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N�Ewrpn�n A�PPLICATION FOR <br />c�noF CONSTRUCTIOh <br />everett PE RM IT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA9B201 �LOMBINAT:ON <br />OWf:f0. �} <br />0'f -./L=�/`�i�ig/J <br />�RCHnEtt oa o�vcNea <br />� BUILDING ❑MECHANICAL ❑PLUASBING PERMIT NO. <br />IAII AOORE55 <br />GfNEXAlCO`+iRAC10R . NUTAD�fl6S CIIY 21P PHONE lIC[NSE� <br />//.�(f,-G'� GO'✓.5,'7�rncr✓ ��✓C. 17�5 /'�cT S�. .<i,�:�r�°NO u/ro. f-�..,Z-�S <br />h1ffIUNICAlC04i0.M1ROR M1IdILA0O0.E55 CI1Y LIP PMONE IICEN5E1 <br />PIU��pi�G COviNA[L00. m�dL eOURESS UIV ZIP PHOHE LICENSE i <br />CU55 Of wORK <br />❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />vetuenoN nr woxx <br />, G�, o0 <br />otscain� woar: <br />VROVOSFO US[ 01 HU�IO�n� <br />l[Cnl OFSCRIP1104 Ji PROPENLY 1511015'N pFION' OR U UOI {OUR COPIE51 <br />IOl _ BlC : �: _ Of <br />IOP <br />PLUMBING <br />NO. TYPE OF FI%7URE <br />K'AiER ClOSET ITOLIFTI <br />OATNTUB <br />IAVATORV (WASM PASIN� <br />SMOWER <br />KITCHEN SINK 8 OISP <br />LAUNDRY TRAV <br />CIOTHES\YASHFR <br />URINAL <br />ORINKING iOUNTAIN <br />FIOOR DRAIN <br />VACWh1 BREAKERS <br />NOOF DRAINS—RAINLEAO <br />SINK 6FRVICE—UAR. E7C � <br />TOTAI <br />TOTAL fFF <br />YAR� <br />r�-�l r� �l r� <br />USE ZONE LOT ANEA <br />��—` <br />TYPE OFCONST. OCCuPANCY CNO�P <br />Y I JNZ jF..N:iIJGy �G <br />/ <br />_� ' <br />FlftE 20Nf BASEMENT 111UNOU <br />A►�IfOVALS <br />1 ENVIRONM[NUL CNECK LIST <br />3 OUILDING PUNS <br />3 FIkE M1'DRANT <br />a FIHE PROTECTION SVS7EM <br />5 GRADINGIf%UYATION6CLIA0.INGICRVNHINC <br />6 DNAINAGE <br />7 FNVIRONMENTAL IMPACT $TATEh1ENT <br />B HEAITH �ISTRICT <br />APPLIUTION ACC �Y PLANS CMECKED OY <br />G ,�� `�Uri,y,� <br />9-1-79 <br />FFE <br />3 <br />RCAft YAN SEINACK <br />6�� ,� <br />VAUN7 51 f. <br />❑YES C?fv0 <br />NO Of DwFll11JG UNI <br />MA% OCC IOAD <br />I HEREBY CtRTIFY TIiAT I HAVE READ AND £XAMINEO THIS AP- <br />PLICATION AND KNO1N THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK W ILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. 1�HE GRANTING OF A PERMIT 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 PFRFORMANCE OF CONSTRUCTION. <br />SIGNATUY,^E OF CONTRACTUR OR AUTHORIZEO ACENT DATE <br />/ ! <br />X //�/.t�I d''�: �.' �ZZ�1 <br />MECHANICAL <br />NO. <br />AIR CONO UNITS–FI P EA <br />REFRIGERATION UNIlS–HP fA <br />WS%BEDAC lIN1T5–TONhAGEEA <br />fORCED AIR SYSTEM1IS-0 T U M <br />UNIT MUTERS—B i U. M <br />kVAvpRATIVE COOLERS <br />CLC1HkSOHYERS <br />NANC[HOOD <br />S70VE <br />MRAL FIkFPUCE d <br />PUN CH[CK NUMCF <br />6� <br />fEES <br />dUIIDINC <br />VWMIIItiG <br />MFCMANIUI <br />er DATf OTHfR <br />Pf NAUY <br />TOTAI <br />APPR fOR ISSUANCI BY <br />L �' <br />SUE70�AL 3 <br />PFRMIT f <br />TOiALFEE f <br />PLAN CNECK FEE <br />FEE ftECEIPi N <br />�. �3 .� �� <br />VAlUAT10N <br />uac <br />SEC 70)la�, <br />�FUMIT VAUO�iION <br />WHEN PROPERLY VAI IOATEO IIN 1M15 SPACE) THIS IS YOUR PEftMIT <br />FEE <br />_i <br />