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M�EwrprNn A P P l I CAT�O N F O a ,-��. ���,�„ <br /> °�TM°F Cl,. NSTRlJCT10N e <br /> everett PE RM IT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES / <br /> CITY HALL 259�B7J5 . <br /> EVERETT, WA9B201 ��OMBINATION ❑ SUILDING ❑MECHANICAL C�'�PLUMSING PERMIT NO. <br /> owdlR n1�It nooxt55 J " A L 3/7' Ci1r 11P PNONE <br /> Do�TN�! M��//�`n ' .c .FG�'/r'E'/7 9�.2 � � S�y- ���1- <br /> �RMITt[iOR (SIGH{p � M�IL�UDII{55 CIIY ZIP YHONE <br /> /// 1 <br /> /�/1��� 3/'—,Av/-'y-t,l,4n-.l�e�+i,�y 2Gi—'�r/ sZ=-�y��c�ciSN %.P'�-`Ir SG�'-3��, _ <br /> 4tNl0.Al CON�CIOR� � M�I[ADDFl55 CITY 21P PNON[ UCEHS[I <br /> /J A<��• -�� � <br /> h'�/ic J >/'�.d(�i,� �/.�.4,��s� ;b�si .2 � /- 7 iif �:e�/..,y,sy 7S'3-9�' i6��-3/t'� t �sGdi� <br /> mlCH�MIUI OniR� lOR MAITRE55 CITY llP PNON[ IICFNS[1 <br /> PII���flirvG[ONiqAC10R M�II�D�N65 UIY 21P PHOHt LI[FNSE I <br /> CleSS U N'OPK ry� � <br /> � ❑ADDITION ❑ALTERATION I�ftEPA1R ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br /> VAlUAl10N Of NONK <br /> 1 7 �700 <br /> ��1� <br /> OISCPIBF WONK <br /> N T 5,� ;� r'� S sTci� • .� ' S i� -iv <br /> P0.0Y05[DUSf Of 9UIl i�c r I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AR . <br /> PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br /> IEGM O[SCRIPOOHOF PROPlRTY�SHOMN BElO1V OR�TtACN fOUR COPIl51 PROVISIONS OF LAWS AND ORDINANCE$COVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �or eiocK_oF OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. � o � <br /> SICNATURF Of CONTRACTOR OR AUTMORIZED AGENT DAT � <br /> ION�DDPl55 <br /> �.� L ��M ���/�E�� X ��" <br /> PWMlING MECHA IUl <br /> NO. TY►E OF FI%TURE FEE NO. TY�E Oi FQUI►MENT FEE <br /> WATER CIOSEi(iOLIETI AIR CONb UNITS—H P FA <br /> AATHTUB RFFRIGE0.ATION UN�TS—M.R EA <br /> IAVATORY(WASM PASIN� BOIlFRS—H P E� - <br /> SMOWER � WSiBEDACUNITS-70NNAGEEA <br /> KIT�MEN SINK 8 DISP fORCFD AIR SYSTEMS-8.T U. M EA <br /> DISWASM[R WALL HFATERS—B1L. M <br /> ��UNDNY TRAY UNIT MEATERS—B i U M <br /> ClOTM6 WASMFR EV�80RATIVE COOLERS <br /> W�TFR MEATFR CLO�HES ORYERS <br /> UNINAI �ENTII�TION FAN <br /> DRINKING FOUNTA�N 0.ANLf MOOD <br /> fIOOR DRA�N AIR HANDLINC UNIT— CFM. <br /> V�CUUM BRE�KfRS STOVE <br /> ROOi DRAIN$—NAINLEADERS METAL FIRFPUCE 8 CHIMNEY <br /> SINK�SFN\9CF—BAR,ETC 1 <br /> SU�TOTAL !U�TOiAI ! <br /> ►E�MIT f r[�Mli { <br /> TOiAI iFE f TOiAI iFF f <br /> SIDF YARD 5[TB�CK STR[FT SCTAACK RUR YARD SFT6�[K FUN CHCCK NUMBE0. PUN CHfCK FEE <br /> � FEE RfCEIPT NO. <br /> USE ZONE lOT ARE� VACANT SIiE <br /> ❑YES ❑NO IFFS VAIUAiION fEE <br /> TYPE OF CONST OCCUPANCY GROUP NU OF DWEILING I�NlTS <br /> 13UIlUINL s <br /> SIZF Of BIDG NO.Of STORIFS MA% OCC IOAD <br /> PLUMOING <br /> fIRF ZONE BASFMFNT XlDROOAIS FIRE SPR�NklERS <br /> REQUI0.FD MFCMANIUI <br /> ❑YFS ❑NO <br /> A►►�OVALS �1' DAiE OTHER <br /> 7 ENVIRONMENTAI CMfCK 115T U.B.C. <br /> PENAIiY SFC JOAa) <br /> 1 BUILDINC PUNS '". <br /> 7 F10.F HYDRANT iOTAL <br /> { FIRE PROTFCiION SYSTEM -- �E�MIi VAIIDAiION <br /> � WHFN P0.0PERlY VALIDAiED�IN THIS SPACE�THIS IS YOU0.PERMIT <br /> 5 GNADING/F%CAVATION6CLEARINCIGRU9flING <br /> 6 DRAINAGF <br /> L ENVIRONMENTAIIMP�CTSTATEMENT � <br /> !. HEAITM DISTRICi <br /> APPLIUT�ON ACC.BY PUNS CMfCKfD BY APPR.F00.ISSUANCE BY <br /> 9�1�79 <br />