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_,.., _ - r}r- <br />� AP� LICATION � �OR <br />'".E"`°'"" CONSTRUCTION <br />cin oF <br />everett PERMIT <br />DEPT. OF COMMUN!TY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />..�.,�.o MML eO�XRS CIIY ZIP PMONE <br />everett <br />e <br />�pC111TE[TO 061GN10. MAIL�OORf55 CITY 21P rnone <br />GINfR�I CONIPACTOR . MAIL AO�RES$ ❑LY 21P PNONf IICENSE � <br />f�ICM�MUI tONIRnQOR MAII nOpP[55 ❑1Y LIP PNONE IICFNSE 1 <br />�d- r I 3aeo wesrreN Se4mQ wq 98�i�� M�2_��wr <br />...�..nno.¢ UIY ZIP PNONE LICENSE/ <br />0 <br />l I A1( Oi NORN <br />NEW ❑ADD'ITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />\'�0.�ALIOn Of WORK ', <br />1 <br />1)1flNINh WORN �. <br />rkurosionst or xuuuwc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AR �. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />IFUI Of$CN�F11040f PPOPERiY�SNOWN flEIOW ON ATTACH fOUR COP16) PROVISIONS OF LAW$ AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />lUl _�PIOCK��Of OR NOT. THE CRANTING OF A PERPAIT DOES NOT PRESUME TO � <br />L THE PROVISIONS OF <br />iax nona�ss <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />K'ATfR CtOSET ITOLIET) <br />BnTMTUB <br />I.AVATORYIWASH 9ASIN) <br />SHOWfR <br />KITCMEN $�NK 6 DISP <br />DISWASHER <br />UUM1DRI TRAV <br />fl f1iHF S 1YASHE R <br />DRINKING FOUNUirv <br />FLOOR DRAIN <br />VACUU�IOREAKERS <br />ROOF DRAINS—RAINLFAD <br />SINK 6E BVICf —BAk. ETC 1 <br />7TALiEF <br />FT SCTA� <br />USF ZO�+E �OT <br />TYPE OF CONST �« <br />FIRE <br />A►PPOVALS <br />1. ENVIBONMENTAL CMECK lIST <br />2 BUILDING PUNS <br />J FIHF MYDNANT <br />/ FI0.E PROTECTION SYSTEM <br />5 GRADINCI!%CAVATIONbCIfARINCIGRUNflINC <br />6 DRAINAGE <br />7 ENVIRONMFNTALIMPACTSTATEMENT <br />B HFALTH OISTRICT <br />AppIIUTION ACC. BY PLANS CHECKED <br />� � � � <br />9.1-79 <br />FEE <br />� <br />iUR YAR� Sf <br />VACANT SITE <br />OYES GNO <br />MAX <br />er <br />DATE <br />APPR FOR ISSUANCE BY <br />1ti .` � <br />GIVE AUTHORITY TO VIOLATE OR UNCE � <br />ANY OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION 'i <br />OR THE PERFORMANCE OF CUNSTRUCTION. '�. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE I <br />X `-� 1 `+� \ O-+� "� ' �. <br />,,.e (, �ji^ $O <br />MECHANIUL <br />NO. TYPE OF EQUIPMENT FEE � <br />AIR CONO UNIT$—H P EA � <br />� ocomc[v�TInN IINITS—HP. EA I <br />GAS FIRED Al UNITS—iONNACE EA <br />FORCEDAIRSYSTEMS—BSL. h <br />N'AILHEATERS—BT.U. M <br />UNITHUTERS—BTU M <br />RANGEHOOD <br />AIR HANDLING U� <br />SiOVE <br />MfTAt FlREPLACE <br />GF M. <br />— sue To <br />PEIIMIi <br />TOTAI <br />PUN CHCCK NUMBEN <br />fEE <br />fEES <br />s <br />:MECK FEE <br />P.ECEIPT NO. <br />BUILDING s <br />PLUM131NG <br />MECHANIUL <br />OTHFR <br />UBC. <br />PErvALTY SEC lOJla) <br />TOTAL <br />PERMIT VAIIDAiIUN <br />WNEN PROPERLV VALIDATED (IN THIS SPACE� THIS �S YOUR PERMIT <br />�i� . <br />� ' � � <br />