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""`"ro"'° `,P�NSTRUCTION ` �Ve"„ <br />cirr oc � <br />everett PE RM IT <br />DEPi. OF COMMUNITY DEVELOPMENT SERVICE$ , <br />CITY HAIL 259�8745 <br />EVERETT. WA9B201 ��OMBINA'LION ❑ BUILDING ❑MECNANICAL ❑PLUMBING PERMIT NO. <br />OWNER M�II�DON[55 CIiY ZIP PHONE <br />rlr•..� 1 (ylr.v- T�c��.-�r-1 �I�I�i15--1�r,�i�. ,`-i�i /-���Y�1����..��;�(��I .iS'-`1�1'��� <br />MICNIiECI ROf51GNFR � �UIL�ODFE55 [ItY 2'/ ���ONE <br />GENER�L CON1P�CiOR M�IUOORESS CItY ZIV —y T� PI'OHf IICFNiF / <br />M1I!(N�YIC�ICO�TRACiOB M�Il�00N[55 CITY 21P PNONE UCEN$}/ <br />� <br />PWmPINGCONiR�Q00. MAllA00R[SS ❑fY ZIP PNONE llC(NSEI <br />CUSS Of WOPK <br />❑NEN' ❑ADDIiION <br />VAW�IION Oi W00.k <br />S <br />DCSCRIBf WORR <br />PROFOSEO USf 01 PUROI�:L <br />❑ALTERATION ❑REPAIR �DEMOLITION ❑FFNCE ❑SIGN ❑GARAGE �BUILDING RELOCATION <br />LFLM OFS[RIPtIOv Of PNOVENiY �SIIOWH 8[LOW OX <br />l0t L', '�_ BLOCk � �. Oi ��� r r-' <br />l�c��. < <br />ioe �oon�ss <br />PLUMlING <br />NOT— <br />V 1� v 1� lc.`+ <br />� i p�, . ' �'(. <br />'����`�-�t� L�i <br />OF FI%TURE <br />DISWASHER <br />UUNORY TpAY <br />CIOTHES WASHER <br />WA1FN MEATER <br />URINAL <br />DNINKINC FOUNTAIN <br />FLOOR ORAIN � <br />VACUUM BREAKERS <br />ROOF �RAINS—RAINlF10ER5 <br />SINK �SERVICE—BAR. fTC 1 <br />SU! iOiAt <br />/FRMIT f <br />TOTAIF[F s <br />SIOf YARD S[7[iACK STRECT SCT(1ACK 0.[ <br />USE ZONE <br />FIRE <br />WT ARFA <br />A�►�OVALS <br />1 ENVIRONMENTAL CH[CK LIST <br />7 BUIIDING PUNS <br />7 FIRF HYDPANT <br />1 FIRf PROTECTION SYSTFM <br />5 LRADING!!%GWTIDNBCIFARINGICRU9flING <br />6 DR�INAGE <br />7 ENVIRONMfNTALIMPACTSTATEMENT <br />E NULTH DISTRICi <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EICAMINED THI$ AP- <br />PLICAt 10N AND KNOW THE SAME TO BE TRUE AND CORREC7 ALL <br />covrts� PROVISION$ OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />-� ,:�,� ` OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />c� rrc e� , i�� ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR THE PERFORMANCE Of CONSTRUCTION. <br />�_ .�- ! SIGNATURE OF CONTRACTOR OR AUT�iORIZED AGENT DATE <br />VAUNT SRf <br />❑YES ❑NO <br />Jp OF DWEtLING UNITS <br />NAX OCC LOAO <br />fIPE SPftINKlERS <br />ftEQU�RED <br />^YFS ❑NO <br />�Y DATF <br />APPIICATION ACC BY PLAN$ CNECKED BV I APGR fOR ISSUANCE PY <br />MECHANICAL v" <br />NO, TY�E OF EQUI�MENT <br />AIR CONO UNITS—HP. FA <br />NEFNIGENATION UNITS—M P. EA <br />BOILE0.5—MP. EA <br />WS fIRFD A.C. UNITS—TONNACE EA <br />fORCEO AIR $YSTEMS—B.T.U. M <br />WALL MEATERS—BS.U. M <br />UNIT HEATfRS-9 T U. I.1 <br />EVAPORATIVE COOLERS <br />CLOTHES DftYERS <br />VENTR/TWN FAN <br />pANGFHOOD <br />AIR HANOLING UNIT— C F M. <br />STOVE <br />MfTAL FBEPUCE 6 CHIMNFY <br />f <br />f <br />PLAN CMCCK NlIM9ER PLAN CMECK fEf <br />fEE I RECEIPT NO. <br />BUIIDING 3 <br />PLUMBING <br />MECMANIUL <br />OTHER <br />PENAITY U.BC. <br />SK JOJ�aI <br />iOTAI <br />�[IIMIT VALIDAiION <br />WHEN PNOPEHLY VALIOATfDpN THIS SPACEITNI515 VOUR PFRMIT <br />