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- ' � � APr_ICATION F�R ���� <br />'".E"ro`"" CONSTRUCTION <br />cirr oc <br />everett PE RM IT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT,WA9B201 ❑LOMBINATION <br />...�....�.�� rlucrueu�rei �PWMBING PERMIT NO. <br />everetl <br />e <br />�NCNItfR00.0E51GHFR � MAlle00Rt55 � "" --' <br />GINENAL WNLRACIOR M�II AODR65 CITY ZIP PHONE UCENSE � <br />5' S / ,� '�J /i� .f <br />_oz y 5s'-sT-Ge-z7�r <br />n11CN NIUI COMR�CIOR <br />MAIL �000.E5$ CIiY LIP VMONE LICEHSf / <br />���y Z�p PNONE IICENSF / <br />PIO��PWG[ONiR�CTOR M�ILADDRf55 <br />( I �)] Of N'ORN <br />�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GARAGE BUILDING RELOCATION <br />lnlV�IIOM1OtWONK Q <br />, <br />7�r � <br />rn>cuin� woea _ ., /� /J n _ .� . _ i . _ <br />rxoroseo i�a or xuuoiNc <br />l[f.11 L)ISCNIPilOY Of PNOP[RIY �5110WN flE <br />ioi __eiocK__or _ <br />IOP �IIDNISS <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />\YATER CLOSET (TOLIET� <br />BATMTU9 <br />I.AVATORVIK'ASH M'. <br />SHOWER <br />KITCNEN SINK A �ISP <br />UUNDRY TNA\' <br />ClO7HE5 wASHER <br />\YATfR HEA7EN <br />URINAL <br />ORINAING fOUHT��N <br />FIOOR DRAIN <br />VACUUM flHEAKERS <br />ROOF DRnINS—a�INLEAD <br />SINK ISFRVICf —BAN. FTC � <br />SIDE YnH[ <br />USE ZONE <br />TYFf OF C <br />SIZE OF B <br />FIRi ZON <br />� � - -- <br />I HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THI$ AP- <br />�� PLICATION AND KNOW THE SA�+tE TO BE TRUE AND CORRECT ALL <br />ou iucn rouamritsi PROVISIONS OF LAWS AND ORDINANCE$ COVERNING THI$ TYPE <br />OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHFR STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURF Of C9yTRACJ.�R AUTHO8IZEU ACENT DATE <br />)UIfEE f <br />FT SCTffACK RI <br />LpT AREA <br />A►PIIOVALS <br />1 ENVIRONMENTAI CHfCK L15T <br />7 BU�LDINL PLANS <br />7 fIRE MVDRANT <br />1 FIRE PROTfCTION SY57EM <br />5 GRADINGIf%UVATION6QkARINf�GRUHflING <br />6 DRAINAGE <br />7 FNVIRONMFNTALIMPACTSTATEMENi <br />B NEALTM DISTRICT <br />♦Pvl IUTION ACC BY P�5 C�iEIXEj7 <br />9.1�79 <br />FEE <br />VACANT $IlE <br />❑YES ❑NO <br />NO Oi DWELLING U <br />MA% OCC LOAO <br />FIRF SFRINKlfRS <br />REQUIfIFD <br />f7Yf5 ❑NO <br />BT DATE <br />BY � APPR FOR ISSUANCE 8Y <br />MECHANICAL <br />TYPE OF EQUIPMEN7 <br />AIR COND UNITS-HP. EA <br />R[FRIGERATION UNIT$—MP. EA <br />60REH5—HP EA <br />GAS FIRED AG UNITS-70NNAGE EA <br />FONCEOAIRSYSTEh15—BTU. �' <br />WALLHFATER$—�TU M <br />11NITHFATERS—BTU. M <br />k5 <br />RnNGEHOOD <br />AIR NANDLING UNIT— C.F M. <br />METAL <br />SUB <br />f <br />pIAN CH[CK NUM6fN PIAN CHECK FEE <br />FEE � RECEIPT NO. <br />FEFS <br />EIUIl01NG '72 �' <br />PWh1f11NG <br />MECMANICAL <br />OTHfR <br />U.B C. <br />PfNALTY •,EC. ]OJla) <br />70TA1 <br />�FIIMIT VALIDAiION <br />WHEN PROPERLY VAIIDATED IN THIS SPACE) TH1515 YOU0. PERMIT <br />�• ��-�c� <br />�22��0 <br />����,'I���' <br />� <br />