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A.PPLICATION FOR <br />�n��m^ :,ONSTRUCTION <br />everett pE RM IT <br />DEPT. OF COMMUNIiY DEVELOPMENT SERVICES <br />CITY HALL 259•8745 <br />EVERET7,WA9B201 j�fllA�NIN�TI[1N rI BUILDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br />GENER�LCUNi0.�CiQR � � MMl �DORfSS CIIY ZIP IPNON[� ^ IICENSF / <br />� <br />MnIl�OUF[SS � � CIiY � " LIP YHONE <br />PIUMIIINLCONIXACLOR MnII�DON[SS CIiY ZIP PNONE UCEMSEI <br />ClAS501 WONK <br />�ucw Rl�nninnN ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELUCATION <br />vew�nor+orwova � <br />s / C�1/(� <br />Of$C0.1Ri WORK / <br />,�,e o � T/.�Ch ; O a h is � �� �. �3U �` ;>in� G- <br />PPOPOSIUUSF OV PUIIUI`!G I IitREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />LEG�I OESCRIPLIOYOf PROYEPTYISHOM'N B[LOW OR AiI�CX iOURCOPIF5) PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE <br />� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERFIN <br />w� � aioca_or �' OR �OT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR T4E PFB.�ORMANCE OF CONSTRUCTION. <br />SIGNATUI�OF CI�NTNA�CTORQR AUTHORIZED AGENT DATE <br />IOP erO�Rt55 <br />i /� <br />PLUMBING <br />NO. <br />WATER CI <br />BATMTUB <br />LAVA70R <br />SHOW[R <br />7 <br />TYPE OF FIXTURE <br />DISWASMER <br />UUNORYINAY <br />ClO1HE5 WASHFR <br />C� / <br />MECHANIUL <br />FEE <br />ILIET) AIR COND. UNITS-MP. EA <br />REfRIGENATION UNITS-N.P. EA <br />BASIN) tlOLLERS-M.P EA <br />GAS FBEO A C. UNIT$-iONNAGE EA <br />��., FONCFO AIR SYSTEMS-8.T U. N <br />URINAL <br />DRINNING �OUNT�IN <br />FLOOR ORAIN <br />VACUUM OREAKER$ <br />ROOF DftAINS-RAINI <br />SINK (SERVKC-BAR, F <br />sue to <br />�ERMIT <br />SIDf YARD SC7UACK STREFT SCTOACK <br />3, � 11 O l., <br />USE ZONE LOT AREA <br />� — � <br />TYPE OF CONST OCCUPANCY GR( <br />T� — � � 1 — <br />SIZF of 9LOG. NO.Of STORIES <br />Z4— v- � u I <br />p�gf-�rt[ 9ASEMfNT 111nA00, <br />AR�OVALS <br />7 ENVIRONMINTALCMEIXLIST <br />I. BUILDING PUNS <br />7 fIRF MYDkANT <br />1. FIRf PROTECTION $YSTEM <br />5 GNADINLIEXCAVATION6QfA0.1NCILNUtlflING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />E MFALTM OISTRICT <br />APPIICATION ACG. BY PLANS CHECKED BY <br />�1 r <br />4-. ` <br />VACANT SIiC <br />❑YES QRO <br />NO OF OWELLING <br />� <br />MAX.00C IOAD <br />�Y I DAiE <br />FOR ISSUANCF BY <br />WAII MEATERS—B T U M <br />UNIi NEATFRS—� i U. M <br />f1'APOHAiIVE COOLfRS <br />CLOTHES DRYERS <br />V[NiILATION FAN <br />ftANLEHOOD <br />AIR MAN�LING UNIT— CEM <br />STOVE <br />METAL FlNEPLACE 8 CHIMNEY <br />SU�70TAL s <br />►ERMIi s <br />70TAlFFE f <br />FLAN CN[CK NUMtlfN � PLAN CMECK FEE <br />FEE I RECEIPT NO. F <br />FFFS VAW�710N _ ifF <br />BUILDING s � ��� O, L <br />PW.NAING <br />MECNANIUL <br />OTHER <br />U.B C <br />PFNALTY SEC.30](a) <br />TOTAL <br />fERM1T VAIIDATION <br />WNEN PROPFNLY VAII�ATEOI�N TMIS SPACE� THIS IS YOUR PERMIT <br />J <br />