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M�EverDmn ^�,�LICA�'ION F�R everett <br />c�ver�tt C�NPERMITT�O�N �' `� e <br />DEPT. OF COMMUNITY DEVELOPMENT $ERVICES <br />CITY HALI. 259-8745 <br />EVERETT, WA9B201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWN(N M�Il�00xE55 CITY ZIG pMONE <br />INt'�rvt�u/°�1, STKI.eS �.. (oo� `.Jo, P.�c�eAw+� r�i <br />�RCHRlQOROESIGNlR MMLA�DR[55 ❑iY ZIP PMONE <br />�iwtco st� ce�• 2� �q ur�P�.c �C: Asssa� 2sz-eeF� sr h.c es cL-� y�3 <br />G[NlRAL CONIRACIOR MAIt A�ORE55 ❑iY ZIP PMONE IICENSE / <br />MECHAAIUI CONiRGCiOR MAII AD0R65 CIiY 11P PNON[ LICENSE i <br />CONIR�QON MMl ADDRf55 ❑iY ZIP PHONE lKENSE I <br />CUSS Of N'ORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE C�IGN ❑GARAGE ❑BUILDING RELOCATION <br />VAIUAI lOY Of \VONN <br />���e� <br />UfSCRIpi ND0.K <br />PROPOSFD USF �l! BUIlO1NG <br />IEGI 06CXIPfION UF PqOPFNiY �SNOWH qFLOW OP �tU01 fOUR COPIE51 <br />ioi _eioa_ov <br />109 A�ORFSS <br />PLUMBING <br />NO. <br />flATHTUB <br />LAVATOkY (WASH OASIN) <br />SNUWER <br />KITCHEH SINK 6 DISP <br />DISWASHER <br />UUNORY iRAY <br />CLOTHES WASHER <br />URINnI <br />FIOOR �RAIN <br />VANUM OREAKERS <br />ROOF DRAINS—RAI4lEA0 <br />SINK (SERVICE-9AR. [iC � <br />USE ZONE <br />TYPE Oi CON< <br />SIZE OF liLDG <br />FlRC ZONE <br />PERMIT <br />TOTAl/FE <br />STREEi SETOACK <br />LOT AREA <br />9ASE�dENT � 17kONOOMS <br />APPROVAIS <br />!. f��cIRONMENinL CMECK LIST <br />1 BUILDING PUNS <br />J fIRE H�URANT <br />< FIRE PROTECTION SYSTEN <br />S GRAOINGR%[AVAiIONbUFAR14G1(,RUBflINC <br />6 DRAINAGE <br />7 ENVIRONAIFNfALIMPACT�i�7EMENT <br />B MEAIiH DISTHICT <br />APPLICi.Tl04 ACC BY PL�NS 'NEC/K[D BY <br />. / ��� `L-�� . <br />91-i9 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI$ AP- <br />PLICATION �ND KNOW TNE SAME TO BE TRUE ANJ CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIED WITli WHETHER SPECIFIED HEREIN <br />OR NOT. THc GRANTING OF A PGRMIT 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 />SICNATURE OF CONiRACTOR OR AUTHORIZED AGENT DATE <br />X <br />. - <br />MECMAN <br />FcE NO. <br />iYPE OF EQUIPMENT <br />1NIT5—H P EA <br />ION UNIiS—H P. EA <br />[iOILEftS—HP En <br />WS FlHfO A C. UNIT$—TONNAGE EA <br />fOHCED Alft SYSTEM$—U T l/ M <br />WALL HfAifftl—B.i.0 M <br />UNIT HUTERS—B7 U M <br />fVI.PURAT WE COOLERS <br />RANGEMOOD <br />AIN MANDLING U� IT— C.F M <br />METAL FlNEPLACE d CHIMNEY <br />S <br />s <br />RUR YAftD SFTOACK PLAY CHCCK <br />VAUNT SITE <br />❑vcs ❑no _ <br />NO OF DWELLING UNIiS <br />o����o�h� <br />�nne. occ iono <br />PLUMpING <br />FEE <br />SUETOTAI S <br />PEIIMIT f <br />iOTAL FFF S <br />NUMIfEft PLAN CMKK FEE <br />FEE ftECEIPT NO. <br />FEES � VAIUAiION fl <br />IS!•-,....� <br />EQUIRFD MECHANIUL <br />7YF5 ❑NO <br />!T DATE OTMfR <br />PfN�LTV <br />TOTAL <br />UeC <br />SEC JOl(a� <br />fEAMIi VAIIDATION <br />'.VMEN PROP[NLV VAIIDATFD ON TNIS SPACFI THI$ IS VOUR PCRMIT <br />' �-�/// �( � <br />� JJJ///�+++������ <br />APPR i0^. ISSUANCE DY � ������� ���(/�� <br />� V t_G <br />