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, <br /> � <br /> AF LICATION FOR ��e <br /> fM EwrprNn CO N ST R U CT I O N <br /> an oF <br /> everett PE RM IT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES . <br /> CITY HALL 259�87<5 <br /> EVERETT,WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNIR M�II�DONI55 CIIY 21P PMON[ � <br /> l�o�lc�f �y���+L /JI �'"�i � ,Ci»�;�'sc�/ r'C [=c����%/ `I�'?���/ 'P a_S"-//��l <br /> �R[HI11CtORUTAGnIR �nnll�D�N155 CIIY ZIP <br /> UiY 21P PNONE llC[NSE/ <br /> GINIR�IC NIR�CIOR MMI�ODP65 � � , <br /> n�11�N1� CONI�CO� UC• r AUllnlpRl� 1 � ,�^ ' fL ^ 1A t�/�?� PHONi D l IICFHS[I ��II} <br /> PII'�1NCC1'UMR\C100. MAILADDRI55 <br /> CRY 21P PNOHf UC[NSF 1 <br /> CI P)OI\1'ORI( <br /> ❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑DEAIOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br /> �vonunrorwoax , V <br /> � �7 :[.� 'rU <br /> �. ��• � <br /> UI�CRINt NORA <br /> ' /�� �p �� lU:� �v.�/ .K/5���1 1 4na��c�Y <br /> rxorosinrv o� nmiurvt I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO fiE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAW$ AND ORDINANCES GOVERNING THIS TYPE <br /> IfG\1O15CN�P�IO�Of PPOPfRiY�5110NNN[lON'00.�11�OIIOURCOV1151 OF WORK WILL UE COMPLIED WITH WHETHER SPECIF'ED HEREIN <br /> i�� [) fliaK__o� Ur/:Pc ' � ���� �" �������u"" OR NOT. THE GRANTING OF A PERMIT DOE� NOT P2ESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO�ISIONS OF <br /> /�}r� ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SICNnTUR[ Of CONiRACTOR OR AUTMO�ZEO AGENT DAiE <br /> IUH�DORISS C� �J O� /�(lO <br /> k�i�fClyt,.i /�L <br /> MECHANIC <br /> PWMS!NG FfE <br /> NO. TY►E OF FI%TURE FEE NO. TYPE OF EQUIPMENT <br /> / N'AiEeCLOSETITOLIET� OO ��RCO�:D UNI75-HP FA <br /> REFRILlR�7iON UNITS-H P EA <br /> i flATMTUB <br /> � HOR[RS-��P U <br /> � LAVATORY�WASHflA51N) �, <br /> / SHOWfR GASFIRtDAC UNITS-iONNAGEfA <br /> IORCf U nIR SVST�MS-B T U M EA <br /> KI7CHfN$I4K 8 DISP <br /> \VALIMFATLRS—OTU M <br /> DISW�SMFR <br /> UNIiH1A7FR5-177U M <br /> UUNDRI iRA1' <br /> LVAPORATIVF COOlERS <br /> ��piHlS wASMFR CLO7Nf5 DRY[RS <br /> '� WA7ER NU7[R , C� <br /> Yf N11LA710N MN <br /> � URINAI <br /> HANLENOOD <br /> pkINKING FOUNT�IN <br /> f 1000.DRAIN AIN HANDLINC UNIT— C F M <br /> I 570A'L <br /> \'ANUM PRfAKERS <br /> MfTAI fIRLPUCL d CHIMNEV <br /> ROOf DRAINS—R�INIUO[RS <br /> SINK 6[HVICI—flAR[iC 1 <br /> � sus rou� s eb � <br /> SU�TOTAI ►EI�MIi s <br /> s y <br /> ►FIIMIT !1 <br /> S � TOTAI iEE <br /> TOTAI FEE PLAN CHECA FEF <br /> SID[ 1'�RD���K SiRf[T SCTOACK RUR�`D Sf��K PU�H[C�Z ER FEE�� �� RKEIPT NO. <br /> ! (ls ��Of � , 3 <br /> i � <br /> USF 7�ONf LOT ARU VAUN�S)i[ fE[5 V�WAiION FFF <br /> F�j�' ❑YES yXNO <br /> i IYPF Of CONST OCNPAN�Y GR�OUP NO OF DWIILWC UNIfS <br /> � i n o� <br /> � � �' NUIIDING !� -p� pv <br /> SIZE P�DG ♦ NO Of STORIfS A1AX OC�c_IO�O <br /> �8'_= 2MG� `�7aR r�unuiiNc �o �b <br /> fIR[ ZON[ 6ASiMENT flIONOU�4 FIRL SPRINKL[NS Z �U <br /> 3 � HFQUIRf MECNANIUI <br /> 3 nvis No <br /> A►�ROV�IT !Y DAiE OTNFR <br /> U9C <br /> 1 ENVIRONM[NTAL CMEIX LI57 P[NALTY SFC 30Ha) <br /> 1 BUIIDING PIAN$ T�T�� AQ � <br /> VV <br /> J RR[ HYDRANT <br /> �EIIMIi VAIIDATION <br /> � FIRE PROTECTION SYSTFM W��EN PROPERLV VAlIDA7ED 11N TN15 SPACEI TN15 15 VOUN PERMIT <br /> 5 GµADINf,II%UVAlION8CLIARINGILRUNflING S <br /> 6 DNAINAGE ���j.�� �uE B.�F f�G.!►ti.l G(,8i3. '� <br /> 7 [NVIRONMFNTAL IMPACT SIATEMENT �—�j <br /> � NULTH DISTR�CT , <br /> U'Pli� �tiU: '.tt 11� PI�NSCN(fNlOIIY APPRFONI4UANC( I1Y <br />