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+r 't�.; ; , -�: r *� '. .: <br />- � � � � API�_� ICATION FOR ��"� <br />Ms Ev�rprosn CO N ST R U CT 1 O N <br />cin oF <br />eve�-ett PERMIT <br />everett <br />e <br />DEPi. OF COMMUNITY DEVELOPMENT SERVICE$ �. <br />CITY HALL 259�8745 <br />EVERETT, WA9B201 ��OMBINATION �BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. � <br />OWN[R MMl A0DN155 CIIY ZIP PMOrvE <br />�-�SE /� rl0 �//!E'� /07 Soa7'.✓ �io,qD.0 ,F a rT <br />ARCHRfCTORO61GNtR M�IL�OORISS CIiY ZIP PNONE <br />G[NERAI CONIRACI00. MMl AOOR65 CITY ZIP PNONE IICEHSE / <br />s� S S��o e�'� /�/90 S:�,ro� .4a� �ii S�irz� �'J�/s3 .�'/f=ozyy srsr ca-z �yur <br />n1iCH NIUI CONIR,1Cf00. MMl AOORE55 ❑TY LIP PHONF IICENSE I <br />PION011GtUMR�CiOR M�IUOORE55 CIIY ZIP PHONE IICFN5E1 <br />.. .._ __ .._.... <br />�NEW ❑ADDIT!ON ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GARAGE BUILDING RELOCATION <br />e�m+rinr+ or woxK <br />�" 7���0 <br />s � <br />IlISCNil11 1vOR6 _ ^ <br />reoros�oost or nmiou+c <br />/�Gt%yld/,u/i�ELta;_�o� <br />lIG1l [115CRIFLIO� Oi VROPERiY ISNOWN PIIOW O0. <br />lUi _� NIOCK �_ OF <br />iax <br />PlUM81NG <br />NO. TYPE OF <br />WATER CLOSET �i011! <br />B�THTUB <br />uvnroav iwnsN nn� <br />SHOWEH <br />KI7CMFN SINK 8 DISP <br />DIS\YASHER <br />IA�NORVTNAV <br />CLOTHES\YASHFR <br />\VATEH HEATER <br />FLOOR �RAIN <br />VACUUM BRE� <br />ROOF DRAINS <br />SINK �5[ftVICf <br />SIDF YARD SETOACK <br />USF ZONE <br />TYPE OF CONST <br />SIZE OF BLDG <br />FIRE ZONE <br />FTC 1 <br />SUBTOTAI <br />PFIIMIT <br />TOTALiEE <br />'REFT SCTPACK <br />)T AHEA <br />CCUPANCYGROUP <br />fOURCOPl61 <br />I HEREBY CERTIFY 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 ORDINANCE$ GOVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING 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 THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURF OF C9yTRACjH�R AUTHORIZED ACENT DATF <br />MECHANICAL V <br />NO. TYPE OF EQUIPMENT <br />AIR COND UNIT$—M P. EA <br />REFRIGERATION UNITS—H.P. fA <br />f10LLER5—H P. EA <br />WSFlREDAC UNITS—iONNAGEEA <br />fORCFD AIR SYSTEMS—OSL. M EA <br />WALLHEATERS—OT.U. M <br />UNITHEATFRS—OTU. M <br />FVAPORATIVF COOLERS <br />CLQTNkS DRYFRS <br />VfNTIUTION fAN <br />RANG:HOOD <br />AIR HANDLIVG UNIT— CFM. <br />STOVE <br />MITAL FIRFPUCE 6 CHIMNEY <br />P.URYA805ETUACK PLAN <br />VACANT SITE <br />❑YES ❑NO <br />VO Of DWFLLING UNITS <br />AP/IIOWIT EY DAiE <br />a <br />1 ENVIkONMfNiAL CMEGK 115T <br />1 BWIOING PUNS <br />7 FIRF MYORANT <br />� fIRE PROTECTION SYSTEM <br />5 GRADINf,I!%UVATIONSQFARINGCRUHNING <br />b DRAINAGE <br />7 ENVIRONMFNTALIMPACiSTATFMENT <br />B HFAtTH OISTRICT <br />0Y <br />py I APPR FOR ISSUANCk IiY <br />rcc <br />SUB TOTAL s <br />PERMIT f <br />707A1 FEE � <br />VUMOER PLAN CHECK FEE <br />FEE RECEIPTNO. <br />FEES VAIUATION FI <br />BNLDING 3�O �" Q <br />G ' <br />PWM9ING <br />MfCMANIUL <br />OTHFR <br />PENALTV UD.C. <br />SEC.JOHa) <br />TOTAL <br />PERMIi VALIDATION <br />WHEN PROPERLV VALIDATED IN THIS SPACE) THIS IS YOU0. PERMIT <br />�' ��.'-�c� <br />�22��0 <br />� ! <br />x <br />tii <br />