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. , <br /> APPLICATION FOR ��� <br /> '°.E""'"" CONSTRUCTION <br /> crtr oF <br /> everett PERMIT <br /> DEPT.OF CONMUNITY DEVELOPMENT SERVICES <br /> .CITY HALL 259�8745 <br /> EVERETT.WA 98201 ��OMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT Na. _ <br /> OWN�& MUTApONl55 � .�'n : ,�`.I / CIIY `ZIP PHONf - . <br /> .. � - ' ! � !\�.-'�7- ..- t'.'`./ .) /� � _ Lri 'J �� i <br /> � 1 i _ — / Ci L�/�`�c' L� <br /> AqCHilf[i00.D[LLntR M�Ile0DXt15 CIIv IiF YNONF <br /> GENIN�ICONIRACIOR MAI�ODPl55 ❑IYh✓✓iC � ZIP VNON[ IICEN5E1 <br /> " i.' � l >.T��r✓J� ��iil � i�. J •-�O� `)Gi �l ��i� � :�.�.J(.'1 ����jC <br /> ����. C .L ��G .,..��� i,��..'�� � ✓° cc-o <br /> ��FCNnNiUt CO�'1F�(f0R �+nll n00AF55 �. CILY LiP 1'HON[ IICF SE• <br /> PIUMflWGCOHtPACtOR MAllADOR(SS UtY ZIP pr1CNF lIC[NSF/ <br /> CIA55Of WORK <br /> ❑nEW ❑ADDITION ❑�.ITERATION OREP�IR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BU�LDING RELOCATION <br /> �'�WAIIOti Of KO0.N <br /> f h� t . �/� ♦ <br /> C � <br /> O(SC0.1PI WORN ` � �f�'G <br /> /�� uJ � �7iJ� i�v . r: ;L'i21v1 ti✓ 1 ,v ��' �'J.5 <br /> rnoroseousi oi eunoi�+c i I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS NP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL ' <br /> llWl�6CRIPilO`�Of PNOPf0.1Y�5NOWN BfION'OX AfIACN IOVR COVII51 PROVISIONS OF LAWS AND ORDINANCE$GOVEP.NING THIS TYPE � <br /> /.�� :� . .J .< <;;QS .'- OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi L.`L-0 eioca "�or OR NOT. THf GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � GIVE AUTHORITY TO VIOLATE OR CANCEL THc PROVISIONS OF <br /> `��� ,�, � � ANY OTHER STAiE OR LOUL LAW REGUUTING CONSTRUCiION <br /> OR THE PERFORMANfE OF CONSTRUCTION. <br /> SICNATURE OF CONTRACTOR Oft AU�HORIZED AGENT OATE <br /> � <br /> ioxnooA�s� '1 � X , i�� � cz. ��'1 � � ��� �i ' � � <br /> O <br /> PWMlING MECHANIUL <br /> NO. TY�E OF FIXiUIIE FEE NO. TY/E OF EQUI►MEHT FFE <br /> WAIERCLOSETIIOLIET) AIRCONO UNITS-MF E� <br /> BATHTU6 REFRIGFRATION UNITS-N P FA <br /> UVATORY�WASHflASIN� 901LfR5-MP EA - � <br /> SHOM'CR GASRRf�AC UNlii-TONNACEFA <br /> KITCMEN SINK b DISP �OAC[0 AIR 5\SifMS-N T U M FA <br /> N'ALIHFAI[k5-B7.0 M <br /> DISW�SN[N <br /> IAUNDRYTRAY UNITHfATERS-BtU M <br /> CIOiH[S WASMER f VAPORATIVF COOLERS <br /> YJAikR HEA7LR CLOTHfS DRYERS <br /> V[N7IUTION FAN <br /> URINAL <br /> 1 ORiNKINC FOUNTAIN R�NGF MOOD <br /> �) fLOOR DRAIN AIR HANDLINC UNIT- C F M <br /> � VACUUM BRUKtRS S70Vk <br /> HOOF DHAINS-R��NLfADlRS MFTAI FlNFPUCE 6 fHIMNFY <br /> SINK�SERVICE-NAR,ETC 1 <br /> SU�TOTAI <br /> SU�TOTAL � <br /> �fkM1T f �EIIMIT � <br /> TOTFL fEF f TOTAL/FF f <br /> PLAN CHICK fEE <br /> SID( YARn SCTA��K STR[Ii S[TOACK RUN YARD SI10AfN PLAN CH[CK NUMIIER fEE REfEIPi NO <br /> USE ZONF LOi AREA y���hT SITE �FlS VAIUATION iEE <br /> �± ❑Y6 GNO �� <br /> TYPF 01 COHST OCCUPAtiCY GNOUP NO OF DWEILING UNI75 <br /> PUILDINC f <br /> SIZL OF BLDG NO Of STORIES MA% OCC LOA❑ <br /> PLUMOINC <br /> FlREZON( BAS[MfNT �����R��Uti�S RQUIR[pKlEXS ��ECMANIUL <br /> ❑YFS ❑NO � <br /> A�I�OVALS �T DA�S OTH[R <br /> 1 kNVIRONMEN'ULCNFCKl15i P'H���� UBC <br /> stc �oH.� <br /> 7 BWLDING PIANi <br /> TOTAL ! <br /> J FlR[ NYDRANT - <br /> � flXf PROT[CTI01�SVSTEM IEIIMIT VALIDAiION <br /> WHEN PROPLRLY VALIU�TED�1N 7HI5 SPACFITMIS IS YOUR PFRMIT <br /> 5 GNADINGt%CAVA710N6CltARINCIGNUBflINL <br /> 6 DRAINAG[ <br /> 7 [NVIRONMENT�LIMPACTSTATEMENT <br /> E MFAITH D�STRIQ <br /> APPIIUTIOH �CC BY PUNS CNfCKFO BY APPN fOR ISSUANCE BY <br />