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`n��Ye„"�� CVNSTRU�TION ' <br />CITY OF ' ' <br />eyerett PE RM IT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICE�� <br />CITY HALL 259�8745 <br />EVERFTT, WA9B201 j]�OMBINATION ❑ BUILDING ❑MECNANICAL ❑PLUMBING PERMIT lVO. <br />� <br />� <br />ZUo <br />� <br />� <br />everett <br />MECNAMIGL COHTqACT04 MMl ADOAF55 Cllr LIP PHONE �I[ENSE I <br />oWA1BInGCONiReCiUR Melle0�R65 ❑TY 21P pHONF LICENSEI <br />C1A55 Of N'OAK <br />❑NEW ❑ADDITION Li?.�TERA710N ❑REPAIR y.�SDEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINC RELOCATION <br />VAIUATION Oi N'ORN <br />s �/�/J/� °" <br />PNOPOSED USF 0:6UIlCING � <br />.�L OESCXIPiION Oi PI.OPE0.TY�SNOWN 9ElOW OR �TTACH iOUN COPIES� <br />.OI � BIOCK � 0i <br />108 ADDRESS <br />PLUMBING <br />NO. TYPE OF FI7 <br />WATER CLOSET �TOLIET� <br />BATMTUO <br />LAVATORY(WASH BASIN� <br />SHOWER <br />KITCHEN $INK 8 DISP <br />DISWASMER <br />URINAL <br />VACUUM 9REAY.ERS <br />SIOE VAftD SETBACK <br />I <br />70TAt iF6 f <br />STREET SETBACK REAR YARO 5 <br />LOT AREA yACANT SITE <br />OYES ❑NO <br />OCCUPANCY GROUP 170. OF DwEL <br />A4►ROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />i. BUILDING PLANS <br />1 FBF HYDRANT <br />�. FIRE PftOTECTION SYSTEM <br />S LRADINGIE%CAVATION6QEARINGICRU9AING <br />6. DRAINAGE <br />7. ENVIAONMENTAL IMPACT STATEMENT <br />E. HEALTH DISTNICT <br />APPLiCATION ACC. BY PLANS CHECKEO <br />9�1-79 <br />tY <br />DA7E <br />BY I �PPR. FOR ISSUANCE 9Y <br />1 HEREBY CERTIFY THAT I HAVE REhD AND EXAMINED THIS AP• � <br />PUCATION AND KNOW THE SAME TQ 8E TRUE hND C�RRECT ALL � <br />PROVISIONS OF LAWS AND ORDINA�ICES COVERNI�C THIS TYPE ' <br />OF WORK WILL BF COMPLIED WITH WHETHER SPECIFIED HEREir1 � <br />OP. NOT. THE CRANTINC OF A PERMIT DOES NOT PRESUME TO ' <br />GIVE AUTHORITY TO VIOLATE OR CANCEL'fHE FROVISIONS OF ��. <br />ANY OTHER STATE OR LOGL LAW REGULATING CG`NSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENi OAiE <br />Y !�/..,��._ 1 � ��...., //�/_3��'0 <br />MECHANIUL <br />NO. TY►E OF EQUIPMENT <br />AIR COND. UNITS-H.P. EA <br />REFRIGERATION UNITS-H.P. EA <br />BOILERS-H.P. EA <br />GAS FIRE� A.C. UNITS-TONNAGE EA <br />FORCEDAIRSYSTEMS-B.T.U. M <br />WALL HEAf:RS-B.T.U. M <br />UNITHEATERS-B.TU. M <br />EVAPORA7IVE COOLERS <br />AIN MANDLINC UNIi- CF.M. <br />SiOVE <br />METAL FIREPLACE 6 fHIMNEY <br />SUB70TAl 3 <br />FEE <br />FFES <br />RECEIPT NO. <br />BUILDING f <br />PlUM81NG <br />MECHANIUL <br />OTHER <br />PENALTY U.B.C. <br />SEC.30Na) <br />TOTAL <br />►FRMIT VAlIDA710N <br />WHEN P0.0PCRlY VALIOATED (IN THIS SPACE) THIS I$ YOUR PERMIT <br />e <br />FEE <br />