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, <br /> t��Ewrpmn A p P L f CAT I O N F O R - ���,�„ <br /> ��TM�F �,ONSTRUCTION @ <br /> ever�tt PE RM IT <br /> DEPT OF COMMUNITY DEVELOPMENT$ERVICE$ <br /> CITY HALL 259�8775 <br /> EVERETT.WA98201 ��OMBINATION ❑ BUILDING ❑x MECHANICAL ❑PLUMBING AERMIT NO. <br /> OWNfR M�II�DOM[SS �1 ❑tY IIP . YMONf <br /> �`��Z��l c ��.; r1����C` �,-- ��\�-1 �`0`� i t�L�l--'QITT � l,�`4a `iS:�C� \ �5�-`�`�'�3 <br /> MCMITEC100.061LNIN MAq�ODRISS ❑i\ 28 PMONE <br /> G[NfRAlCON1RnCi0R MAllA0DRf55 CrtY ZIP VHONF IICFNSFI <br /> MICN�M1IUI CONIRACIOR M1qll��ONF55 OLY LIP VMONE IICFNSE/ <br /> PLL'�•nNihL(ONIRACIOR M�It�00R(SS ❑1V ZIP PHONE IICFNSF I <br /> C1�550f NORK <br /> ❑NEW ❑AGDITION ❑ALIERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINGRELOCA710N <br /> VAWAiION O�NORR <br /> f <br /> �ISCRIBF WORR <br /> 1� L. <br /> vrtovosmus� e�noi�c � �� � . I HERkBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS AP- <br /> � ��, —r•;!v -./r* � _ FLIUTION HND KNOW THE SAME TO BE TRUE AND CORRECTALL <br /> l6Al�FSCRIPf10NOFRMOVlRiY 15110N'N PIION'OF �IUCN IOUP COPIF51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL HE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io�_eiocK_oi OR NOT THE GRANiING Of A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOC�L LAW REGUTATINC CONSTRUCTION <br /> OR�THE PERFORMANCE OF CONSTRUCTION. <br /> $ICNATIIRF O�CONTRACTOR UR nUTMORIZEO AGFNT DATE <br /> IOB nuo0.y55 \ �� ( `1�J`(l; \ � 1�, ' X � ���� T C� � r"7� J` � <br /> �,��l�l � �' E , -• ` ' <br /> PLUMCING MECHANICAL •��� <br /> � NO. TYPF OF FI%TURE fEE NO. TY►F OF EQUI�MENT FEYc <br /> � WATFRCLOSfT�TOLIETI AIRCOND UNITS—MP EA <br /> BATHTUB REfRILERATIONUNITS—HP [A <br /> UVATORV�N�ASN BASINI �OILERS—N P EA <br /> SNOWFR WS FBFO AC UNITS—TONNAGE EA <br /> KI7CNFN SINK 6 �ISP �ORCF�AIR SYSTEMS-�6 T U M EA <br /> DISWASHFR �':ALIMEAT[RS—BTU M <br /> IAUNDRYTNAY UNIIHUTERS—B7U M <br /> CLO7ME5 WASMFR fVAPORA7IVE COOLERS <br /> WATfR H[A7ER CLOTHFS DRYFRS <br /> URINAL VLNTILA710N FAN <br /> I DRINKINC FOVNTAIN RANGE HOOD I <br /> q FLOOR ORAIN AIN HANOIING UNIT— „ C F M <br /> j VACUUMBRUKfRS STOVE r-� � '�� <br /> ROOf ORAINS—RAINIUDERS METAI FB[PI.ACE 6 CNIMNCY _ <br /> $INN($ER`ACL—OA0.,lTC 1 <br /> yU�:OTAI fU�TOTAL 3 j p" <br /> i �EAMIi { �[tM1T • ', JJ <br /> TOTAIFEF f TOTAIfEL f '7 Jh <br /> SIOf YANO S(iOACK STR[[T SCTfiACF RUN YAR�SFTBACK PUN CH[CK NUMOFR PLAN CHkCK fFE <br /> FkE RF:EIPTNO. <br /> USE ZONE lOT ARU y�[AryT SITF ' � <br /> '' ❑Y[5 ❑NO ���5 VALUATION �F[ <br /> T�PE OF CONST OCNPANCY GHOL�P ND OF ON'FILING UNITS <br /> BUIIUING 3 <br /> SIZE Oi BIUG NO OF STONIES MA% OCC LOAO <br /> PLUMBINL <br /> FIRE ZONI BASFMENT fltI)NOOMS RFQU p�loNKlFRS M[CH�NIUL <br /> � <br /> [iY[5 i�NO <br /> A��tO�AlS �Y DATE O�HFR <br /> 1 FNVINONM[NTAL CN[CK llST pENALTY U flC <br /> SE[ )OAsI <br /> 3 BUII�ING PLANS <br /> TOTAL <br /> ) RNE N1'ONANT <br /> � FIRf PROifC710N SYSTFM �[tMIT VIILIDAiION <br /> WMEN PROPFNLY VAII[IAiEUIIN THIS SPACE�TNIS IS YOUR PEMMIT <br /> 5 GNADINC!IkUYATIONdCIMRINGILRUdPING <br /> 6 ORAINALE <br /> 7 [NVIRONMFNTAL IMPACT STATEMENT <br /> E HEAITN DI:TRICT <br /> APP�ICA710N ACC BY PLANS CHECKED 6Y APPR fON ISSUANIf HY <br />