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- , <br /> A-PPLIC.A►TION FOIL- <br /> �ME~ro.� �ONST�tUCTION "e <br /> cirr oF <br /> everett PE R��I IT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8715 <br /> E�ERE7T,WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> M�II�DONf55 CIIY ZIP PHONE <br /> �r.�i iU,4-L I'1 �'u iN�� '��/� £.�n � �i�sr��l 9,Y.�P3 ?S� 9L�7� <br /> �RCHITfCTORD[SIGN[N � MAILAODIIl55 UTY ZIP HONE � <br /> G[NER�I[ONiP�[IOR M�IlAOOR[SS �IiY Z�p pHONF �IC[HSEI <br /> n�l[H�NIUI CONIqeCiOR MMl�DDR65 CItY [IV PNONE IICENS[1 <br /> PIUMpIaG COrvlp.1[TOR MAII�DDR[55 CIIY =Ip pHONE LICFNSE I <br /> CLe55 Of N'ONK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VAW�IIONOf WONR <br /> f <br /> ypl5[R�UF WORR <br /> ` O TG 'L h'A��1� � <br /> rxoros[ous�oi emion+c I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LEGMD[SCNIP110NOF?ROPFRfY�SHOWNBlION'ORAIieCNfOURCOVIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINCTHISTYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ior BLOCK_Of OR NOT. THE CRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br /> OR THE PERFORMANCE UF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR OR AUTHORIZED AGfNT DATE <br /> IOP eDONlSS ` nn � <br /> � `� X Xd� 2-/ = . o <br /> �LUMlING MECHA L <br /> NO. TY�E OF FI%TUIIE FEE NO. TY�E OF EQUI►MENT FEE <br /> WATER ClOSFT�TOUET) AIR COND UNITS—HP.EA <br /> BATMTUB REFRIGERATION UNIiS—H.P.EA <br /> UVATORY�WASH BASIN� BOILfRS—MP.EA � <br /> SMOWfR GAS FIRFD A.C.UNITS-10NNAGE EA <br /> KITCNEN SINK 8 DISP FONCfO AIR SYSTEM$—B TA. M EA <br /> DISWASHEH WALL MEATERS—B TL M <br /> LAUNO0.ViNAV UNIiHEATFRS-8TU M <br /> CLOTHES WASMF0. FVAPORATIVE COOLFRS <br /> WATFR HFATEN CLOTHES DRYFRS <br /> URIN�� yENTILATION FAF <br /> DRINKING fOUNTAIN RANGF HOOD <br /> FLOOR DRAIN AIR MANDIING UNIT— C.FM. <br /> V�CUUM BREAKERS STOVE ' <br /> ROOF DRAINS—RA�NIEADERS hIFTAL FIREPLACE 8 CHIMNEY <br /> SINK ISFRVICF—BAR.ETC 1 <br /> SU�iOTAI �U�iOiAl f <br /> ►F�M�T s �[�MIT f <br /> TOTAI/[F { TOTAIF[F s <br /> SIDE YARD SETBACK STREET SCTBACK REAR YARD SETBACK PL�N CM[CK NUMBfR P��N CHECK FEE <br /> FFE NECEIPT NO. <br /> USF ZONE l0T AREA y���NT SIiF <br /> OYES ❑NO iFES VALlIAT10N 1[F <br /> TYPE OF CONST. OCCUPANCY CROUP NO.Of DWFILING UNITS <br /> BUIL�INC f <br /> 5¢F OF BIDC. NO OF$TORIF$ MA% OCC IOAD <br /> PWMBING <br /> FIRE 20NE BASEMFNT 11fUROOMS fIRE SPRINKLERS <br /> REQUIRFD MECNANIGL ,� <br /> C7YF5 ❑NO <br /> AMIIOVAIf �t DATE OTHER <br /> 1 ENVIRONMENTAI CHECK LISi <br /> PFNAITY U.BS. � <br /> 2 BUILDING PUN$ $EC.70$a) ,` <br /> J fIRF MYDR�NT TOTAL � <br /> l FIRE FROTECTION SYSTEM RAMIT VALIOATION <br /> 5 GRADINGIEXCAVATIONb CLEARINGICRUBflING WHEN PROPERLY VALIDATED pN THIS SPACF)THIS IS YOUR PERMIi <br /> 6 D0.AINACE <br /> 7. ENVI0.0NMFNTAL IIAPACT STATEMENT <br /> E. HEALiH DISTRICT <br /> APPLIGTION ACC. BY PLAN$CHECKED BY APPR FOR ISSUANCE BY <br /> ✓ G <br /> 9.1-79 <br />