIP PNONF UCENS[� <br /> MlOI�NIULCON10.eC10N ������ODNI55 ���Y CIP fHON[ UCFNSl� <br /> PLUti1pItiL<ONINACiOR AUII AODR65 ���Y ZIP PNON[ UC[NSE/ � <br /> RASS Of NORK � <br /> ❑NEW ❑ADDITION ❑ALTERATION 1�REPAIR ❑DEMOIITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> �\TW�iIOY OI NOCK <br /> �� ,GSr/nt� tc�-' I����° <br /> �CDfSCRIPf NONA � <br /> z. u� <br /> �(rxovasiuun or amminc I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS AP- <br /> � , � Q" PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IEG�I OISCRIP110�Of PROVINtt15NONN BIIOW OR.V1�U1 fOU0.COP1151 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ior_e�oa_or OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOUL LAW REGUUTING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUN[OF CONiRAQOR OR AUTMORIZED AGENT X DATE <br /> �ox�noa�ss � � ��Z� Z/� 9� <br /> .3/ G', w -f — ✓rr 't X . <br /> PWMBING MFC NICAL <br /> NO. iYPE OF FI%iURE FFE NO. TYPF Of EQUI►MENT FEE <br /> 1U7ER C105[T IIDllfTl AIH CONO UNITS—M P.EA <br /> 6A7117U0 REFRIGfPAT10N UNRS—HP EA <br /> LAVATONVI�YA51111ASIti� IIOIIER$—MP F� <br /> S1/0W[R WSR0.EDAC UNITS—TONN�Gf EA <br /> KIiCMtN SINK b�ISP lONC[D AIR SYAEMS—N T U M FA . <br /> DIS\vASHER N'ALl HEATfRi—II1 U M <br /> LAVNORYTRAY UYIiMUTERS—BTU M <br /> ClO1H6\YASHLR [VAPORATIVE COOLERS <br /> 1vATFR MEA1[R CLO7Nf5 DRY[RS <br /> URINAI V[NIILAIION fAN <br /> ORINKIYG iOUNiA1N NANGE NOOD <br /> FIOOR pRAIN AIR MANOIING UNIT— C f M. <br /> \'�CUUM pHfAKINS SIOVF <br /> RWF OkA1N5—RAINIEADf RS M[�AL FIREPUCf 6 CNIMNEY <br /> SIHN 6ENVICF—BAN.!TC 1 <br /> SU�TOTAL SU�fOTAI S <br /> ►EtM1T f ►[tMli f <br /> TOi�I�E[ 3 TOTAI FEE t <br /> SID[ YARD 5[if1ACK STNEET 5[TflACK RUN YAND 5[TpACK PIAN CM(CR NUM1111[R PIAN CHFCK FEE <br /> FEE RECEIPT NO. <br /> LSF ZONE LOT ARfA yAUN�SRE <br /> OYFS �NO «ES V�lUAT10N !EE <br /> 1YPL Of CON57 OCCUPANCY GROUP HO OV OWELLING UNITS <br /> OUILDING S V � <br /> 512F Of eloG HO.OF SiONIES ��nk OCC LOnD <br /> PW�RIING <br /> FIR[ZON[ BASEMENi IILONOOn15 ��R[SPNINKLLRS <br /> RFQUIRED 61fCf1ANICAI <br /> ❑YfS ❑NO I <br /> • Aft�OVALS �T OATf O7HFR ��� <br /> � [NVIRONM[NUl CM[CK LIST pEN�ITY U PC. <br /> 5[C.JOAaI � <br /> 2 BUILDING CUNS <br /> ) RRE NYORANT TOTAI ' S <br /> � FlNE FROI[CTION SYSTEM ►EIIMIT VAlIDA710N <br /> WMFN PROPFNLY VALIDATED�IN THIS SPACE�TMIS IS YOUR PERAIIT <br /> . 5 GNAOINGI%UVAlIONBCLEARINGICRUB9INL <br /> 6 DR�INAGF <br /> 7. FM�IpONMENTAI IMiAQ STATLMENT <br /> E HEAl7N DISTRICI <br /> �PPlICe110N ACC.BY PlANS CHECKED BY APPR FOR ISSUANCE PY <br /> g.7.79 <br />