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��.EMro�.� ,ApPLICATION FOR ��«<n <br /> �moF �ONSTRUCTION e <br /> eve�ett PERMIT <br /> CEPT. OF COMMUNRY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT.W�98101 ��pMBINATION ❑ BUILDING ❑MECFiANiCAL ❑PLUMBING PE�RMIT N <br /> MMl AODYf 55 ��tY <br /> OWrvtX . <br /> Q 4 <!` �-� 4� PMOHf <br /> ` /J Gl P � � CIIY ZIP <br /> �q[NI [Q 0.D6IGNIR MnIL ADDR[5S <br /> C��Y ZIP PHONF �llCfrvSE/ /J�� <br /> G[N[RALCO�IReC100. <br /> MAIL�ODRE55 4JS��TG r��•/(��Y��/ <br /> .��,t �' �' / /D`� , � �� h < < .ST�'� ✓c �i .F l SY 33�j..�sc� <br /> ��Jy LIP iMUNE <br /> n�[ HnHiUI CONiR�CtOR <br /> MnIL nD�RFSS <br /> Z�p PMONE IICENSf I <br /> PWMPWG CON1ReCiOQ <br /> MMl A00R[55 ���Y <br /> ���SSOF WORK <br /> ❑NEN' ❑ADDITION �TERATION ❑REPAIR ❑DEMOLIiION ❑FENCE ❑SIGN ❑GARAGE BU!LDING RELOCATION <br /> Vn W n110N Oi wORt <br /> O� <br /> f � <br /> O6C0.191 WORK <br /> .0 . 7. �..� � n / �A �Iz <br /> 'T^" - I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> rNOPosEouS� � aurtulMc <br /> ` Pl�C,4TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �j PS. �...r •-' PROVISIONS OF LAlYS AND ORDINANCES GOVERNING THI$TYPE <br /> l[G�10(SC�TIOVOf PROPFNIYIL�OWN91lOW ORAIL�CH�Ol1RCOP�fS1 pF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN <br /> eiocK�ov "� OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO <br /> 1p1 --�-- GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRI.'CTION. <br /> SIGNA1UftE OF CONTRAC?OR OR AUTHORIZEQ 4GENT U�TE� 'G -r)"� <br /> ioe�ooxas � � ,��� / . . <br /> 9�� � — L' 'r r <br /> J� <br /> MECHANIGIL <br /> ?LUMBING ' 7YP OF EQUIPMENT FEE <br /> NO. TYPE OF FI%TURf <br /> FEE NO. <br /> AIR COND UNITS—N P EA <br /> WATER CLOSE7�TOLIETI REFNILFRATIOM UNITS—H.P.�� <br /> qATHTUB gOILERS—HP EA <br /> LAVATORY 6VASM OASIN� CAS FIRED A C GNITS—TONNACE EA <br /> SHOWFR FORCEDAIRSYST[MS—a.TU. MEA <br /> KITCMEN SINK 6 OISP �y��L HEATEftS—B TL. M <br /> DISYlASMER UNITMEATERS—HT.0 M <br /> UUNOftY 7RAY F\'APORATIVL COOLERS <br /> Cl01ME5 W�SMER ��pTHES DRYERS <br /> WATER MEGiER yENTIUTION fAN . <br /> URINAL RANLF MOOD <br /> DRINKINC FOUNTAIN AIR HAN�LINC U"11T— C.F M <br /> fLOOR DRAIN S70VE <br /> VACIIUM BREAKERS Mf7Al FlRfPUCE 8 CHIMNE�.. <br /> ROOF DRAINS—RAINLEADERS <br /> S�NK 6EftVICE—BAR,ETC i <br /> S�lTOTAL s <br /> SU!TOTAL � F0.MIT f <br /> �ER.NIT s TO7AL F[F f <br /> iOTAL FEE s PLAN CHECK FEE <br /> SIDv YARO SC�EfACY. STNEC7 SETDACK RUR YARD SFTOAIX PLAN CHCCA NUMOfR RECEIPT NO. <br /> fEE <br /> LOT AREA WCANT SITE VAWATION FfE <br /> USF ZONE iEES <br /> OVE$ ❑NO <br /> TYPE OF CONST OCCUPANCV GftO11V NO OF OY.'FILING UNITS /� `� <br /> �UILDING S 6� � <br /> $IZE OF 6LDG NO OF$TORIES MA% OCC lOAO <br /> PWMOINC <br /> fIREZONE BASEMENT OIOffOOMS RIEQUREDKLEHS MFCHANIUI <br /> ❑YES f]NO <br /> �P'�pVALS �Y UATE OTMFR <br /> U.fl C. <br /> i. ENVIRONM[NIAL CHfCK L15T PFNAITY SK.]O7(al <br /> 2. OUILDINGPUN$ TOTAL /� � <br /> J FiRE M�DRANT <br /> �EUMIT VAIIDATION <br /> � FIRE PR07EC710N SYSTEM WHEN P0.0PERI.Y�����ATED�IN 7HI5 SPACE)TMIIS�5 YOUR PERMIT <br /> 5 GRAD�NGIFXf.AVATION 6 CIkARINGIGRUNHI4G <br /> ��� <br /> 6. DFAINAGE <br /> 7 ENVIRONMENTALIMPACTSTAiEMENT <br /> E. MEAiTM DISTRICT <br /> APPLIGT�ON ACC. BY PUNS CMECKfD UY APPR FOR ISSU�NC! BY <br /> g4 79 <br /> Y <br />