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APPl.ICATION FO�a e��:.�n <br />�� CO�ISTRUCTiOf . � <br />everett PE RM IT <br />DEPT. OF CUMI.IUNITY DEVELOf A1ENT SEkVICES <br />CITV HALI 259-B7J5 <br />E\'ERETT, WA92201 [�COMDINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />owNix . nuiinooeess _ ertv ^ _ zir •, r��onc <br />OR <br />GENE0.AlCONTRACION _AIAILApOHE55 <br />MAII <br />nr <br />LP PNONE IICENSF N <br />,��� 2��n�c12 �7�z <br />PLUA1pING CONT0.AQON A1NL AppR[55 CIiY ZIP PIIONt LICENSE N <br />C1A55 Of N'ORK <br />�EW ❑ADDITION I�ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />VAWATION OF \\ONK GO <br />S O <br />DESCXIDE WORA , � _ � _ • _ <br />rNoroSEu Usk oF oulluiNc <br />IEGAL D[SC0.1PilON Of PROPCRLY 6MOWN <br />�pT �OICCK__Of _� <br />�OB n�DRF55 <br />PLUMBING <br />TYPE OF FIJ <br />WATER CLOSET (TOIIFi) <br />IlATHTUO <br />LAVATOHY�WASH BASI`1) <br />SNO\VER <br />ettfHFN $INK & D�SP. <br />TRAY <br />WASHEN <br />DRINKING FOU� <br />FLOOR DRAIN <br />VACW�7 UREAK <br />ROOf DRAINS�- <br />SINK ISERVICC- <br />SIDE VARD S61 u, <br />USE ZONF <br />TVPE OF CONSi. <br />SIZC OF BLDG. <br />FIRE ZONE <br />^ I HERE6Y CERTIFY TNAT I HAVE READ AND EXAMINED THIS AP- <br />�� PLICATION AND KnOW THE SAME TO 6E TRUE AND CORRFCT ALL <br />OR,VUC11fOURCOPlE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIEU WITH WHETHER SPECIFIED HEREIN <br />OK NOT. 1HE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVfS10N5 OF <br />ANY OTHER STATE OR LOC�L LAW REGULATING CONSTRUCTIO`7 <br />OR THE PERFORMANCE OF CONSTRUCTION. p/� <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE 6/ 3I p`i <br />TOiAt <br />TOTAL FkE s <br />LOT AHEP <br />OCCUPANCY GftOUP <br />NO. OF STORICS <br />6ASEMkN` NfDR <br />APPROVALS <br />L [NVIRONMENTAL CHECY. LIST <br />l. OUILDING CLANS <br />3. FIRE HYDRANT <br />i. flftE PROTECTION SVFEM <br />5 GRAUIKGII%GVAilONBCLIIARINGIGRU14141NG <br />L. DRAINAGE <br />7.FNVIRONMCNTALIMPACTSiATEMfNT <br />9. HEAITH DISiRICT <br />,v�rucnnon �+.��r m� . _unu� ���ra�� i� <br />REAR YAND SETBnCK <br />VACANT SITE <br />OYES ❑NO <br />NQ.OF UWELLING U <br />MA%.00I' LOAD <br />FlRE SPRINKLERS <br />RCQUIRED <br />❑Yk5 ❑NO <br />BY DATE <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS-H.P. EA <br />REfNIGERATION UNIT$-M.P. LA <br />ISOILFHS-H.R EA <br />GAS FlNED A.0 UNITS-TONNAGF .A <br />I�ORCkD AIR SYAEMS-B.T.U. M EA <br />WALL H[ATENS-13.T.U. M <br />UNR MEAT[RS-O.T.U. h1 <br />EVnPORATIVF COOLtK! <br />CLOTIIES DRYER� <br />VE\71LATION PAN <br />RANGF.HOOD <br />AIR i{pNDIJNG i!NIT- C.F A1. <br />SiOVE <br />h1ETAL RRkPLACE & CHIMNEY <br />PIAN CHECR DN�dHER <br />FCES <br />SUBi07Al • <br />PERMIT s <br />FEE <br />PUN CHCCK htt <br />FEC RKEIPT NO. <br />VAlUAT10N I FEE <br />ItUILDING S ,//y�� � <br />�rvv <br />PLUM6ING <br />MECHA�llUL <br />O7HER <br />PENAI.TY U.11.C. <br />SEC. S011a) <br />TOTAL <br />PERMIT VALIDATIDN <br />WHEN PROPERLY VALIDAT p ON THIS SPAfE) THIS IS YOUR PERh11T <br />(o- � � �'o c6� <br />��� ����' <br />