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APPLICATION FOR ��e <br /> '".E�.ro`°°" CONSTRUCTIOh <br /> cirr oF <br /> � everett PE RM IT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> ❑TY HALL 259�8745 <br /> EVERETT,IYA9B207 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> UTY � JZ(IP PHOHE [ �J .. <br /> r QN, /� M�IL AOONE55 � I//��[� // / J��C/ �L J � % C.a' ['f . <br /> �/v / rJ / ��,J /l �\ PNONf <br /> �� M�IUDDRfST CITY Z�P <br /> AFCMITICT OR U[SIf,NFR <br /> MAII�DORE55 QiY 21P PMONE LICENSF 1 <br /> G[M[RAlCON10.AC1OP �..✓r, %T ' ��>U/ .`� }''i y�- c/f� <br /> Y � G �� G ,Y/� , � f--. <br /> M1ILCNeNIGI CONI0.ACIOX <br /> MAII AODX65 UTY LIP PMONF ll[ENSE I <br /> Pl VMOI4G CONiR.1C100. <br /> M�IL nDDRE55 CI1Y 21P VIION[ UC[NS[1 <br /> C1�55O�NORN <br /> ❑NEW ❑ADOITION ❑ALTERATION ❑REPAIR �DEMOLITION ❑fENCE ❑SIGN ❑GARAGE DUILDING RELOCATION <br /> VAIUALIOY Of M'ORR <br /> S <br /> U15C0.191 NONIf <br /> ruorouo us�or nunoi�c I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> pI.ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCE$GOVERNING THIS TYPE <br /> lf Wl DlSCXIPiIOM Of VROV(Nri�SNOWN p[lOW OM AIiAC1110UR COPII51 OF WORK WILL UE COMPLIED W ITH WHETHER SPECIFIED HEREIN <br /> . n-��-- T � <br /> ia����B1aK��o. . OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> -� GIV[ AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS QF <br /> � ! �� � ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCT�UN. (i/L� /G' <br /> SIGN/A�UR�CONTRACTOR O AUTy I D AGENT DATE 5 /U� <br /> 1 IOfl nD�0.ESy .� ^ /— `�/i/�� /�� �� A\ / � Q/ �/� <br /> .J y <br /> MECHANICA <br /> PIUMBING FEE <br /> Np, TYPE OF FI%TURE FIE NO. TYPE OF EQUIPMENT <br /> WAIFHCLOSLT170LIE7) ABCOND U�'��75—MP EA <br /> 0.[(RIGFNATION UNITS—HP.[A <br /> pATMTUB <br /> OOILlRS-1'° U <br /> UVATORY�WASN RASIN� <br /> _ GAS FIRED�C UNITS—TONNAGE EA <br /> SNOR'ER <br /> IORC[D AIR SY'S7EM5—OS U M EA <br /> KI7[HLN SINK S DISP <br /> 1VALL HUTERS-11 T U. M <br /> UISW�SMLY <br /> UNITMG�iLNS—f1TU. M <br /> LAUNUHY iRAY <br /> CVAPORATIVC COOI[RS <br /> Ct01Ht5 wASH[R CI.OTHkS DRY[RS <br /> WMfR HEATIR <br /> Vf NTIIATION fAN <br /> UHINAL <br /> RANG[ HOOD <br /> DRINKING IOUNTAIN <br /> AIR NANOLINC UNIT— C f M <br /> FI.00R DRAIN 570V1 <br /> \'ANUM11 flRLAN[RS <br /> NOO� DRAINS—R��NLfADERS <br /> M[TAL fIRfPUCF 6 CHIMNLY <br /> SINA IS[RVICk—BAN.C1�� <br /> SUSTOiAI s <br /> SUB TOTAL y <br /> PEMMIT 3 YERMIT <br /> 3 70TALf[E f <br /> lOfAt FFE pIAN CMCCK FEE <br /> SIDE YARO S[lOACK STR[ET SCTIIACK RUR VARD SLTOACK PIAN CIIICK NUMBLR FEE NFCEIPT NO. <br /> USF ZONE lOT ARU JACANT SIIF FE[5 VAWA710N ��E <br /> OY[5 ❑NO <br /> TVPf OF CON51 OCCUPANCY GHOUN <br /> NO OF DWELLING UNIT$ <br /> BUILDING s <br /> $IZE Oi BI�G NO OF S10RI[5 h1A% OCC IOAD <br /> PWM[iING <br /> FIR[ ZON[ OASEMENT ������KnU��s REQU p[pKIfRS ^������NIUL <br /> (7Yf5 C1N0 <br /> AP�ROVAlS !Y U�TF OTHEN <br /> 1 fNVIRONMENTALCHICKLISi pENAl7Y UDC. <br /> SEC 3071a1 <br /> 2 OWLDINGPUNS TOTAL <br /> J (IR[ I/VDRANT <br /> HRMIT VAl1DAT10N <br /> � qq[ pqp7[CTION SY57EM WHEN PROPENLY VAIIDATEUUN THIS SPACfITM1515 YOUR PERMIT � <br /> 5 GNAUINGiI%UVAl10NbClUNINCILRUeflING ' <br /> b �RAINAGE <br /> 7 ENVIRONAIENT�L IMPACT STAifMENT <br /> B MEAUHDIST0.ICT <br /> APPIICATION ACC 11Y PUNS CHEIXED BY APPR.FOR ISSUANCE OY <br /> 91 79 <br /> � <br /> � <br /> i <br />