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,„.E�ro�,� A-PPLICATION FOR.� ���,�„ <br /> °�^°F .;ONSTRUCTION e <br /> everett PERMIT <br /> DEPT OF COMMUNI7Y DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 �COMBINATION �BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> �N'NLR MMleU0MF55 CIIY 21P PMOnE <br /> f41. 1 n��� ��i�� +'� 2 � i<(i E✓e-,���,r�v� ri����r'� ��P��/ Z�5��s��� <br /> e11CHITfCTORD[SIGHfR Me1LA0DNl55 CITY 21P VNONE <br /> GfNIM�L CONLR�CIOR MAII ADDRE55 CI7Y ZIP PMONE LICENSE I <br /> n�ICN�MUICONLXACTON M�Il�DD0.E55 CIiY LIP PHONF IICEN5E1 <br /> PIUNNMG COHiR.1C10R MMt�OONlS$ Clif ZIP PNON[ lR[NSf I <br /> CIn550f N'ONK <br /> ❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑CARAGE ❑BUILDING RELOCATION <br /> \'AIUAiIOh OI N'00.K <br /> � �..�sS ;/tC�, vt .S-O� <br /> DISC �8[WORK <br /> I� �� �LL <br /> rRorosmus�or nunoiuc I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS AP- <br /> SP� ' / ` <br /> (/ l C `� PLIGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IEG�lOFKRIPL10NOf P OV[NIY�SNOWN 9[LOW OR,1II�CN{OUR COPII51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> im e�ocK_ov 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 REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. / //' <br /> SICNATUR[OF CONTRACTOR OR AU1H00.1ZED AGFNT OATE (7"/(���/ <br /> IONnpp�� <br /> 2 � ,I`G' �9 X ' �Q, / f <br /> . ►WMlING MECHANICAL <br /> NO. TY�E OF FI%TURE FEE NO. TY►E OF EQUI�MENT FfE <br /> WATCB CLOSET ITOLIET) AIR COND UNITS—H P EA <br /> PATHIUB REfRIGFRAiION UNITS—M P.EA <br /> LAVATORYf�'4ASM PASIN) 0011ER5—HP.EA <br /> SHOWEN f,AS HRED AC UNITS—TONNAGE EA <br /> KITCMEN SINK 8 DISP FONC[D AIR SVSTfMS—B.T U M EA <br /> DISwASNER WAII MUTERS—B 1 U. M <br /> LAUNDRY TRAY UNIT HEATERS—P T U M <br /> ClO7Hf5 WASHER EVAPORATIVE COOLERS <br /> WAIFR MEATER CLOTHFS DRV[RS <br /> URINAI �ENTILATION F�N <br /> DRINKING fOUN1AIN RANGF HOOD <br /> iIOOR ORAIN AIR MANDIING UNIT— C.F M. <br /> VACUUM BREAKfRS S7G�i <br /> ROOF DRAINS-0.A�NLEAOERS MCTAI R0.EPUCE 8 CHIMNEY <br /> SINK(SFRVIGE—BAR,ETC 1 <br /> SU�iOfAl SU�TOiAI f <br /> ►[IIMIT f �FRMIT f <br /> TOTAL iEF 3 TOTAL iFE 1 <br /> SIDE YARD 5[T0,1CK STRFET SCTOACK RUR YA80 SETIIACK PUN CH[ K NUMtlFH PIAN CHECK FEE <br /> 8� 93� 3 FtE � �j� RECEI�B �� <br /> USf ZONE LOi AREA k� <br /> VACANT SITF FEFS � �AlUAT10N FFF <br /> ❑YES ❑NO <br /> TYPF OF CONST OCCUPANCY GROUP NO OF OWEILINL UNITS <br /> P'�' '++a �2 �-- aunoiNc s /O Qd <br /> SIZ[OF BL�L NO OF STORIES MA% Ott IOAD <br /> --� I —�� PlUM01NG <br /> FIRC ZONF BASEMFNT 11lUNOOMS FI0.E SPRINKLfRS <br /> REQUIR[D MCCMANIUL <br /> "—' ^ �— f]YF$ R?t�0 <br /> AR�OVAIf /1' DATE OiHER <br /> t. [NVIRONMENT���N[CK 115T U.BC. <br /> PENALTV $EC.JOAaI <br /> 1 BUILUING PLANS <br /> ] fl0.[ MYDNANT T�T�� Q V6 <br /> � FIRE P0.0TECTION SYSTEM ►[RMI1 VAIIDATION <br /> WM[N PROPERLY VALIDATfD UN THIS SPACEI iM15 IS YOUR PERMIT <br /> 5 GRADINGI!%CAVATION6ilkARINGIGRU9flING <br /> 6 DRAINAGf <br /> 7. fNVINONMENTAL IMPACT STATEMENL <br /> E HFAITM DISTRICT <br /> APPLIUTION ACC. BY PLANS CHECKED BY APPR FOR ISSUANCf BY <br /> � <br /> 9-t�i9 <br />