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fheEveryroen APPLICATION FOR <br />°��°F �ONSTRUCTION <br />everett PE RM IT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALI 259-8745 <br />eveae7i,wn5e2oi GCOMBINATION ❑ BUILDING ,�MECHANICAi ❑PLUMBING PERMIT NO. <br />everen <br />e <br />�XCNrtfCIORDE5ILNl0. MnllnpDR65 CIiY ZIP VHONE <br />G[NtNAICONiXACIOP N�ILAOp0.f55 � [IiY ZIP PHONE <br />IiCFNS[ I <br />�l[/ IIANIUI COFIeA'tOR A M�II AOpN65 — ❑Il' /IP pNON[ IICEN$[ I <br />�R��A+SS Oi IYORN <br />(i1;NEW ❑ADDITION <br />V4WAlIDN Of N'ONK <br />�/S <br />ryl5CNI0F \VOXA <br />�VrtO.DSlU L'SI OI NWl01YC <br />/' <br />MAIL AOD4LS5 <br />LP <br />ui�ro� • <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOCATION <br />itr,�i ntscuirnov oi raor�arr is�wwr+ nno�e oa nirnu� roua coriesi <br />l01 Nl0<[�Cf <br />nonRFss <br />PLUMbING <br />NO. TYPE OF FI%TURE <br />WATFN CiOSET ITOLIET� <br />E1Ai11TUfl <br />L\VATORY(WASH pA$IN) <br />SHOWFR <br />KITCHEN SInK d DISF <br />LAUNON\'iRAY <br />ClO1HLS 1vA5NER <br />\YAiLH HEATfR <br />UNINAL <br />❑RINAWG FOUNTAIN <br />fLOOR DRAItv <br />VAC W M FlRUKt R$ <br />HOOF ORAINS—RAINLUUERS <br />SINK �SER�9CE—BAH. E1C ) <br />SIDF YARD $CTIInCK <br />USE ZONE <br />TVPF OF COhSi <br />SIZ[ OF IiLDC <br />FBEZONE <br />SUB TOTAI <br />PERMIT 3 <br />TOTAI FEE S <br />STRiET SfTAACK RC <br />l0T ARFA <br />OCCUPAN�Y GROIIV <br />VAUNI SITE <br />C7YE5 ❑M1O <br />NO OF DWEIUNG 11NIT5 <br />NO OF STORIES MAX OCC. <br />UASEMENT 8lUNUO615 �IRE SPRI� <br />APPROVALS <br />1 ENVIHONMLNTAL CHECK LRI <br />z ounou.c rinns <br />J fIHE MVORANT <br />4 FlN[ PNOTECTION SYSTEM <br />5 GRAUING'L%U\'ATIO48ClEARINGGRUtlIi1NG <br />6 DRAINnGE <br />7.ENVIRONMENTAIIMPAC75TATEMENT <br />9 MFALTM DISTRIC7 <br />!Y � DATE <br />AI'PLIGTION ACC 9Y PlANS CMECKED BY I AYPR. FOR ISSUANCE UY <br />9 1 79 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO B[ TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 13E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHOftITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. /�� p <br />SIGNATURf C� CONTRACTOR OR AUTHORIZED AGENT � DATE t/p� �O� Vz <br />VICAL <br />TVPE OF EQUIPMENT <br />AIH COND UNITS—H P EA <br />REfRIGCRA�ION UNITS—HP EA <br />IIOILfRS—HP EA <br />CAS iIHkD A.0 UNITS—iONNAGE EA <br />FORCfO AIR SYSTEMS—B T U M EA <br />WALLHEATEHS—IITU M <br />U41TliEATfRS—BTU M <br />E\'APORATNF COOLERS <br />CLOTHkS DRYFRS <br />VENTILATION FAN <br />RANLENOOD <br />AIR HANDIING UNIT— CF M <br />M(Ul HREPUCE S CHIMNEY <br />FEE <br />PERMIT S <br />TOTALfEf S <br />�:UMI1fR PLAN CHECK FEE <br />FkE RECFIPTNO <br />iEES VALUATION fEE <br />HUILOING 3 <br />PLUMOING <br />MECHAMUL <br />OTHER <br />PE NALTY UB C <br />SfC. 30.Na� <br />TOIAL <br />►ERMIT VALIDATION <br />WMEN PROPERLY VALIDATED IIN THIS SPACE� TMIS IS YOUR PEkM1T <br />_� <br />�, <br />