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PppLICATION FOR ��� <br />��TM�F°`°°" .;�NSTRUCTION <br />Pverett PERMIT <br />:EPT. OF COMMUNITY DEVELOPMt`7T SERVICES <br />CITY HAIL 259-8745 <br />EVERETT, WA9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNE0. _ MAII�ODNf55 CITY 21P PHONf <br />CITY <br />�/_=LF �Gvc2eTr i � <br />L[NCR/ICONTRACiOR MMl�0ORE55 CITY 21P VHONE llC[NSEI <br />SEG F H <br />.�1FCHnMUI CONTPACIOR M�IL ADDNES$ CiTY LIP YHON[ LICENSE I <br />v�UMP1uG CO�+iRefi00. m�IL A�DRE55 ❑iY 21P PMONf lIC[nSE 1 <br />CLASSOf WORN <br />GNEW C�ADDIT�ON ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGF BUILDING RELOCATION <br />VA1W110Y Of N'ORK <br />+ �b � '� 0 � — <br />ULSCRINF W0R6 <br />P0.0P01[D US[ Of BUII�ING <br />l[ Wl 0[SCRIPI!OH Oi PROP[RiY �SNOWH BFLOW OR nTTnCH fOUR COFIE9 <br />lOi �� BIOCR �� Of <br />�OP nooRE55 <br />G 90 � [��„ <br />PLUMBING <br />NC. TYPE OF FI%TURE FEE <br />\vATER CLOSET ITOIIETI <br />BATI'TUB <br />UVATORY �WASH BASIN) <br />SMOwfR <br />KITCMEN $INK 4 �ISP <br />DISW�SHER <br />IAUNDNV TRAY <br />CLOTHES wASNFH <br />\VATEN HEATfR <br />URINAL <br />DRINKINCFOUNTAIN <br />FLOOR DRAIN <br />VACUUM1IOREAKERS <br />ROOF DRAINS-0.AINlFADERS <br />SINK (SERVICE—BAR. ETC 1 <br />SUBiOiAI <br />�ERMIT s <br />TOiAIfEE s <br />SIDF YARD <br />USf ZONE <br />T�PE OF Ci <br />SIZE Of 9l <br />FIRE ZONE <br />T <br />ARf � <br />� <br />A►/ROVAIf <br />1 ENVIFONMFNTAL CHECK LIST <br />I BUIIOING PLAN$ <br />) iIRF NYDNANi <br />1 R0.E VR0IECTION SYSTEM <br />5 GRAOINLIf%CAVAiIDNbQEARINUGNUBXING <br />6 ORAINAGF <br />�� <br />7 ENVIFO'���ENTAI V.1PnCT STAIFMFNT <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAW$ AND ORDINANCES GOVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETH[R SPECIFIED HEREIN <br />OR NOT. THF GRANTING OF � PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOUTE OR CANCEL ��HE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />YC_1r.�l�.i.�,�,��%%% ��aCr.��"�_ /l-l3-�d <br />TTPE OF FQUI�MENT FEE <br />AIR COND UNIT$—M P. EA <br />REFRIGfRAT10N UNITS—H�P fA <br />901LER5—H P EA <br />G�5 FlREO �C UNITS—TONNnGE EA <br />FORCF� ��H SYSTE�15—B.T U M EA . <br />WALLHEATERS—O.TU. M <br />UHITH[ATERS—BTU M <br />EVAPORATIVE COOlEHS <br />CIOTNES ORVCRS <br />VENiIUTION FAN <br />R�NGFMOOD <br />AIR HAIJDLING UNIT— C.F M. � <br />STOVE <br />METAL FIREPUCE 6 CHIMNEV <br />3UBTO7Al f <br />�tvMli 3 <br />REAR YARD SFTOACK PLAN CNECK NUMBEk <br />FEE <br />y���NT SITE �FES <br />❑vE5 ❑NO <br />�m Of DWELLING UN�iS . <br />0 <br />oY � DNTE <br />BUII OING <br />Pll M�ING <br />AiECHAMUL <br />�]1HfR <br />•7E NAITV <br />S <br />UBC <br />SEC JO)lal <br />fryECK FEE <br />RFCfIPT NO. <br />,'OTAL I I <br />►EIIM�T VALIDATION <br />WNEN oROPERLY v�l �OATF� IiN THIS SPACFI THIS IS YOUR VE0.MIT <br />� <br />