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M�Ewrprw^ APPLICATION FOR <br />��TM�F CONSTRUCTIOn <br />everett PE RM IT <br />DEPT OF COMMUNITY DE\'ELOPMENT $ERVICE$ <br />CITY HALI 259-87<5 <br />EVERETT. WA98201 ��OMBINATION �BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ON'NlN AIAILAUUMISS 011 ZIP PIION! <br />Sl►v� L�l,'�.JL'� 2blf� NI�KIJ�T►JD M1E. E���.1i 'rlg�f 339-�28Z. <br />eRClllllCLON�[$IG�IR AIeIIAf]ONl55 UfY 21� YNONf <br />GININAICOVIP�CIOR n�MlA00Pf55 C�1V /.II` PMOHI ll[FNSEI <br />S�-F <br />nUO1nQn�ICAI COYINACfON A1nll AOONI55 UI1 LIV PNOMF IICFNSE / <br />SfiT <br />r�l•f�111.f. roalaeQON ��n�l nooNt55 cllr JP rNOM[ l�C[r5F � <br /><I�SSUI \\VItR <br />❑NEW ❑ADDI110N <br />b�lU�1l.l�O/u �Of JOpK <br />, <br />1.../ "'_ � <br />DlStNiNI ���>K� <br />Q�nou� 2�Pc.,P�C� E5U 371N C� fZL�iR. Po2c.H A*�� s i7rt►2c�J . <br />rWovosiousi oi xviiui�c I HERE6Y CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />�J (�(„E rAm���' RkTX �DB�« PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />IFWI DISCRiP110ti Of PqOPlR1YISIION'N N[lON' O,,NI��i1,q�C,11A1011R COPII51 PROVISIONS OF LAWS AND ORDINANCE$ GOVERNING THIS TYPE <br />.CT. alU�.�s� PJp��TI,�� OF WORK WILL D[ COMPLIED WITH WHETHER SPECIFIED HEREIN <br />�oi�xioa�,or — OR NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITI' TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL L�W REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />� V n�Gr�a�.f7v� �E SICNI fUN[ OF CONtNACTOR ��R/Ji�iHOR12ED AGENT D�TF <br />WN �LORISS Y I L I/VY�O 1 1� V �^"M �/� • 1� — <br />TERATION ❑REPAIR ❑DEb10LIilON ❑FCNCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />PLUMBiNG <br />TYPE OF FI%TU <br />BA7HTUP <br />LAVATORY �WASN HA! <br />SHOWIN <br />KITCMf N SINK 8 OISP <br />DIS1vA5HFR <br />LAUNDRY IRAY <br />C10111L5 WASNEB <br />URINAI <br />DRINKIYC FOUNIAIN <br />f IOON ONAIN <br />VANUM HRInKERS <br />AJOf ORAINS—RAINLFAUIKS <br />SINK �Slk�9CL—HAR, [TC 1 <br />SUlTOiAI <br />�EIIMIT <br />70TAL FEF <br />SIDE YAND 5[T6ACK STR[[T SCTBACK <br />USF ZONE LOT AREA <br />1YPt OF CONSt OCCt1YANCY GROUP <br />SIZF O� 81 DC NO OF STORIES <br />.�e. snu� PwC{MfNI BIDMUUbt1 <br />AP►ROVAIS <br />1 ENVIRONMfNiALCMFCKLIST <br />2. BU��DING PLANS <br />7 fIRF HVDRANT <br />� fIRE PROTFCTION SV57EM <br />5 GRADINCIfzCAV�TIONBCIURINCIGRUBRINL <br />6 DR�INALF <br />Z fNVIRONMENUL IMP�CT STATEMENT <br />E MFALTH DISTRICT <br />APPLIC�TION ACC BY PLANS CMFCKED BY <br />�• <br />9 1-J9 <br />�f <br />RUN YARU Sf TOACI <br />\'AUNT SIIF <br />❑1I5 Cu0 <br />NO Of �N'f IIING L <br />b1A% OCC LOAD <br />FINF SPRINKLERS <br />RtQU�XID <br />C7YF5 f7N0 <br />�Y DATF <br />APPR FOR ISSUANCE BY <br />\.r. � <br />�ECIIANICAL <br />NO. TYPE OF EQUIPMENT <br />AIRCOND UtiRS—��P �� <br />NEfRIC[RAiIONUN175—HP U <br />�{pIlENS—MP EA <br />GAS 1�NF D A C UNITS—TONNAGE EA <br />IORCED�IR5157EM5—HTU MEA <br />N'All MkA1L45—d T U M <br />UNII MIA7fN5- ll T U M <br />l��APONAiIVE COOlERS <br />CIOTHtS DNYfRS <br />\'f NIILA710N FAN <br />RANGEMO00 <br />AIR MANOIINC UNI7— C f ht <br />SlOvt <br />MfUL FBFPLACE 8 CMIMNEV <br />PLAl: UIlCK kUA10[N <br />FEES <br />SU�TOiAL f <br />IERMIT f <br />TOT�IFFF f <br />PLAN CMECK FEE <br />fFE RECEIPT NO <br />V�LU�TION ffF <br />NUIIDING s <br />P111�11iING <br />MICHANIGL <br />OTNER <br />UBC <br />PFNAl1Y SEC 10Aa1 <br />iOTAI <br />�ELLMIi VALIUA710N <br />WMfN PROPERLY VALIDATED lIN iN15 SPACE) iM15 IS VOUR PERMIT <br />�� <br />