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AIPPLICATI�OI\1 FOR <br />(: �N��°�!CT'ION everett <br />�vereii: PE RM� IT � <br />DEPT. OF COMMUNITY DEVELOPMENi SERVIC.'.5 <br />CITY HALL 259-8745 <br />EVERETT,\VA 98201 � � <br />❑COMQiNATION �BUILDING ❑MEi�HANICAL ❑FIUMRING PERMIT NO. <br />���h�y� MAII nDONf:S ❑TY 11P PNUYE <br />dJ!%JALQ %C,ti-L��SU�( i C�90i Lv,✓l!/3ii,E'D '35 3- 335� <br />�NClIIIfCiORDL5IGY[N MAILA[)ORE55 CIiT LIP PMONE <br />GfNLRnI COhiRnQOR A1All ADDHE55 CITY ZIP PHONf IICErvSE � <br />�c..����-r-r u� D2s e -�GG� �v��� ��,�� c,�..�i�y '3� �-- 7t 61 <br />MtC11ANIUl CO�iRACiON AUII nODH[SS CIiY (IP pHOrvE LICEnSI q <br />a � 3 -or -�v -r 2--r=6 �-.3oi r�fl <br />PWAI�INGCONTRACTOH MAII �pORf55 ❑TY 11P pHONE IICENSEY <br />❑NEW �1DDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING NELOCATION <br />— c — <br />VAWATION OF \�H0.� <br />* 'r� e c- � uLt %� D�( T <br />oEscRim �vorsn +T <br />:J BQ�. ° o <br />PROPOSCP� StOFIIUIIUWG <br />KC�J��Fd..>T Ii\L <br />IEWI OESCMIPilOY OL PROPERiY �SIION'N 11I ION' OR ALi�CHLfOUH <br />oT5_niocK�or '�ii�P.��`�C�1 <br />"17� 1��1�,�Y � 2o�ZI�2Z._ <br />IOII <br />PLUMBING <br />NO. <br />U- <br />TYPE OF FI%7URE <br />ET ITOLIETI <br />unriirun <br />LAVATORV pVAS 1 UASIN� <br />SHOVlER <br />kITCI1EN SINK 8 DI . <br />UIS\Vn5f1ER <br />IAUNDRYTRAY <br />CLO7HE5 WASHCR / <br />WATCR HlAT[N %. <br />UNIIJAL / <br />OftINKING POUNTAIN <br />FLOOR DRAIN � <br />VANU�t 11Rt AKERS <br />NOOF DHF1N5-NAINLEAf7kR5 <br />SINK (SERVICE-l1AR, ETU <br />SUB TOTAL <br />PfRM1T <br />TOTAL iEE <br />SIDEYARDSETOACK S7RILiSfTllAl <br />_� � / <br />use zorr ior naen <br />TYPE OF <br />SIZE OF ULDG. <br />lS' S"�L �l ; <br />FINE 20NE <br />OCCUPANCY GP.OUP <br />!2 - 3 <br />NO OF STORI6 <br />NT <br />�,' 0 <br />��1, - .=' S-1U�°� �D� oi..' AP�nvE �AP <br />�cu� t-1 - I ili oZv L�/ <br />I H[RE�Y CE�TIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO �E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDIN/�NCES GOVERNING THIS TYPE <br />OF WORK WILL B: COMPLIEU \NITFI WHETHER SPECIF�ED HEREIN <br />OR NOT. THE GRANTING OF n PEF:MIT DOES NOT PRESU��1E TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THF PROVISIONS OF <br />ANY OTHER STAT[ OR LOCAL LAW REGULATING f_ONSTRUCTION <br />OR THG PF�FORMANCE OF CONSTRUC710N. <br />SIGNATUHE�O�I CONTRAQOR OR AUiHORIZtU AGENT DATE <br />� - V �--' LJ, i /�, <br />X CE�G< " �C�titl. � <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS-H.P. EA <br />REFRIGERATION UNITS-H.P. EP. <br />I ILERS-H.P. EA <br />G�\ FlRED A.C. UNITS-iONNAGf EA <br />FORC D AIR SYSTCMS-O.T.U. M EA <br />N'nLL 1 �nTf.RS-11.T.U. N �— <br />UNIT HkA RS-O.TL. M <br />EVAPOHATIV COOLERS <br />CLOTHfS nHYEH � <br />VCNTILATIONlAN / <br />RANGfHOOD <br />AIR IIANOLING UNIi � .'M. <br />STOVf / <br />M[TnL FlREPLAI'E 8 CHIMNEY <br />� <br />� <br />� <br />4U8 TOTAL S <br />S PERMIT S <br />VAUNT SITF. <br />❑VES '�'��'O <br />NO. Of �WELLING UNITS <br />1 <br />h1AX.00C LOAD <br />�. <br />riui srHu+KiEHs <br />RI��UIkP.D <br />APPROVALS BY <br />1 ENVIRONMENUL CHIIX LISi <br />2 IIUILD�NG PLAN$ <br />) FlNF HYORANT <br />4 FlRE PHOTECTION 51'STEM <br />5. GRAD�M1��k XCAVATION 8 CL! ARIYGiGHUl111 W G <br />6. ONAINAGF <br />7 I uVIR�t,vNl ^1i,AI I.vl'nC� ciAli nt117 <br />., ... . �,:I lil,��.�.. <br />DATE <br />�� g 3 sn, <br />BUILDING <br />riun�ninc <br />AIECHANIUI. <br />OTIItR <br />I'INAlT1 <br />TOiAL <br />TOTAL <br />FtE36� <br />VALUATION <br />UfiC <br />SEC.301(a� <br />5� <br />CHEIX FEE G <br />RECEIPT NOJ D <br />PERMIT VAIIDATION <br />1Y11EN PROPfRt� VnLIDnTFD IIN THIS SPACE� THI515 YOUR PERMIT <br />�`\ <br />