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r <br /> 1 <br /> ��,,.,, APPLICATION FOR �„ <br /> CONSTRUCTIO� - <br /> everett PERMIT Pi <br /> DEPT OF COMMUNITY OEVELOPMENT SERVICES <br /> CITY HALL 259-0715 <br /> EVERETT,WA9q201 ��OMBINATION ❑ 6UILDING ❑MECHANICAL ❑PLUMOING PERMIT NO. <br /> , OWN[R Msll eDDR[SS CrtV 21P pMONF <br /> � �.�_\\ �``b �.. �� 3i1c ►1 • 1� S. �1 / ZZ c� �/c,S.� <br /> �IICNT[QORDITG fR M�II�ODIIlSS CITY ZIF •PNONF <br /> �'.'►, /__, / .�r��;�..��t :lq a'1��z 1�..:.4� l�� ....M F�oL ;2 <-AG'�7/ <br /> GINFIIeI CO iR� M�It�ODRESS CIiY ZIP PNONF UCFNTE� <br /> swol\uw� �...�-4 Z3'�U M •cl � S��\� G3 �- US/O£f <br /> MfC �NGICONiIUCIOR M�il�OD1tESS Uh 111 %IONE IICWSEI <br /> 1 PIUNflI�+LCONiMC10R MMI�ODRE55 CIiY LIP PNONf llC[NSE/ � <br /> Cl�SSOf WOIIK ,�� <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ll'lDEMOLITION ❑FENCE ❑SIGN ❑CARAGE ❑BUILDING REIOCATION <br /> WIUAiIONDf WORF <br /> + S'�Oc+l� �� <br /> OlSt1MIBf WORa <br /> �l�� ��.. � wc��. �c. � ��v <br /> vaorosio us�or e ou+c I HEREBY CERTIFY THAT 1 AVE READ AND EXAMINED THIS AP- <br /> 4��'�^� t � �c. :�C' PLIGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IELM OfSCRIPIIOrv Of YROPlRiv�SNO ON'OR A111CH i0U ornsi PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br /> OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN <br /> im�_eioca_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � o. — � � ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> � SIGNATURE Of CONTRACTOR 02 AUTHORIZEO AGENT UATf ��/�3 <br /> ioeeooaess ��.• <br /> � �w.� V��r��'�- X <br /> ►W M�ING MECHANICAI <br /> NO. TY�E OF il%TURE FFE NO. TY/E OF EQUIfMENT FEE <br /> WAiENCLOSfT�WUET� AIRCOND UNITS—NP EA <br /> BATHTUB RFiRILERATION UNIT$—HP EA <br /> UVATpRY�K'ASM flA51N) BOILERS—H P FA <br /> SNOWER GASiIAfDAC UNIT$—TONNACEF� <br /> KITCHFN SINK 8 D!SV fORCEO AIN SYSTFMS-9 TL M EA <br /> DISWASNEP wALLNfAiERS—BT.U. M <br /> UUN�RVTRAV UNIiHEATENS-0TU M <br /> CLOTNES WASMFR EVAPONATIVF COOLFRS <br /> WATEA HfATfR CLOTHFS DRYFRS <br /> URINAL VFNTILATION FAN <br /> ORINKINC fOUNTAIN RANLE HOOD <br /> iIOOR DR�IN AIR NANDIING UNIT— C F M. <br /> VACUUM BNUKERS STOVf <br /> ROOf DRAINS—R�INLfA0ER5 MET�L FBFPLACE 8 CMIMNEY <br /> SINK�'SRVICL—qAR,f TC� <br /> fU�TOiAI fU�fOT�I � <br /> y RIIMIT y �[RMIi f <br /> 70iA1 iEF f 10TA1 iFF f <br /> SIDF YAR�5[TB�CK STRfFT 5[TPACK RUR YARD i[TBACN P�AN CM[CN NUMBER PLAN CHFIX iEE <br /> FFE RFCfIPTNO. <br /> USF ZON[ LOT ApE� y���pT 51?F <br /> �YES ❑AO �FFf V�lUAT10N iE[ <br /> TVP[OF CONST OCCUPANCY CROUP NO Of DKELLING UNITS <br /> BUILDING t <br /> SIZF Oi BIDG. NO.Rf STORIES MAX OCC IOAD <br /> PLUMBING � <br /> iIRF ZONf BASEMFNT flfDRWMS iIRE SPRIVKlERS � <br /> REQUIRfD MECII�NIUL <br /> L OYES CNO <br /> AM�OVAIf �t DATF pTNFR <br /> 1 ENVINONMEtiUI CMEIX 115T <br /> PfN�LTY UBC. <br /> 2. BUILDING PUNS $FC.ION+I <br /> J IIRF HYDRAVT fOTAI <br /> � FIR[PROTFCTION SYSTfM �[�MIT VAIID�TION � <br /> � SLRADINGIfkCAV�ilON6QfARINGJGIlUBRING wHENPROPEIILYV�LIDATEDUNTHISSP�CEITHI515YWR►FRMIT <br /> 6 DR�INAGF <br /> 7. FNVIRONMENTALIMP��TSTATEMENT <br /> !. MF�LTM D15T0.1CT <br /> A►fUQT10N ACC.EY ►L�NS CMfCkFD SV �YFlI fOR ISSUANCE BY <br /> 41•79 <br /> t_ _ � <br />