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�� "� �CONSTRUCTIO� � <br />everett N�RMIT e <br />1EPT. OF COMMUNITY DEVELOPMENT SERVICES . <br />CITY HALL 259-BNS <br />EVERETT, WA%201 ��OM�INATION ❑ SUILDING ❑MECHANIGAL ❑�LUMlING PERMIT NO. <br />p�yq�� M�IIeDDPFSS UTY ZIY �ONE <br />� n -f' I -� 1 <br />ARCHIT[CT OR D[S�GNEII M�IL �DDRF55 ��TY LII IHONF <br />GFNER�I COYIR�C1011 M�II �UDRESS CITY ZIY �NONE UCENSE � <br />M[fH�NICAI CONIR�CTO� M�II �OD�FSS ��TY LIF �NOME UCENSf / <br />PIUMHiNL cONIR�CIOR MMI �DDLLE55 ��TY 21F YNONE IICENSE � <br />C1�15Of WORK �' ' � <br />❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAIWTIONOi WOR[ <br />f <br />OfSIRISE wORR <br />rRorosio usF or <br />IEG�I Df SCRIPiIOH Oi PIIOPF RTY pHOW N![lOW OR �TT�CN IOUR COYIl51 <br />ioi � eioca _ or <br />PIUMtING <br />NO. TYrE O <br />WATER CIOSEi �TOII <br />B�TMTUB <br />� UVATORY�W�SHP/ <br />SHOWER <br />KITCMfN SINK L DISI <br />OISW�SMFR <br />LAUNDRV iRAY <br />CLOTMES WASMER <br />WATER MfATER <br />URIN�I <br />DRINKING FOUNT�I <br />FLOOR OR�IN <br />VACUUM BRF�KERS <br />ROOF DR�INS—NAII <br />uur K[YVIfF�PAP <br />OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIED MEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSIRUCTION <br />OR THE PERFORMANCE OF CONSTRUC?ION. <br />SIGN�TUNE Of CONTR�CTOR OM �UTHOIIIZED AGENT DAiE <br />MECNANICAI ��' <br />FEE NO. 1Y/E OF EQUI�MENT <br />AIP CONO UNITS—MP. EA <br />REFRIGER�iION UNITS—HP. EA <br />BOIlERS—MP E� <br />G�5 FlRfD A.0 UNI75—TONNAGE EA <br />fORCFD �IR SYSiFMS—B.T.0 M <br />WAIlHEl1TER5—Bt.U. M <br />UNIi NEAiFRS—Bl U M <br />EV�PORIITIVE COOLERS <br />CLOTHFS DRYERS <br />VENTIIATION FAN <br />R�NGEMOOD <br />�IR HIINDUNG UNIT— C.i M. <br />STOVE <br />MFTAL RMFPL�CF L CMIMNFY <br />R�MIT t <br />iOfAl i![ � <br />STRFfT SEtBACK REAR YARO SfiBACN PL�N �HFCK 1 <br />lOT AREA VAC�NT SITE <br />�rFS ❑MO <br />OCCUP�NCY CROUP NO Of DWEIIING UNITS <br />BUILDING <br />NO. OF STORIFS M�% OCC IOA� <br />PIUMBING <br />B�SEMENT flFDROOMS fIRE SPRINKtERS <br />REQUIRED MFCMANIUL <br />AN�OV�If <br />1 kNVIRONMENT�L CHECK lIST <br />7. BUIIDING VIANS <br />7 FII:T MYU0.ANT <br />� FIRE PROTFCTION SYSTEM <br />S GRADINGE%C�VATIONLCLE�RINWGIIUBRING <br />6. DRAIN�GE <br />). ENVIRONMfNTAL IMMCT SiATEMENT <br />! MFAITM DISTRIfT <br />�PPLICATION �Cf BY PUNS fNECKED BV <br />�� I D�TF � OTMFR <br />AVPR fON ISSU�NCE BY <br />PEN�LTY <br />iOTAI <br />FFE <br />f <br />UBC. <br />SEC. 3 <br />:HECK FEE <br />RECEIPT NO. <br />►l�MIT VAlIOAiION <br />WHFN PIIOPERLY V�LIDATEO (�N THIS SPACF) TNIS IS YOUR PEIlM1T <br />