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1 <br /> A��LICATION FOR ' ���,�n <br /> '°.E"`°"'° I,�NSTRUCTIOW � <br /> an or <br /> everett PE�MIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HAL; 259�8745 <br /> EVERETT,WA9B201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNfR ,p MAR n00NF55 CITY y ZIP PNONE <br /> � ° 9'da'R �.ry.�2a-r-i 1�// �r,r+-dil��� �Gr��=n�L/` <br /> ARCHITFCT OR OESIGN[N bl�lt A�OP65 CITY ZIP YNONE <br /> G[N[RAICONIP CtOR M�IIADORE55 CITY 21P PNONE IICEN5t1 <br /> /�� /f. � _� � _ �-z�<— ���� �� .Of-D� . 9�� �SS .191-�D�/ ,d Z p.�A�anJltn <br /> M1IFCM 'IUl CONiR�CiOR l AOORFSS CI1Y LIP ' PMONF LICEHSE/ <br /> PLUMBINL CONIR�CLOH MAII AOONfSS CIiY ZIP VHONE IICENSE/ <br /> C1A55 OF KORK <br /> ❑NEW ❑ADDITION ❑nLTERATION �REPAIR ❑CEMOLI710N ❑PENCE ❑SIGN ❑GARAGE ❑BUILDING RELOGTION <br /> WlUniION Oyi�W�O�R'K� <br /> f �(/(/ (/ <br /> D6txiNF W^O�RK <br /> / <br /> PROPOS'UUSE OI BUIIDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW 7HE SAME TO 8E TRUE AND CORRECT ALL <br /> lfG�t OFSCRIPiIOMOf VqO�EPiY ISHOWH RFIOW OR niTACH fOUR COPIE51 PROVISIONS OF UWS A�D ORDINANCES GOVERNING THIS TYPE <br /> �• OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi L2`�e�ocK 7j� ov � �"`�' OR NOT. THE GRANTINC OF A PERMIT DCIES NOT PRESUME TO <br /> /�_��` „ , �� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> (/� �/ ANY OTHER STATE 6R LOCAL LAW REGULATING CONSTRUCTION <br /> —'`� OR THE PERFORMANC[ O` CONSTRUCTION. � T <br /> SIGNATURE OF CONTRACTOft JR AUTHONIZED AGENT DATE �—I�+ � ��/ <br /> ioaneouess X ���1 � � <br /> PWMBING MECHANICAL � <br /> NO. TYPE OF FI%TURE �EE NO. iY�E Of EQVI►MENT FEE <br /> WATER CLOSET(TOUET� AIN LOND UNITS-MP.EA <br /> BATNTUB ' RFFRIGERA710N UNITS-H.P. EA <br /> UVATOR��WASH BASIN� BOILERS-HP. EA � <br /> SHOWFk f,AS FIRCD A.C.UNITS-TONNAGE EA <br /> KITCNEN$INK 6 DISP FOBCED AIR SYSTEMS-B TL. M EA <br /> DISWASHER WALL HEATEvS-BS.U. M <br /> I.AUN9RY TRAV UNI'HEAfEftS-97 U M <br /> , CLOTMES N��SHFR EVAPORATIVE COOLERS <br /> WATER HEATE0. CLOTHES DftYENS <br /> � URINAI VENTIUTION FAN <br /> � DRINKINC FOUN7AIN RANGE HOOD ' <br /> FLOOR ORAIN AIR HANDUNG UNIT- CF.M. <br /> 7 VACUUM BRUKERS STOVE <br /> ! ' METAL FIREPLACE 6 CHIMNEY <br /> ROOF DRAINS-RAINLEADERS <br /> S�NK ISERVICE-B�R.ETC� <br /> ,� SUl70iAl SU�TOTAL � <br /> ►ERMIT f 1'ElMIT f <br /> 70TAlFEE f TOiALFEE � <br /> i SIDF YARD SETBACK $TREFT SETBACK RUR VARD SfTBAIX PLAN�M[CK NUMBER PLAN CMfCK FEE <br /> FEE RECEIPT NO. <br /> �6 USf ZONE l0T A?EA yACANT SRE . <br /> f ❑YES ❑NO ikES VAlUAT10H iFF "ti <br /> 1 TVPE OF CONST OCCUPAKCY GROUP NO OF�WELLING UNITS <br /> BUILDING s 3a 60 <br /> SIZE OF BLDG NO OF STORIES MA% OCC LOAD <br /> PIUMUING <br /> FIRE ZONE BASEMEN7 (itDNOUMS FIRE SPRINKLERS <br /> BEQUIRCD MECHANIGL � <br /> �VES ❑NO <br /> A�►�OVALS �r D�TF OTHER <br /> 1. ENVIRONMENiAL CH:CK 115T pENALTV U.BS. <br /> SK. 30i(a) � <br /> 3 BUIIDING PUNi <br /> J FIRE HYDRnNT tOTAI 3a D <br /> � FIRE PROTECTION SYSTEh1 IFRMIT VALIDAiION <br /> WMEN PROPERLY VALIDATF��1N THIS SPACEI TFII515 YOUR PFRMIT <br /> 5 LRA�INGif%CAVATION6QEARING;GHUOflINC <br /> 6 DRAINAGE <br /> 7. ENV10.0NMENTALIMPACTSTATFMENT <br /> 0 MEeLTH DISiRICi <br /> APPUCATION ACC BY PLANS CHECKED BY APPR fOR ISSU�NCE BY <br />