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,�,E�ro�� AP�LICATION FCJR .- ��«<n <br />��T��F CJNSTRUCTION e <br />everett PE RM IT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 25487�5 <br />EVERETT, WA98201 ���MBINATION � SUILDING ❑MECHANICAL ❑PLUMSING PERMIT NO. <br />OWNfP M�II npONtii CIIY ZIP PNONf <br />� �E,�� �. �q�t�,� 4��joJ�£xlc,c� �.v���e7 ZG�� fk�r:� .�s3=G/s�y <br />�R ❑[[TORU[S�GNIN M�I1A0011f55 CIIY ZIP VNONE <br />CIM[ML COM�R�CLJR MMl ADOFl55 C11Y ZIP PMONE IICFNSF � <br />nIICH�tiIQI COYtN�CiCA <br />M�II ADDR[55 ��tY 11P PHONE IICENS[ � <br />PIVnIPnGCONiR�CtON M�IUDON[55 UtV . ZIP FNOHF �I[EHSE� <br />CUSS Of NORK � <br />❑NEW ❑ADDITIfN ❑ALTERATION ,�REPAIR ❑DEMOLRION ❑FENCE ❑SIGN ,uCARACE ❑BUILDING RELOCATION <br />\'AlUn110N Of N'ONK <br />' �% % �i <br />oiscaieE woxr ��Q _ ^ ^ �. <br />PROPOSID US[ OI flU1l01NL <br />L[GAl DI SCRi�iIOY Of PROPI RLY 151 <br />'7 .0 <br />ioi �eioccJCOD'•o� . <br />. I � / <br />IOP �OORI55 <br />rwMeiNc <br />NO. TY�E OF <br />W�TER CLOSET ITOIIE <br />BATMTUB <br />IAVATORYlWASM B�S <br />KITCHE`151NK 8 DISP <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />B[LOw00. �l1�CH IOURCOPIL51 PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED W ITH WHETHER SPECIFIED HEREIN <br />' '� � `5 OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />CIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW KEGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiURE OF CONTRACTOR OR AUTHORIZED ACENT �ATE <br />�� 1 1 1 <br />UUNDNY TNAY <br />CIOTHES wASMER <br />WATER NEATER <br />URINAL <br />pNINKINGfOUN1AIN <br />FIOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINIEADERS <br />$INK ISERVICf -BA0., CTC 1 <br />CONST <br />iIRE ZONE <br />fU�TOiAI <br />►FRMIT � <br />70TA1 iFF S <br />STRFET SCiPAIX NCAR YARD SEiBACK <br />LOT AREA VAGNt SITE <br />❑Y6 ❑NO <br />OCCUPANCY CROUP NO. OF DWEIUNG UNITS <br />NO OF STORIES MA% OCC. IOAD <br />PASFMENT OLUROOMS FlRf SPRINKLERS <br />AM�OVAIf <br />1. ENVIRONMENTAL CMFCK LIST <br />2 BNIDING PUNS <br />J FIRE HYDNANT <br />1. FIRE PROTECTION SYSTFM <br />5 GRADING4[CAVA110N6CLkARINGIGBUBflING <br />6 DRAIN�GE <br />7.ENVIRONMENT�LIMPACTSTATEMENT <br />!. NFALTM DISTRICT <br />♦VPnGT10N ACC. BY PL�NS CHECKED BY <br />9�1�79 <br />�r � �AiE <br />AFPR FOR ISSUANCE BY <br />IGER�TION UNIiS-M P E� <br />l0.5-NP EA <br />FIRED AC UNITS-TONN�GE EA <br />_IO AB SYSTEMS-B.T.0 M <br />LHEATE0.5-B.TU M <br />fME�iERS-BTU M <br />VFNi1L�tION FAN <br />AANG[ MOOD <br />�IR MAN�LING UNIi- C.F M <br />$TOVE <br />MFTAI FlREPUCE 6 CHIMNEY <br />fU/ TOiAI � <br />CMCCK <br />BUII.DING <br />P W MBINC <br />MFCHANIUI <br />OTMtR <br />PENALTY <br />FFE <br />s <br />UBC. <br />SEf 70N�) <br />f� <br />PLAN CHECK FEE <br />1 RECEIPT NO. <br />TOTAI I I <br />r[IIMI� V�IIDAiION <br />WMEN P0.0PERlY VALIDATEU IIN iN15 SPACE) THIS IS YOIIA PFRMIT <br />