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A�PLICA�d'IOf� FO�. `}� ���.�n <br />�,JNSTftI�CTION � <br />everett PER11�11T <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALI.259-8745 <br />EVERETT, WA90201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />O\VNfN AUILAOOXf55 �`�T.�TY�O O�/oR /` ].IP PIIONE <br />pG ft z I�- pC�Ts l07 1' �Ra.vt� w�Y �S�"i�- � v iT. P PMONE <br />ARCIIIIEQORO[SILNER AIAILAD�NESS <br />LFNERAI [ONTRACTOR M�IL �DORE55 ❑TY ZIP PIIONE 4rG` IIC�NSEeMv <br />��`�d y /!/c'a/� SZiS'.✓ Co, 2/027 �,o,/ s'�or G Y/�/N c%f �r 8�13/p 77G S83s scf.. oeRR NJtt; <br />MECIIANIGL CONiRACTOR . M�IL AOONESS CIIY LIP PHONE L�C[NSE p <br />PlUM01NGCONT0.�CiOR MAIIAO�RE55 <br />UTY 21P I'110NE LICENSE p <br />:U55 Oi \VORK <br />❑NEW ❑ADD�TI6N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />VALy ATION OF \YOftK <br />.Iil ccniv � <br />D SCRIOE R'ORK <br />�2 L1cT <br />raoPoSFo Vsf of oNl�iNc <br />30' yJC ! Z <br />LfGAt OFSCRIPTION OF PROPERTV �SHO\YN OEIOW OR ATTACM FOUR COPIE51 <br />ior oiocK_ov <br />�00 ADDRE55 <br />PLUMBING <br />NO. TYPE OF <br />WATER CLOSFT (TOLIE <br />BATHTU6 <br />UVATORY (\YASH �A'. <br />SHOWER <br />KRCMEN SINK 8 DISP. <br />DISWASHER <br />LAUNDRYTRAY <br />CLOTHES WnSHEft <br />WnT[R HEATER <br />UHINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM IfREAKERS <br />ROOF DRAINS—RAIN <br />SINK (SERVICC-6AR, <br />SIDE YARD <br />USE ZONE <br />TVPE OF C( <br />SIZE OF OL <br />FIRE ZONE <br />f1�� <br />SUB70TnL <br />PENMiT f <br />TOTALFEE S <br />iEET SE1tlAIX REAft YARD 5 <br />T AREA VACANT SITE <br />OYES ❑NO <br />:CUYANCY GROUP NO. OF DWEI <br />l. OF STORIES MAX. OCG L( <br />�SFMENT ULDBOOMS FIRE SPRINKI <br />APPROVALS <br />1. ENVIRONMENUL CHECK L157 <br />2. OUILDING PLAt�S <br />3. FIRE HYDRANT <br />4 HRE PROTECTION SYSTiM <br />5. GNA�INGI[%CAVA110N & QEARINGIGRUI1111NG <br />6. DRAINAGE <br />Z FNVIRONMENTAL IMPACT SUTEMENT <br />B. HEALTH DI57'RICT <br />APPLICATION AC(.. 13Y PLAN$ �,HECKED DY <br />9�1�79 <br />BY <br />S 26'N <br />I HEREBY CERTIFY THA7 I HAVE READ AND EXAMINED THI$ AP- <br />PLICATION AND KNOW THE SAME TO BE TRU[ AND CORRFCT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPCCIFIED HEREIN <br />OR NOT. THE GKANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />��p, TYPE OF EQUIPMtni <br />AIR COND. UNITS—H P. EA <br />REFRIGERATION UNITS—H.P. EA <br />UOLLER$—H.P. EA <br />GAS FIRED A.C. UNITS—TONNAGE EA <br />FORCEO AIR SYSTEMS-0 T.U. M EA <br />N'ALLHEATERS-6T.U. M <br />UNIT HEATERS—�.T.U. M <br />EVAPORATIVE CQOLERS <br />CLOTHES DRYERS <br />VEN�IIATION FAN <br />RnNGEHGQD <br />AIR HANDLING UkIT— C.F.A7. <br />STOVE <br />METAL FIREPLACE & CHIMNEY � <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />7K PLAN CHECK NUMOEft �' <br />FEE <br />FFfS �'A� <br />UNITS <br />DATE <br />� <br />5 <br />S <br />PLAN CHECK FEE <br />� ftECEIPT NO. <br />DUILDWG S� B('J. Uv <br />PLUMUING <br />MECHANICAL <br />OTHER <br />U.U.C. <br />PEN.ILTY SEC. 303(a� <br />TOTAL <br />PERMIT VALIDAiION <br />WHEN PROPFRLY VALIDATED (IN TNIS SPACEI THIS IS YOUR PERMIT <br />�ZE�Z,�lG.oZ f E.�,vler <br />/G �, � <br />I' <br />