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pPPLICATION FOR <br />cino�mn ;,ONSTRUCTION <br />evf�rett PERMiT <br />� <br />�EPT. OF COMMUNITY DE�ELOPMENT SERVICE$ <br />CITY NAI.L 259�8745 <br />EVFi2ETi. WA98201 rjrc�MeINAT1QN ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT <br />_ ..� vaoNE <br />everetl <br />� <br />/ l�' v/ /Z f v c i Clir [IP rn�ne ........" <br />NICMAhIUIIONiRACiOR nlnllA0DRR5 Uq�� <br />L��/,�i ' ,�'���- S�i 9J' e3 77 G-, <br />/%� ^ � O � � � �� �� �� n d PHONF IICfH5E1 <br />PI���CO 1R,1Ci0N —� , M�IIAODR[U CIiY ZIP <br />i%3 ��"n/�t"v/�3�/�lr` <br />QASS OF N'ORK <br />❑NEW ❑ADDITION ❑�LTERATION ❑REPA�R ❑DEMOLIT�ON ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOUTION <br />\'�AU�110NQ(KORN r ", <br />s 00, / <br />utscRixtwoaK n _ -� f' � /- �nn�� % �/ D ��J �S i�.4-�%� S/� �N / ���'— <br />(�f!-�` ✓i t,�Iin' <br />rpoPosm usi or nuuon+c <br />tEUL OFSCRIViIOti Oi VXOPf0.iY ISHOWN BEl01ti OR A1inCM fOUR COPIF51 <br />ioi�oiocK�S� o�u �'!/ri/,'%/ .n/[/ r <br />101� �f>ORI55 � <br />�.53/ v <br />PIUMBING <br />NQ, iYPE OF FI; <br />WATER CLO <br />[1ATH1U6 <br />KIICMEN 9Nk 6 DISP <br />OIS�'.'�SNF R <br />UUN�RY TFAY <br />QOTHf 5 W�SNFR <br />1YAIEH MFATFR <br />URINAL <br />DftINKING �OU.''1T��N <br />FIOOF DRAIN <br />VANUM flRE/.KERS <br />ROOF DftAINS—ft�INLFADEHS <br />SINK ISERVICF—tlAR. EiC I <br />TOTAIfF: <br />SIDE YAND S[TOACK SiR[C7 SCTflACK <br />USE ZONE LOT ARU <br />TYPE OF CONST OCWPANCY GRC <br />SIZ[ OF NLOG NO OF $TORIfS <br />___"'.,... PeCFMENi Ilt <br />APMOVAlS <br />1 fNVIRONMCNUI CIiECK lIST <br />z pI11LOING PUNS <br />7 fIRF �'YDHANI <br />t FIRE PROTEiTION SYSTEM <br />5 GNADINUIXU�,�710NbCLfARINGICRUtlNINC <br />fi DNAINAGE <br />7 ENVIRONMFNTAI IMPACT STATEMENT � <br />B HEALTN DISTNIQ <br />I HEREBY CERTIFY TN iT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNO�� THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF L4:V5 AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL Br. COMPI IE� W�TH WHETHER SPECIFIED HEREIN <br />oGIVE �UT 10R TY TOIV OL�AFTE OR CANCE�LETHE ROVISIONS OF <br />ANY OTHER STATE OR LOCAL LRW REGUL�ITING CONSTRUCTION <br />OR THE PERFORMANCE OF CO?dSTRUCTION. <br />aicr,�.4u1Rf OF CONTRACTOR OR AUTHOHIZED �GENT DATE <br />FEE NO. TYPE OF EQUIPMeni <br />AIRCOND UNITS—HP EA <br />REFRIC:NATIONUNITS—HP EA <br />UOII[RS—M P EA <br />CASFlHCO�C UNR$-70NNAGEEA <br />FORCCD Alft SYSiEMS—B T U �' <br />\YALI HEATEftS-111 U. M <br />UNIT HUT�RS-8 T U M <br />LVAPOftATIVF COOLERS <br />s <br />s <br />RLAR YARD Sf 10ACA PLAN <br />VAUNT 51?C <br />❑YES ^uN0 <br />NO Of OWEILING UNITS <br />Ik[D <br />pY I DATF <br />�PPLIUTION ACC BY PLANS CMECKED BY I APPR FOR ISSVANCE <br />g.l -; 9 <br />VFNiIUiION FAN <br />ftANGFHOOD <br />Alft NANDLING UNIi— C.F M <br />S10Vf <br />ME UL F IRE PUCF 6 CNIMNEV <br />sue <br />FEF <br />FEE <br />� <br />s <br />s <br />CHFCK FEE <br />RECEIPT NO. <br />FEE <br />6UIl01NG S G, � <br />1'1Uh101NG <br />MECHANIGI <br />OTMFR <br />U6C <br />PkNAl1Y SEC. 30Jfal <br />TOTAL <br />►EIIMIi VALID�TION <br />W MEN PROPERLY VALI�ATED (IN THIS SPACE� 7HI5 I$ YOUR PE0.MIT <br />