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,„.E�.ro,„� A.P P L I C A T I O[V !�O f� ���,�„ <br /> =�TM�F �CONSTRUCTlON e <br /> everett PE RM IT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICE$ . <br /> CITY F:.111.359�A745 <br /> E`'ERETT, WA99201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWN[R Mnll nDONeSS Cliv ZIP PHONE <br /> ��;�us�e��' �0/- 1-o�Ndc.,.,� Fyr.J� ,��- <br /> A CMI [[T 00.O61GMH Mnll eU0RF55 ❑1Y ZiP PNOHE <br /> _���<a��3 <br /> G[NFReLCOFLNACIOX MAILAOORE55 ❑iY 21P PMONE LICENSEI <br /> $l2n�1 �����L��'%�nrxe' . �( c+..�c 5'�eyr.�s 223-v%-5"�/-O�'�/--oC•f��oi7lJZ <br /> MECNANIUI[ONIRAQO MAIL�DDRESS CI1Y LIP PHOrvE IICENSE I <br /> PWnfflivG COrviR�C100. MAII n0URf15 UiY ZiP pNONE IICENSE 1 <br /> CUSSOf WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE GSIGN D�:ARAGE ❑BUILDING RELOGTIUN <br /> VAWnilONOlWORK � <br /> , �y5d � <br /> �6CRIBF WO/Rt // , / <br /> �e-S.'c� z /+Od.S C' - J°. J��d.'h <br /> PROPOSFDUSE Of tlUIiDIM1L I HEREBY CERTIFY THAT I HAVE READ AND EXAMIYED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lEGhlOFSCRIPiIONO�VNOP[RiV�SMON'NBFION'ORAi/fnOIfOCM/C/QP�E51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> ior .�y� e�oa or /�{y ST� �rfA � OF WORK WILL �E COP�PLIED WITH WHETHER SP[CIFIED HERFIN <br /> aZ— � OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> "f''D C � ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMAN�E OF CONSTRUCTION. <br /> SIGNniURE OF CONTRA TOR OR AUT ORIZED AGENT OATE <br /> IOtl e000.ES5 r r/ O � /�`� V � - , /^ / LL///�/� <br /> Q f L� .1 �� (a� /J L <br /> PWMBING MECHANICAL <br /> NO. TYPE OF fl%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> 1VATER CLOSFT�TOIIFTI �Ift COND UNITS—HP.EA <br /> BATHTUB RE�RIGEPATION UNITS—HP EA <br /> UVATORV�W.15H BASIN) OOILFRS—H P EA � <br /> SHOwFH G�5 FlRfO A C UNIiS—TONNAGE EA <br /> KITCHEN SINK 8 DISP FORCF�AIR SYSTEMS-9 T U M EA <br /> DISWASMER WALLHEATERS—BSU M <br /> UUNDRYiRAV UNIiMFATEHS—BT� M <br /> CIOiHES wASHFR EVAPORnTIVE COOLERS <br /> WATFR HEATEk _ CLOTHES nRYERS <br /> 1 URINAL VENTILAiION FAN <br /> ORINKINL FOUNTAIN RANCF HOOD <br /> �l FLOOR OC.AIN AIR HANDIING UNIT— C.F.M <br /> jVANUM 9REAY.EkS STGVE <br /> d ROOF DRAINS—RAINLEADERS .�1ETAL FIREPLACE 8 CIIIMNEV _ <br /> SInK�SFRVICE—oAR.ETC 1 <br /> SU!iOfAl Sl/E iOTAL f <br /> YEIIMIT f PERMIi f <br /> � TOTAL FEE S ?nTAI iFE s �� <br /> SIDF YAFD SET[1.1CK STREFT SR[IACK RUR YAftD SETBACK PLAN CMECK NUMOER PLAN CMECY, FEL � <br /> rci RECEIPT NC. <br /> USF 20NE LOT AREA y�[�NT SITE <br /> ❑VES ❑NO FFF.S VAWATION fEE _ <br /> �'i TYPE Of CON51 OCCUPANCY GROUP NO OF DWELIINC UNITS <br /> BUILDING 3 <br /> SIZE OF BIDL NO OF STOft16 MA% OCC IOnD <br /> PLUMIIING <br /> FINE ZONE BASEMENT IIFIJROOMS HRE 5.'RINKLEBS <br /> REQUIBED MECHANIUL <br /> f7YF5 C7N0 <br /> APPROVALS SY CATF OTHER <br /> 1 ENVIRONMENTM.CHEIX LIST U B C. <br /> PENALiY SEC. 1O71a) <br /> 2 OUILOING 7UN5 <br /> J FIRE HYDRANT T�t�� <br /> 4. FIRE PNOTECTION SYSTEM �ERMIT VALIOATION <br /> WHEN PROPERLV VALI�ATED I�N iM15 SPACE)THIS IS YC�UR PERMIT <br /> 5 GNADINqf%GVATIONdQEAftINGIGHU9HING <br /> 6 DRAINAGE <br /> �. ENVIRONMENUI IMPACT STATfMENT <br /> E MEAITH�15iRICT <br /> APPLICATION ACC BY PLAN$CMECKE�81' APPR iOR ISSUANCF BY <br /> 4.� �'> <br />