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�PP�J,(CATION FOR everetl <br />' CQISTRUCTION � � <br />everett FERMIT <br />DEPT. OF COMMUNIiY �EVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />ev[2Eii,wn9e2o7 ❑COMRINATION ❑ BUILDIfVG ❑MECHANICAL ❑PLUMBING p!�RMIT NO. <br />ownta � n�nn.nooetss urx tir wio,ut <br />y . ., �SS— �E� / <br />i,iiiuTfr i��7iiG7 ,'�'�j' ?9a9 '"'VE/'�iT 9Pzo� <br />. �iv PIONE <br />GLrvERMCONiRnCTOR mnllnDORF55 ❑Ir ZIP PHON! UCLNSfK <br />X A1ECt�1 IUNTRAQOR MAIIADOR65 CIIV Cr 1'40N( LICENSL II <br />PWM1IOINGCONiRAC10N MAII�DONE55 CRY ZIP i'NO.�[ UC[NSEM <br />ClA�S Of 11'ORA <br />�INEW ❑ADDITIO� <br />¢uunnnv or woaK <br />•t s Z SO C�e <br />orscumi woxK , <br />y /�LLs�%GG , EL/ <br />rROPoS[o u5[ or !tuILD�Hc <br />D�IALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑�UILDING RELOCP.T�UN <br />l[GAl06CRIPiIOrv OF I'NOPIRLY ISHO\4N OEIOW 00. niUUl fOl1R COvlul <br />� <br />I.oi IItCCK �� of <br />�ARCec %` � r'. 6 i or rNE coa�7 /zz oF <br />TRAc'T � 8 ' G,9 rii�llsvi?r-D .atn�✓cr <br />S,(,lN<" DcVrRGY'h'/cts �/v/S/o/V #� <br />�pp nDDR[55 � c <br />�/ ��% Jif�i�%�/�ylf� <br />PLUMB�NG <br />_�90. � TYPE OF FIXTURE <br />WATER CLOSfT (TOLIET) <br />IiA1HTU� <br />LAVATORY p\'ASH 13ASIN) <br />St{ON'ER <br />KITCIIfN SINK & DISP. <br />DISWASHER <br />LAUN�RYTHAY <br />CLOTHF5IVASHER <br />� <br />URINAL <br />DRINKING �OUNTAIN <br />fLOON �RAIN <br />VACUUM �REAKERS <br />ROOP ORAIN$-RAINLCAD <br />SINK 6EHVICE-[1AH, ETC ) <br />SIDE YAR� <br />USE ZONE <br />TVPE OF C1 <br />SIZE OF OL <br />70TA1 <br />PFRMIT s <br />TOTAL FEE s <br />SIREETSE76ACK kIAN <br />LOT AREA <br />OCCUPANCV GRC <br />NO. OF STORIES <br />E7ASEAtENT 111 <br />APPROVAlS <br />1. EN\'IRONA�FNTAL CNLCK LIST <br />2 �UILDINf. PLANS <br />J FlRC HIONAN7 <br />i RRF PROiEC710N $YSTLht <br />5 GNADWG'kXUVniIONAQIAHINGIGRUHIi1NG <br />6 OHAINAGE <br />7 LNVIRONMENTAIIMPACTSTATkMfNT <br />B HEALTII DISTRICT <br />\'AUNT $ITE <br />uYfS ❑NO <br />NO Of DWEL <br />I HERE6Y CERTIFY TNAT I HAVE READ AND FX.4MIN6D THIS AP- <br />PL�CATION AND KNOW THE SAME TO BE TRUE ANC+ CORRF.CT ALL <br />PROVISIONS OF L�WS AND OP.DINANCES GOVERNING THIS T`.'PE <br />OF WORK WILL BE COMPLIED WITH WHE7'HER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRFSUAAE TO <br />GIVE �UTHORITY TO VIOLATE OR CANCEL TI�IE PROVISIONS OF <br />ANY OTHEF. �fATE OR LOCAL LAW REGULAThJG CONSTRUCTION <br />OR THE PERFORMANCF. �QF CONSTRUCTION. <br />SIGNAiURE OF COhTNy�J�j)R .j�' FIOk¢[C AGENT nA7E <br />FEE NO. � 7YPE OF EQL'IPMENT <br />AIR CONU. UNITS-HJ'. FA <br />REfRIGERATION UNITS�-HP. EA <br />5 �� � ISOILCR$-H P. EA _� <br />2 <br />GAS fINlD A.0 UNI75-TONNAGk EA <br />FONCCD AB SYST[A15-[1.T.U. M EA <br />IVnLL HLNENS-O.T.U. M <br />UNIT HLA7FNS-HT.U. M <br />L:APONATR'E COOLCRS <br />CLOTHFSIJNVCBS <br />VI NTILA710N FAN <br />RANG(MOOD <br />AIR H�NDLING UNIT- C f M <br />STOVE <br />.VLTAI (INEPUC[ & CIIIMN[Y <br />I1ACK I Pl1N CHKK <br />FEES <br />SUBTOTAL <br />FEC <br />fEE <br />� <br />5 <br />f <br />PLAN CHECK FEE <br />I NECEIPT NO. <br />VALUAiION I ftt <br />r <br />❑UIL�ING S.� S O:% � ' <br />M11A% OCC IO�D \ <br />PWMIIING <br />HNF SPHItiKLLNS <br />RFQUINkD AIFQIANICAI. <br />flYfS (INO <br />BV DATE OTHLR <br />UBC. <br />Pf NnIT\' SEC. 3031a1 <br />TOTAL '� <br />c+- <br />PfHM1T VALIDA110N <br />W��{:N I'NOPLRIS \'ALIDAiLU (IN T1115 SPACE) THIS 151'OUft PERMIT <br />APPUUT10Y ACC 131' VLANS CHECKEU 17Y I nrrN. F�1DN ISSUAN�F li1 <br />` / <br />/\ � <br />9779 <br />C� <br />� <br />