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,�.Ew�.� A��'LICATION FOR , ���,�„ <br /> ��n�F C..�NSTRUCTION e <br /> everett P�RM IT <br /> DEPT. OF COMMUNITV DEVELOPMENT SERVICES <br /> CITY HALL 2548715 <br /> EVERETT,WA 98201 ��OMSINATION ❑ SUILDING ❑MECHANICAL ❑PLUMSING PERMIT NO. <br /> OWNlM M��L�ODMI55 CIIY 21P PNONE <br /> I�ta�a��=t 7oN��r�•� 7�ry���rc-��,��e .C✓e�,��t� 9/ZQ� �.:s-���� <br /> A0.CHRICT RUf51LNF0. M�IIADDRl55 tlTY 21P IHOHE <br /> GINfReICONIRACiOR M�IIA�OR[55 CIiY 21P PNOH[ IICFNSf1 <br /> n11CM�NIUI CONIRACIOR M�II AD011I55 CITY 21P PNONE UCEHS[I <br /> Pll1n�PI�G COHIq�QO� MAII ApOR65 CI1Y 21P PHONE IICEHSE I <br /> Ct�UISSO{WONK <br /> y.�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑CARAGE ❑BUILDING RELOCATION <br /> s_ <br /> \'�l W 110N Of N'ORK <br /> f <br /> DlSCPI9f WORa .p/ <br /> Q � i YIU � � <br /> FNOPOSLD US!OI BU�LDINL 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 /> tlWl D6CMIP110NOi PMOPlR1Y�SNOKM PIIOW OR�iTA01 fOUP COPIt51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHEiHER SPECIFIED HEREIN <br /> ior_ eioca_or OR NOT. THE CRANTINC 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. D ���D <br /> SIGNATURF OF CONTRACTOR OR AUTHORIZED AGEN7 D�TE�� <br /> IOB e00Nf 55 r <br /> Z � / X � <br /> a � <br /> ►LUM�ING MECHANIGI <br /> NO. TYfE Of ill(TURE FEE NO. TY�f OF EQUI�MENT fEE <br /> WAT(R ClOSET(T011fp �B COND UNITS—H P EA <br /> AATHTUB FEFqIGERATION UNITS—H P.FA <br /> LAVATORYIWASNBASIN� POILL0.5—MP fA � <br /> SHOW[R WS RRE��C UNI75—TONNALE EA <br /> KITCHEN SINK 8 DISP �ORCFD AIN SYST[MS-97 U. M EA <br /> DISWASNER WAIINFATERS—BT.0 M <br /> UUNJRVTR�V UNITMEATERS—PTU M <br /> 1 CLOTMES W�SHFR fVAPORATIVE COOlERS <br /> WATFN MEATEN CIUIHLS UNIkFS <br />,� URINAL VfNTIUTION FAN <br />;� DRINKING fOUNTAIN RANCE MOOD <br /> FLOOR DRAIN �IR MANDIING UNIT— C FM <br /> VACUUM BRfAKERS S70Vf <br /> ROOF ORAIN$-0.AINlEA�ERS A1ETAl FIRFPLACE 6 CHIMNfV <br /> SINK�SFRVICE—BAR.FTC) <br /> tU�7oiAl SUtiOTAt f <br /> �ftMIT 1 ►[�MIT f <br /> iOTAI FE[ f iOTAI FEE S <br /> SIDE YARD 5[TBACK STREFT SRIIACK R[AR YARD SETBACK PLAN CH[fK NUMBER PL�N CHECK FEE <br /> fEE RECEIPT NO. <br /> USE ZONE LOT ARU y�CANT SITE <br /> ❑VFS ❑NO F[[f � VAIUATION iFE �, <br /> iYPE Of CONST OCCUPANCY GROUP NO OF DWfILING UNItS <br /> BUILOINC f <br /> SIZE OF BLOG. NO OF STONIE$ MA% OCC LOAD <br /> PlUM01NG <br /> FBC20NE BASEMENT flLDNOOMS FlRESPRINKlEXS <br /> REQUI0.ED MECHANIUL <br /> ❑YFS ❑NO <br /> AMROVAIS �1' DAiE OTHER <br /> 1 fNVIRONMENiALCM[CK UST PENAITY U.BC. <br /> $FC.NlJlal <br /> 7 BUIIDING PLANS <br /> ) FIRE MYDRANT i01AL <br /> 1 FIRE PROT[CTION SYSTEM ►ERMIT VAlIOATION <br /> WMEN PROPERLY VAIID�.TED(IN TIIIS SPAC[1 TNIS IS YOU4 PERMIT <br /> 5 GRADINGIf%GVATIONBQFARINGIGRU6NING <br /> b D0.AINAGE <br /> 7 FNVIRONMENTAIIMPACT51AifMENi <br /> E. HFAITN OISTRICT - <br /> APPLIUTION ACC. BY PUN$CHECKED BY APPR FOR ISSUANCE BY <br /> v� . <br />