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APPLICATION �+OR everetl <br /> Ne Eve�A��^ C O N S T R U C T I(� N 0 <br /> an oF <br /> �veret.t PERNIiT <br /> DEPT.OF COMMUNI7Y DEVELOPn7ENT 5[RVICES <br /> ❑TY HALL 259�0745 <br /> EVERETT,WA9020S ��QMBINATION �BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> ON'NfN MAIIAUOMf55 fi�Y 11V PNONE <br /> �oUVC.�s t�0 Q �22. �� /✓IAG�/UL rA �✓�i2c� <br /> �RCIIIIFCfOROf51f,NtR ]1AIL�DORk55 CIlY ZIP PNCHF " <br /> GWFR�lC04:R�C10P MAIL�ODR[SS 16}S` (� � j� ���V ZIG PNONf LICfM1Sft <br /> I�l�r i2 ReaF�iw Po�7�/ maz�5uic�G �✓IaR�/suru,t 9�z7 0 6�3 •13S j HRi2uo•-ly 521� <br /> n•.FCMAMUt CONiNnCtOR Mnil nODRESS CIT L P PHONE IICENSE Y <br /> PlUntfllnG(ONtR�i"OF MNIAUOR[SS U1Y ZIP PNOM1f LICFNSEI <br /> CLASS Of NOF4 �—,/ <br /> ❑NEW ❑/,DDITION ❑ALTERATION ItYREPAIR ❑DEMOLITION ❑FENCE GSIGN ❑G4RAGE ❑BUILDING RELOGTION <br /> V�LU�iIONJf KONru <br /> � �f'7�) '- — <br /> IJUIRIBf 1YOH[ <br /> 'h%9�uxi�tc� Fl�ditl"1-l��_r 01=EklSTI/� �ooF � �2�:-C:mdBP-!�t(7� <br /> raorosm c,r oi�aunuiuc I HERERY CERTIFY THAT � HAVE READ AND E%AMINED THIS AP• <br /> GoS((�h �o PLICATION AND KNOW TkE SAME TO BE TRUE AND CORRECT ALL <br /> IfLAI DLSCXIVi -..Oi P0.0PEF1YISMOWN 9flOW OR AIiACN VOUR COPIL51 PROVISION$OF LAWS AND ORDINANCE$GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIcD WITH WHETHER SPECIFIED HEREIN <br /> iot__d�ocx__ov OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUMc ?O <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THF. PROVISIONS OF <br /> ANY OTHER STATE OP. LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF C�NSTRUCTION. <br /> SIGNATURE Of CONTRACTOR OR AUiMOftIZED AGFNT DATE <br /> 108 nDpNt55 � � � � ���� � <br /> � <br /> PLUMHING MECHANICA�L <br /> NO. TYPE OF FI%TURE FEE NO. 7YPE OF EQUIPMI'_WT FEE <br /> WATFRCLOSET(TOLIETI AIftCON� UNITS—NP EA _ <br /> 6ATHTU� HEFRIGERATIONUNITS—HP EA <br /> LAV�TORVIWASHOASIu) 601LER5—HP EA _ <br /> SMOWFft GAS FIRED AC UNITS-10NNAGl EA <br /> NIICHEN$INK 8 OISP FORCED AIN SYSTEM$-9.T U. M FA <br /> DISWASHER WGLLMEATERS—OT.0 M <br /> LAUNpRV TRAY UNI�NEATER$—OT U M <br /> QO7Nf5 wASHFR [VAPORATNE COOLERS <br /> IVAT[R HtATER f.LOTHE50RYE85 __ <br /> URINAL V(Ni1U710N FAN <br /> UflINKING FOUNTAIN NANGF HOOD � <br /> fLOUR OBA�N AIR HANDLING UNIT— C F M <br /> VACWM ORUKEHS STOVE <br /> ROOF DRAINS—FAINIEADERS M[TAl FIREPUCE E CHIMNF� <br /> 9NK�SFRVICf—OAR ETC; <br /> SUBTOTAL SUBTOTAI S _ <br /> PFRMIT S PERMIT s _ _ <br /> TOT�L FEE S TOTAL ifE f � <br /> SIDF YAND SLTf1ACK STRE[T SCTOACK RUk YARO SETOACK PUN CMECK NUMpCR 'LAN CMECK FEE <br /> fEE REl'EIPT NO. <br /> US[ ZONE LOT AREA yACAUT SITE �FE. VAlUA710N FEf �_ <br /> �YFS uN0 — <br /> TYPE O(CONST OCCUPANCY GROU7 NO O�OWELUNG UNITS <br /> HUIlO1NG 3 <br /> SIZ[OF 111OG NO OF STORIFS MA.< OCC LOAD <br /> PWMIIING <br /> �IREZONE OASEMENi 11l�ROOM} REQUIItE�DKIEN$ MkCHANIUL <br /> f7YFS flNO <br /> AYYROVAlS BY DATE OTHER <br /> 1 ENVIRONMtNTAL CHECK U5T pF4ALTV U.9C. <br /> SK ]O)la� <br /> 2 OUILOInG PLnNS <br /> TOTAL <br /> 7 FIHE HVDNANT <br /> i FIQE PROiLCTION SYSiFM PfRM1T VAlIDA710N <br /> WMEN 7ROPERLV VAUDATED UN THIS SP�CE�TMIS IS YOUR PERMIT <br /> S GRADINGitXUVA710NbCltAPINL,'GHUBHING <br /> 6 �FAINAGC � <br /> ]. ENVIRONMfNULIMPAC75TATfMENT i. <br /> 0 HEALTH DISTRICT <br /> APPLICATION ACC.6Y PLANS CHEIXFD PY APPN fOR�SSUANCE tlY <br /> 9 1-79 <br /> � <br /> I <br />