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fh�Ewryn�n APPIICATION FOR <br />°'TM°F C�.NSTRUCTION <br />eve��ett PE�MIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALl2i9�8715 <br />EVERETT. W,\98201 I—Ir�uaw.���.� n_........._ n..__.....•--• ^_ <br />�S� <br />PIUn�Pi�L[ONiR�C10R MAII�DOFl55 �IiY ZIP PlIONE IICENSEI <br />C1�55 Oi N'ONK �/ / <br />❑NEW ❑AD�ITION L�AITFRATInN nR[��IR nf�[w�niinnra nccurc I-ln�.� I-l.-....... 1"7_...._...___.__._.__. <br />'�/jl!lD.�t <br />Of5CRi81 NORK - <br />�7�� -S�� <br />VqOV05lD USE OI PUIIDIhf. <br />� <br />LlG�I D!T NIP110� Of PROP[RiY ISHOWn 911Ow OR <br />l0 BLOCK�Of � <br />IL:i] <br />�IUMlING <br />NO. TY�E OF <br />SMOWER <br />KIICMEN $INK 8 DISP <br />DISwASH[R <br />UUNDNY 7RAY <br />CLO7HE5 WASHER <br />WAi[R MUTER <br />URINAL <br />ORINKING FOUNTAIN <br />FIOOR DRAIn <br />VACUUl.1BREAKF0.5 <br />ROOF DRnINS—RAINI <br />VARD <br />FINE 20NE <br />u <br />►FIIMIT <br />LOT AREA <br />BASEMENT <br />A►�lOVAl3 <br />1 ENVIRONMENTAL CMECK LIST <br />7 BUILOING PLAN$ <br />J Fl0.0 NYDRANT <br />� FIRE PROTFCTION $YSiFM <br />5 CR��INGI!%UVAIION6QfARINGICRUtl91NG <br />6 DRAINAGE <br />7 ENVINONMENiALIMPACTSTATEMENT <br />E NUITH DISTRICT <br />AI'i�II��IIUhnCt Ol f:.A.'.>UI«�lU <br />r� d N�- z G�,. R s— <br />I HEREBY CER7IFY THAT I HA\'E READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />�OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOGL LAW REGUUTINC CONSTRUCTION <br />OR THE PERFORMANCF. OF CONSTRUCTION. <br />$IGNATURF OF CONTR�r�ti nu . '—` DATE <br />FEE <br />VAUNi $IlF <br />❑YES ❑NO <br />NO OF OWELLINL UNITS <br />MAX OCC LOAD <br />�r <br />DATE <br />MECHANICAL <br />NO. <br />PIAN <br />P EA <br />BOIlERS-M P EA <br />GAS FIREO �C UN�iS-TONNAGE EA <br />iORCED AIB SYSTEMS-B.T U M <br />wAll MEATERS-tl1.0 M <br />UNITHEAIENS-B.TU. M <br />EVAPORATIV[ COOlERS <br />CLOTHFS ORYERS <br />V[NTILA710N FAN <br />RANGFHOOD <br />AI0. HANOLINC UNIi- � F M. <br />SIOVE <br />MfTAL FINFPLACE 8 CHIMNEY <br />IF[S <br />SU�10TA1 <br />FEE <br />� <br />! <br />{ <br />CHFCK iFE <br />RECEIPT NO. <br />BUILDING S/ 7�ryT' L�V <br />{ L(�l/ l <br />PLUMffINL <br />MECHANICAL <br />OTHFR <br />Pf NALTV U.B C. <br />SE[. 1011al <br />iOTAI - <br />►[IlMIT VAlIDA710N <br />WM[N PROPERLY VALIDATEDIIH TMIS $PACE� THIS IS YOUR PERMIT <br />�v <br />