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r <br /> 1. <br /> A.PPLICATION FOR <br /> m°�°'�" :,ONSTRUCTION "`�" <br /> everett PERMI� � <br /> DEPT.OF COh7MUNITY DEVELOPMENT SERVICES <br /> CITV HALL 254-0745 <br /> EVERETi,WA9a201 ❑COM6INATION ❑ BUILDING ❑MECXANICAL ❑PLUMBING PERMIT NO. <br /> OWNIR M�II hOON[55 CITY ZIP PMOHF � <br /> _ Sw ��\�,.�5 ��o�.-t ',�o �l ,�/r�..,� E�r�.,>f `lF��� 3Z �t-� �\ 1Z <br /> ep[NITFCt OR D[SIGMR MAII�DUNESS fI1Y ZIV PHONE <br /> �:�\ F:.,.\�,, a�o ��/z }lew;ff- _F,,�,-�f�i �1Ssa� + �cv, ��17/ <br /> LEN Al CONiRACiOR MMl�ODRE55 ' 1 CIiY ZIP PMONE pCENSF I <br /> �Wti��oc»�'� l'.-v��- �U\\ �+�eW��� Eu+v.e-/"�- 9'�E�U l 3c33�( ��I�� <br /> MItN�N1Ul CONIN�CLOP M�It�DDNE55 CIIY tIV MONf �I[EHSf� <br /> ` �IUMqIVG CONIRACiON M�II eODN155 CITY 21P PMOHF �ICEMS[I J <br /> CU55 Of N'ONN �� <br /> ❑NEW ❑ADDITION LlALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING REIOCATION <br /> V�WeIiONO!WONK <br /> ' �O.mmm. �'� <br /> DlSC0.1Bt ORK <br /> V��lII./ S�taM.� ��fUrT <br /> VROI'OSLDUSf OI PUII�ING 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TH�S AP- <br /> 4.�_�,.«\ PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LELeI UfSCNIP110n Of VPOPlRiY 15nOW�+pIIOW OR elinCH fOUP[OPR51 PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> /.3/a _V —^//�10 �F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> lOt_BIOCK�01 pR NOT. THE CRANTING OF A PERMIT DOES NOT PRESUME TO <br /> .,IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> O� o �+'� \�- '��+uv ANY OTHkR STATE OR LOUL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONiNACTOR OR AUTMORIZED AGENT pATC 7//`//Q� <br /> IOP nDDNFSS <br /> � Xi <br /> �W M�ING MECMANICAL <br /> NO. TY►E OF fIXTURE FEE NO. TY►E OF EQUIfMENT FEE <br /> WATEB CLOSFT(TOLIET) Alq COND UNITS—M P EA <br /> BA7HTU8 REFRIGERATION UNI75—HP E� <br /> LAVATORY�WASM BASIN� BOILFRS—HP EA <br /> SNOWFR GA$RRED A C.UNITS—iONN�Gf fA <br /> KITCHFN SINK 6 DISP FORCED�IR SYST[MS—B T U. M EA <br /> DISWASMFR WAtINEATERS—BTU. M <br /> LAUNORY TRAY UNIT HFATERS—B 1 U M <br /> CIOTMfS W�SMER fVAPORATIVE COOLERS <br /> WATFR HfATER CIOTMES DRYFRS <br /> URINAL VENTILATION FAN <br /> DRINKINC FOUNTAIN R�NCf HOOD <br /> FIOOR OR�IN AIN MANDIING UNIT— C F M. <br /> VACUUM BREANFRS STOVf <br /> ROOF DRAINS—RAINIF�OfRS METAI FIfiFPLACE 6 CHIMNEV <br /> SINK�SfRVICE—BAA,ETC) <br /> fU�TOiAI SU�iOiAl f <br /> y R�MIT f RIIMIi f <br /> iOiAl fFE f 70TA1 iF[ f <br /> SIDE YARD SCTPAIX STRFET SF B�CK RU0.YAR SETB�CK PLAN CHECK NUMBFR PIAN CHECK fEE <br /> usc��d ior��C ��i0 �j3 /27./¢ rc�/ �_ pctCG%p(oB <br /> \'ACANT SITF {[FS VI1lUAT10N �FE <br /> �� OY[5 QRO <br /> TYPF OF COHST OCCUPANCY GNOUP NO OF DWIILING UNITS <br /> �'i/_-- I {+�. �-� �. "_ euaou+c �� lUD SZ� <br /> SIZF Of BLDG NO.OF STONIfS MnX IXC LOAD <br /> 4%�O i.E � 'O � PWMPING 1 O� <br /> FIRF ZONE BASfMFNT HLOROOMS FIRF SPRINKLERS <br /> REQUIRFO MECHANICAI �3 6 �" <br /> � — — — rncs n� <br /> ��py��= �t D�it OTMER <br /> 1 ENVIRONMFNT�ICMfCKLIST PENMTV U.Bf <br /> SEC.70N�) • <br /> 1. BUIIDING PUNS <br /> ) iIRF MYORANT tOTAI , � <br /> � ilRf VNOTFCTION SYSTfM KlMIT VAl1DAT10N <br /> SGRADINGII%GVATIONLCIEARING/GIIUBBtNG WMENPROPfRIYVAlIOATFDONTHI55PACE1TN151'YWRPFRMIT � <br /> fi DRAINAGF • <br /> ). fNVIRONMFNT�L IMPACT Si�TEMfNT <br /> Q HF�LTN DISTRICT <br /> AiPLIUTION�CC.!Y ►LANS CNECKFD EY �PP0..i011 65U�NCE !Y <br /> L' �' �1u71� L _ c. <br /> ai.n <br /> � J <br />