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. , <br /> fMEv�ryrwn A P°L I CAT I O N FO R - � �Y�,�„ <br /> CITYOF C�NSTRUCTION <br /> everett PERMIT e <br /> DEPT. OF COMMUNITY DEVELOPMENT SER�9CES <br /> CITY HALL 2548715 <br /> EVERETT,WA9B207 ❑COMBINATION G'BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> OWNEM MMIeDOM[55 ❑TY �/ ZIP pHON[ <br /> •1�tUl�Ei / S {�� ��A✓� �C �� �l S % C��y ST ! VP�ie_-L1 G��/1J�-�9io7c�s <br /> �RCNRECT OR OESIGN[p M�IL�pD11F55 fliY ZIP PHONE <br /> Gf fR�IC`�"fRACTOR M�IlA00N6S CITY ZIP PHONE IICENSFI <br /> 1���� �(s ti�,�Sa,v-9,e:-� (�t�3 7�c% S%iv� 'll.r� �t ✓ �% `?�7d 6 S`i -���S-i ai`i r-� <br /> n11CN�NIUI CONIR�CiOq M�IL�ODR[55 [IiY !IP PNONE �ICENSE� <br /> PlU��9i`�GCONiP�C10N MAll�0UF65 CIIY ZIP PMONE �ICENSEI <br /> CU55 f WONK <br /> NEW ❑ADDITION ❑ALTERAf�'.N ❑REPAIR ❑DEMQLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINGREIOCATION <br /> V�IUAIION Of WOPN <br /> s �.30�� <br /> o�sceini woeK <br /> 2 S A _ Ft�Q <br /> rporosious[or emioi�c 1 HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> l[Wl OESCNIVilO!�O{PROP[RIY�SNOWN BtIOW ON e1T�CN IOUR COPIf51 PROVIS;ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �oi,��e�ocK_or V1.+7' .l� b:�•� 7,<% A ,'/.oN 7a OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> - . .��a..� s . r «< . �.�' ��c (3 d F� ANY OTHER STATE OR LOGL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> C,t `N 30 i S�••I Cp SIGNATUfN Oi CONTRACTOR OR AUTHORIZED AGENi DATE <br /> IOPn00P155 / � ��` <br /> � �L ST ' v1: : ii���-w� 2.� /U-�-$CJ <br /> �IUMlING MECHANICAL <br /> NO. TY►E OF FI%TURE FEE NO. TY�E OF EQUI�MENT FEE <br /> WATfR CIOSFT�TOIIET� AIR CONO UNITS-H P. EA <br /> BATHIUB 0.EiRIGER�iION UNITS-H P. EA <br /> UVAT00.V�WASM BASIN� POILERS—H P FA � <br /> � SHOWFR CA$iIRED AC UNtTS—TONNAGE EA <br /> KITCHEN SINK 8 DISP FONCEO AIR SYSTEMS-8 T.0 M EA <br /> DISWASHER WALL MEATERS—B7 U M <br /> LAl1NDRY TR�Y Ut.IT NEATFRS—B T U M � <br /> � CtOTHES WASMFR fVAPORATIYE COOLERS <br /> WATFR HEATER CIOTHFS DhYERS <br /> � URINAL yENT1�ATION fAN <br /> 1 <br /> ,� DRINKING FOUNTAIN RANGE HOOD <br /> � fLOOR DRAIN AIR H�NDLING UNIt— �F M. <br /> VACUUM BRFAKERS STOVE <br /> '; ROOi DR�INS—RAINLF�DERS MfTAI fIRfPUCE 6 CMIMNFY <br /> f $INK(SFRVICE—BAR,ETC 1 <br />' SU�TOlAI SU�iOTAI f <br /> ►EIIMIT f ►FRMIT / <br /> TOiAI iEE f TOTAIIEF f <br /> i. SIDE YARD 5[TBACK STREET SCTBACK RUR YARD SETBACK PUN�HCCK NUMBEN PLAN CMECK FFE <br />'� FEE RECEIPTNO. <br />�, USf ZONE LOT ARU <br /> VACANi SITE FE[S - VAIUAiION �FF �� <br /> � ❑YFS ❑ND <br /> ') TYPE Oi CONST OCCUPANCY GROUP NO.OF DWELLINC UNITS <br /> BUIIDING f <br /> SIZE Of BLOG NO Oi STORIES MA% OCC IO�D <br /> '(� PWMBING <br /> F�RE 20NE BASFMENT 11lUHOOMS F'RF SPRINKlERS <br /> REQUINED MFCMANIUL <br /> ❑YES ❑NO <br /> AMROVAIf �Y DATF pTHER <br /> t. :NVIqONMENTAI CMECK 115T V.B C. <br /> PENALTY SEC.IOHa) <br /> 2 BUIIDINC PlANS <br /> 7 FIRF HYGRANT 70iA1 <br /> � FIRE PROTECTION SYSTEM ►ERMIT VAIIDATION <br /> 5 GRADINCIf%CAVATION6 CLf�NINGICRUBBING WNkN PROPERLY VAIIDATED�IN TNIS SPACE)TNIS IS VOUR PERMIT <br /> 6 DRAIN�CF <br /> 7 ENVIRONMlvULIMPAQ STATEMENi <br /> E HFALTH OISTRICT <br /> APPLICATION ACC BY PUN$CMEIXED AY APPR FOR ISSU�NC[ flY <br /> � .. <br />