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,„.E„ro,�� AP�LICAT�ON FOR ;.. <br />��TM°F (,JNSTRUCT�ON <br />everett PE RM IT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-87/5 <br />EVERETi, WA9B701 �COMBINATION ❑ BUILDING <br />OWNIR '� /� /M�l ADON[SS � <br />�M n10..Dt.Y Z.. � 1//��i /ie�1.e��.�.. ��'�i �-� .l <br />❑MECHANICAI ❑PLUMl.ING PERMIT NO. <br />everen <br />� <br />y0�6 <br />AFCNIT[CTOROESIGNER MAllA00N.3t an (� LIP YHon[ <br />� <br />GfNERAI COMIR�CIOR MAII AODRE1i CRY ZIP VHO4E UCiNSE � <br />��� �C'.[,��i�Ml�'f'. �ML. �.�fl'7iZ ��fi19e.�.v� a�2�1 cI'8����i6-O�i1C� <br />mECHnNIUI CONIR�CIOR MMl ADOItF55 ULY lIP PNONf IICFNSf 1 <br />PWmPING COHipAQOR M�II �DORE55 CIiY ZIP PNONE llC[HSF � <br />CUSS OF N'OR[ <br />�NEW ❑ADDITION <br />VAIUAiIONOf WORK <br />S, �^Q�� <br />OISCRl9[ WORK <br />❑ALiERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />veoaastous or nmt/oi�c <br />��5 RAuN'1` <br />l[G�l Of SCPIPiION O{ PROPFPtY ISIIOWn PLLOw OR AtieCN fOUR COPIIS� <br />lOI �BIOCN__Oi <br />5�-i' So l�Po alu- h y <br />IOP�ODRES�D� �D• �K�V�L/i.�i/•y <br />�� <br />PLUMBING <br />NO. TY►E OF FII(TUIIE FEE <br />WA7FR CLOSET �TOLIETI <br />BATHTUB <br />UVATORY (WASM BASIN) <br />SHOWEH <br />KITCHEN SINK 6 DISP <br />DISWASN[R <br />IAUNDRI' TRAY <br />ClO7N[5 WASMER <br />WATER MEATCR <br />URINAL <br />DRINKING FOUNTAIN <br />iLOOR D0.AIN <br />VACUUM BREAKFRS <br />ROOF �RAINS-RAINLFADERS <br />SINK (SERVICE-8�0.. ETU <br />SU�iOTAL <br />►ERMIT t <br />9DE YARD SCTDA <br />USE 2UNE <br />TYP�j�G�PONST � <br />�1//N <br />5¢E Of fiLDG. <br />fIRE ZONE <br />lOT AREA <br />BASEh1ENT <br />RCAR YARD SEiMCK <br />VACANI TF. <br />O�ES �NO <br />�P NO OF DWGLIiNG UNI <br />MA% OC[�AD <br />��O <br />1ROOM5 FIRE SPRINKlE0.5 <br />.� REQUIREO <br />A���OVALS <br />1 FNVIRnNMENTAL CMECK LIST <br />1. BUILDII+G PUNS <br />7 FIRf MYDRANT <br />� FIRF PROT[CTION SYSTEM <br />5 GRADINGf%GVATION6CLEARINLIGNU9NINL <br />6. ORAINACE <br />7. fNVIRONMENTAL IMPACT STATEMENT <br />E MFALTN DIST0.ICT <br />�Y I OATE <br />APPLICATION ACC. BY PLANS CHECKED BY APPR FOR ISSUANCE <br />i!n /..c., <br />1 HEREBY CERTIFY 1'H,\T 1 HAVE REAJ AND EXAMINED THIS AP- <br />PLICATION AND KN(1N� THE SA.ME TC� BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAY/5 AND ORbINANCES GOVERNINC THIS TYPE <br />OF WORK W�'ILL PE COMPLIED \NITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRAN71'•IG OF A PERMIT UOES NOT PRESUME TO <br />GIVE AUTHORITY TG �IOLATE OR CANCfL iHE PROVISIONS OF <br />ANY OTHER STATE OR LOGL I.AW RECULATING COkSTRUCTION <br />OR THE PERI"ORMANCE OF::ONSTRUCTION. <br />SIGNATURF OF C9NTPACTON OR AUTMORIZED AGFNT DATE <br />� . C �''9/�� <br />MECHANICAI v <br />NO. TY�E OF EQUIYMENT <br />AIR L'OND I1NIT5-H P. F� <br />BOILEHS-M.P EA <br />FORCFD AIR SYSTEMS-B.T U. M EA <br />WALLMEATERS-BTL. M <br />UNITNEATFHS-BTU. M <br />EVAP00.ATIVE COOlERS <br />�ENiILATION fAN <br />R�NGf HOOD <br />A1p MANDIIRG UNIT- C.F <br />iTOVE <br />METAL FIREPUCE 8 CHIMNEY <br />iOTAL f <br />�� TOIALFEE f <br />PLAN CHECK NVM�Eft PLAN CNEIX FEE <br />���Z FFZ3Z'� � RECEIPT N�O�. <br />FFFS � VALUA710N s� iEE <br />BUILDING s7�'[�✓� _ j <br />PLUMBING <br />MF[HANIUL <br />OTNER <br />PENALTY U.BC <br />SK JONa1 <br />iOTAI � <br />►EIIMIi VAIIDATION <br />WMfN PROFERIY VALIDATEO IIN TMIS SPACE) TMI515 YOU0. PERMIT <br />T�-7�C/ �j /�%,�1 . PE��: t7� <br />�n ��. oBrp�u�n gY <br />l' <br />Y'i1�rCt G� 1��� il-. �-O.L��:31�:r�,o, <br />