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Ms Evaro�� A P P �_ C A T I O N F O R everett <br />"��F CONSTRUCTION e, <br />everett PE RM IT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALI 259�9745 <br />EVEaEii.wneazot �COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br />OK�+fN MellnpUN�SS CIiY ZIP PNON[ <br />ORA7v6� �TUG.I'us is�z s. i3Ro,d,nr,�N'P sp.v-Ec �3o cLv�ri+s�u- — r?v� : <br />ARCIIIi1CiORORILVtN MAIIApORfSS CIiY Z�P PNONF <br />ClNfXAlCON1qA(1p1' MAIlA�D0.I55 ❑IY 21P PIlON( ��C� �I[E`5� <br />r]/ <br />RFRKY nf�'cn� s�6�v �0 2/0 27 G/ � G.> � L YN�/. �✓� 4�e a G 77 G SS'3J� 5'LL . BE RR Y�V 2y7 <br />�ICHAtiIIAtCO.Y1RACtOA MAllAOORl55 [I1V CIP PIIONE IICENS[L L�%• <br />P1l���111�t1(ONIR�C100. MAILM1�DRI55 OtY 21P PIIONF IICENSEI <br />l I N� Ui \iORN <br />❑NFN' ❑ADDIiION ❑ALfERATION ❑ftEPAIR ❑DEMOLITION ❑FENCE �IGN ❑GARAGE ❑BUILDING RELOUTION <br />� v i +Uo� or woa� <br />\YOPA <br />rxurnuu rtii oi nunui.tic. <br />1fG�I UISCXIPIIOv O{ PFOClN1Y �5110AVN qflOW ON M1IL�CM IOURCOPII51 <br />lUi �flIOC��Oi <br />I�IN �D00.1 N <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />\ti'A7ER ClOSf T (TOII[ 71 <br />BAiHTU6 <br />�n\'nTORi �N'ASM pASIN) <br />S��ON'f N <br />Fli(HfN SIhA d DISP <br />UUNUNS iRA1 <br />CLOfHlS WASHER <br />WAiER MFATER <br />USF ZONE <br />51 <br />fIRE <br />URINKING fOUNTAIN <br />fIOON DHAIN <br />\UCWbI qRfAKERi <br />ROOf DRAINS—RAINI(AOFNS <br />SINK ISFRVICk—flAR. ETC) <br />� Gc3�TJ��iZ s,��'. <br />1 HFREf3Y CERTIFY TH�T I HAV[ READ AND EICAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LCCAL LAW REGULATING CONSTRUCTIUN <br />OR 7HE PERFORMANCE OF CONSTRUCTION. <br />SIGNqTUN[ OF CONTRACTOR OR AUTMORIZED AGENT . �ATE <br />�J <br />FEE <br />SUB TOTAI <br />PERMIT S <br />TOTAIIEf S <br />STREF7 SRflACK RUR YARr D SETOACK <br />LOT AREn y��nNT SIIF <br />❑YES CNO <br />OCCUPANCY GROUP NO OF DWEILINC UNIIS <br />NO OF STORIES MAX OCC IOAU <br />OASEMENT HFUNUOMS HRFSPRINKLkRS <br />REQVBfD <br />IIYFS f7N0 <br />AiPROVAlS <br />1 ENVIftONMFNTAL CHECK LIST <br />7 BUILOING PLANS <br />7 FIRF HYDRANT <br />� FIHE P0.0TECTION SVSTEM <br />5 GHAOINGI!%UV�TIONbCLfARINGIGRUNBINL <br />6 ORAINACE <br />] FNVIRONMENiALIMPACiSTAiFMFNT <br />8 HEAtTH DISTRICT <br />BY 1 PLANS <br />g.7.79 <br />OY <br />BY <br />DAiE <br />IySSTUANCE BY <br />�!V n n <br />NO. TYPE.7FEQUIPMENT <br />AIR CO"1D UNITS—H P fA <br />REFHICFRATIONUNIT$—MP fA <br />HOILERS—H P EA <br />GAS FIRE� AC UNITS—TONNAGE EA <br />FOftCFO AIR SYSTEMS—B T U M EA <br />N'ALLHE�T[RS—NiU M <br />UNIiMkATERS—fiTU M <br />CLOiHfS DRYER$ <br />V W IIUTION FAN <br />RANGEHOOD <br />AIR IIANOLING U�IT— C.f M <br />S70Vf <br />MF7AL HRfPUCE d CHIMNEY <br />PUN CMCCK NUMBER <br />BUIIDING <br />PLVMIiING <br />MfCNAMUL <br />OTHER <br />PENALTY <br />70TAL <br />TOTAI <br />f <br />FEE <br />TOTALiFE f <br />PUN CHECK FEE <br />FEE RFCEIPT NO. <br />VALUA710N iFE <br />s ��J�i�W <br />UPC <br />SEC 70J�a� <br />PERMIT VALIOATION <br />WMEN PNOPERLY VAlIOATED IIN THIS SPACF) THIS IS YOUR PERMIT <br />�o-zr- �d �.� <br />,—J <br />