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APPLIC�4il(�►N fCf� -::�- � <br />tM E�wrprMn ''�" C O N ST R U CT I O h <br />everett PE RM IT <br />DEP7. OF COMMUNIiV DEVELOPMENT SERVICES <br />CITY HALL 254B7<5 <br />EVERETT. WA9B201 ��OMBINATIQN ❑ BUILDING ❑MECHANICAL �PLUMBING PERMIT NO. <br />OWNlN MAII�OI]NI55 CIIV Z�T PNOME <br />C-�T�FAi}I�Rs nizzA <br />•vrwnit'T oN O61LNlR M�II AOURfSS CIiY 21P PNONE <br />everen <br />e <br />PIVNOINC CONIRGCIOF M.111 ADOR(55 UfY ZIY PNONE / IICENSE 1 <br />Cl�SS Oi WONK <br />�INEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLtTION ❑FENCE ❑SIGN ❑GARAGE ❑BU�LDING RELUCATION <br />VeWAiIOYOf WORK <br />S <br />D6CRIB[ WORR <br />P0.0�OSlD USF 0! BUILOiNG <br />IEGAI OE$CNIPtIOY OF PROPlPiY ISHOWN BIIOW OR �TT�CH fOUM COPI[51 <br />�o� _ eioa _ or <br />ION npDP65 <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />wA7ER CLOSET ITOLIET) <br />— BATMTUB <br />� LAVATORY (W�SM BASIN) <br />— SHOwFR <br />KITCMEN SINK 6 DISP <br />DISWASHER <br />LAUNDRYTRAY <br />CLO7HE5 WASMFN <br />/ WATER MEAiER <br />vn <br />FLOON DRAIN <br />— VACUUM BREAKERS <br />ROOF ORAINS–RAINLEADERS <br />/ SINKISERVICE–BA0..FTC1 <br />OF <br />NO <br />FT 5[ <br />A0.EA <br />A►�IIOVALS <br />L ENVIRONMENiAL CHfCK L15T <br />2. BUILDING PUNS <br />J FIRE MYDR�NT <br />1. FIRE PBOTfC7�ON SYSTEM <br />5 GkADINGIE%CAVATION6CLFARINGIGRU6BING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENt <br />E. HEALTN DISTRICT <br />APP�IfAiION ACC. BY PLANS CMECKEO BY <br />9.1�79 <br />sl i <br />RUN YARD SFTBACt <br />VACANT SITE <br />OVES ❑NO <br />VO.Oi DWfLIING U <br />MA% OCC 10�0 <br />FIRE SPHINKlERS <br />REQUIRED <br />❑VES ❑NO <br />�� DAiE <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONTRACT00. OR AUTM00.1ZED AGFNT DATE <br />- i n _ / / <br />RFFRIGENATION UNIT$–MP. EA <br />BOILfRS–MP EA <br />GAS FIRED A C UNITS–TONNACE EA <br />FORCF� AIR SYSTEMS–BSL. M EA <br />WAIIMEATENS–B.iU M <br />IINITHfATERS–BTU. M <br />VENiILAfION <br />RANGEHOOD <br />AIR HANDUN( <br />STOVE <br />METAL FINEPL <br />C3 M. <br />AI�EF <br />FEE <br />�1 <br />CHECK FEE <br />RECEIPi NO. <br />BUILDINC f <br />PLUMIIING <br />MECHANICAL <br />OTHER <br />PfNnLTY U.9C. <br />SEC N1Ha) <br />TO7Al <br />�[RMIT YAIID�iION <br />WMEN PROPENLY VALIDATEO �1N iHIT SPACF) TMIS IS YOUR PfRMIT <br />i <br />FOR ISSUANCE BY �` „ ' �. <br />aa <br />t �ti <br />�i - <br />i 1 <br />