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ev e PERMIT <br /> DEPT OF COMMUNITY DEVEIOPMENT SERVICES <br /> CITY HAtL 259-8R5 <br /> EVERETT,WA9B201 ��OM{INATION ❑ lUILDING ❑MECHANICAL ❑►LUMlINC PERMITNO. <br /> OwN[■ � • M�II�UD1t[S� CI IiP PXOME � <br /> � . �°� , , � t� � = „�, �z. x��r Y�v3�' , � <br /> `.ecNiTtcT oa o�s �t� t�.u7� �.��^ "css r zv , r�o�E �7Zr1-737.3— <br /> ., p �', f� , �!/ c- ' � � <br /> �Gf���C , Ci0 M�IL e [55 CItY ZIY NONF IICFMSE/ <br /> f <br /> � �(/ Y!% <br /> MICN�MUI 1N�Cl0R M��LAD04 CI1Y LIV GMOV[ llC[NS[/ <br /> pWMflrvGfOMR�CiOR M�IIADDM[55 CITY 21P VNONE LIC[NSE� <br /> CUSSOi WOIIF <br /> ❑NEW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \'�1U�110M O�M'OR[ <br /> f <br /> DFSCRIBI wOMK <br /> ���w,4'�'•C' .�•� /, ,� .�( ��-c� <br /> vRorououu or nunoi�c I HER� Y CERTIFY THAT 1 HAVE READ AND E%AMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IEL�I DISCRIPTION Ot Y110V1117Y 1SH0M'�+BIIOw Ort�Ti�[N IOUR COPIf51 PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WMCTHER SPECIFIED HEREIN <br /> ioi_aiocK__or OR NOT. THE GRANTING OF A PERMIT DOE� NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR GANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL lAW REGULATING CONSTRUCT�ON <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> $IGNATU0.F Oi CONTAACTOR OR AUTHORI2ED ACENT DATE <br /> IOP�UDNUS y � f_�J � � /��� <br /> �Q a �, ,�_ <br /> ►IUM�ING MECHANIGI <br /> NO. TY►E OF FI%TU�E fEE NO. TY►E OF EQUI�MENT FEE <br /> WATFR ClOSFi IiOL�FT) AIR COND UNITS—HP.EA <br /> B�THTUB RFFRILFR�TION UNITS—NP.E� <br /> UVATORY�WASN 9ASIN� BOIlFRS—HP EA <br /> SNOWER GAS FIRED�C.UNITS—TONNACE U <br /> KITCMEN S�NK 6 DISP 10RCFD AIp SYSTFMS—B TA M EA <br /> O�SWASMFR WALLMEATEA$—BiU. M <br /> �AUNORViRAY UNIIHFATERS—BTU. M <br /> [LOTHES wASHFR EV�POR�TN[COOlERS <br /> WATER HFATFR CIOTNES DRYFNS <br /> URINAL VFNTILAiION FAN <br /> DNiNK�NC FOUNT�IN RANGE HOOD <br /> {IOOR DRAIN 'NANDLING UNIT— C F M � <br /> VACUUM BREAKERS 5, �f <br /> ROOF DRAINS-�NAINLF�DERS MF7AL FIqEPLACE 6 CHIMNFY <br /> SINK(SFRVICF—BAR.ETC 1 <br /> fU�TOT�I fUtTOTAt f <br /> rEI1MlT f r[�Mli � <br /> iOTAI/FE L TOTAI iEf s <br /> SIDF YARD 5!'BAIX STRFFT 5[iflAIX NUN VARO SCTPACK PIAN CH[CK NUMBER PL�N CHECK FEF <br /> FtE RECEtPi NO. <br /> USE ZON[ LOT A0.k� yAUNT SIIE <br /> �YES �NO ��Ef VAIU�iION f[! <br /> TYVf Of CONST OCCUPANCY GBOUP NO OF OWELLING UNI15 <br /> BUIIDINC s/S� . C � d� <br /> SiZf OF BI�G NO OF STORI[5 MA% OCC lOAO <br /> PIUMBING <br /> RN[ ZONE B�SEMEMi NIUROOMS RFQUB[1DN1F0.5 MFCMANIUL <br /> !lVlS ❑NO <br /> AM�OVAIf �t D�iF OTHfR <br /> 7 ENVIRONM[NT�LCH[CKL151 plN�LTY U.BC. <br /> SEC �N+I <br /> : euuou+c vur+s <br /> 7 Fl0.[ MYDR�NT �°T^� da <br /> 1 fIRE PNOTFCTION SYSTEM ►[IIMIT VALIUATION <br /> WHEN P0.0PERLY VAIIDATE��IN TMIS SPACE)iH15 IS YOUF PERMIT <br /> S GNADINGIIkGVAlION6QfAeINGIGNUBflING . <br /> 6 00.AINAGE <br /> L ENVIRONMENTALIMPAfTSTAT[MENT <br /> E HFALTM DISTRICT <br /> AVPIICAl10N ACC.BY PlANS CM[CKED BY APPR fOR�SSUANCE BY <br /> g.1 79 <br />