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.- APPLICATION FaU� ���,�„ <br />'".E".�"'° CONSTRUCTs(3�. E1 <br />cin oF <br />everett PERMiT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES . <br />CITY HALL 259�8745 <br />EVERETT, WA90201 ��OMBINATION ❑ BUILDING ❑MECHANICAL �PLUMBING PERMIT NO. <br />ow^ia n me�inooK�ss�/ � .. � urr � , ��P / „P�JNE.�/I . '1 <br />ARCNIT[CTORDESIGNER MAII��ORF55 ��TY ��� ��"�` �J <br />GENEPAI [ONiHAC10F MAII �UDR65 ❑iY ZIV GNONF IICEMS[ I <br />ME[NANIUI CONTqACLOP MAIL �OD0.E55 CIiY 11P PHOrvE IICENSE I <br />RPBI-NP•272C2 <br />PIUMRrvG CONiR�C10N MAII ApDR[55 CIT1' Z�V PHOrvE IICFNSE � <br />12l)Q�n�So,cl ��M:L�C�- (007 S� F�n='��'rN�Au u�(� 5��� ?�� (0(7/ <br />C1A55 Oi N'ORK <br />❑NEW ❑ADOITION LALTERATION ❑REPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VMWTIOI� Oi WORK <br />1 <br />OfSlA1BF WONK <br />� rnoros�o use ov eonoi�e <br />CnM �ti1 G72 C i/� L <br />t[LeL OtSCRIPTIOY Oi PROPERTv �SMOWN BEIOW OR eiTACH fOl1R COFI61 <br />�, lOt _� BLOCK � Oi <br />' IOB ADDRE55 �� I6U ��I N y J� <br />bo7 S_E_ Evc�� � <br />�� PIUMBING <br />� Np, TYPE OF FI%TURE <br />WATER CLOSET �TOLIET) �_ <br />BATMTUB <br />LAVATORY�WASH BASIN) <br />SHOwER <br />KITCHEN SINK 6 DISP <br />DISWASHER <br />LAUN�RV7RAY <br />QOTNES K'ASHER <br />N'AiEft HEnTER <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOi DHAINS—RAINLEADERS <br />SINK �SERVICE—BAR. ETC ) <br />SIDE YARD SETL <br />USE ZONE <br />TYPE OF CONSi <br />SIZF OF BIDG <br />FIRE ZONE <br />SUE TOTAI <br />PERMIT <br />TOiAIiEE <br />STR[Ei SCTOACk <br />LOT ANEA <br />OCCVPANCY GR� <br />NO Of SlORIES <br />onSFMENT 17 <br />APPIIOVALS <br />1 ENVIRONMENTAL CHECK LIST <br />2 [iUILDING PUNS <br />J FIRE HYDNnNt <br />� FIRE PROTECTION SYSTEM <br />5 GNADINGR%U\'ATIONbCLFARING(GHUtlHING <br />b ORAINAGE <br />7. ENVIRONMENTAL IMPACT $TATEMBIT <br />8 HFAIiN DISTRICI <br />s� J� <br />RCAR YARD 5[7pACY <br />VAUNT 4TE <br />�YE$ GNO <br />NO OF DWEILING U <br />nux occ iono <br />RRE SPRINKL[ft5 <br />NEQUINED <br />r!VES ❑NO <br />SY DATE <br />APPLICATION ACC BY PLANS CMECKtD BY I APPR FOB I,SUANCF BY <br />9 1-79 <br />I HEREBY C[RTIFY THAT I HAVE READ AND EXAMINED 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 BE COMPLIED WITH N'HETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />CIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTFiORIZED AGENT DATE <br />MECHANIGL <br />NO. TYPE OF fQG <br />AIR COND. UNRS—HP EA <br />CAS FIHED AC. UNITS—TONNAGE EA <br />fORCEUAIRSYSTEMS—BTL MEA <br />WALL HEAiE0.5—B.TL. M <br />UNITNEATERS—OSU M <br />VENTILATION FAN <br />RANGEMOOD <br />AIR HAhDLINC UNIi— C.f M <br />STOVE <br />METAL FIREPUCE L CHIMNEY <br />PE0.MIT <br />TOTAL fEE <br />�UMBER <br />FEE <br />FEES V� <br />f <br />:MECK FEf <br />RECEIPT NO. <br />BUILDINC S <br />PlUM61NG <br />MFCHANIGL <br />OTHFR <br />PE NAl1Y U B C <br />SF.0 JOl�a) <br />TO1Al <br />�ERMIT VAIIDAiION <br />WHEN PROPERiY VALIDATED IIN TMIS SPACEI THIS IS VOUR PERMIi <br />UI <br />