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�1PPLICATION FO�' ���n„ <br /> tM Er�ryrwn CO N ST R U CT 1 O� e <br /> cin oF <br /> everett PERMIT <br /> DEPi OF COMMUNiTY DEVELOPMENT SERVICES <br /> CITY HALL 259-87d5 <br /> EVERETi,WA 98201 ❑COMBINATION C�BUILDING ❑MEtHANICAI ❑PLUMlING PERMIT NO. <br /> OWNIR M�IL ApONISS CIIY Z�P PMONF <br /> �,q v L. 1�,�✓�'�1�x1�iQ� ��a✓r� 4'Aaal �s.2 3�� <br /> �RCNI ,IOROf51G R �M�II�U LSS � CITY ZIP PHOMF <br /> p�NINQ . 1RACIOR M�II�ODRE55 CITY ZIP YNONE IICENSF� <br /> AIICNnnIUI COMR�QOR M�II AOOFE.S U1T IIP VMO�+E IICENS[I <br /> PIUVPi�G COv1NAC10R <br /> m�ll�OORI55 CIIY ZIP PNOrvE ll[FNSF/ <br /> ❑n550i NORc <br /> �NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI710N FENiE ❑SIGN ❑GARAGE ❑BUIIDING RELOCA710N <br /> �TWnLiOHOf\ ORK � <br /> S Q� � <br /> OtStRIB!WONt � �.(v� � ° <br /> , i n � / r A y�'�.. <br /> i�,ov ouse or noinc� I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> � PLICATION AND KNOW THE SAME TO BE TRUE�ND CORRECT ALL <br /> lfG�l OISQIPIIOY OI PNOPIPi o�+r+euow 0.Aii�CM IOUR COPIISI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi_e�oca�_or _ OR NOT. THE GRANTINC 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 CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SILNATURF O CONTRACTOR 00.AUTHORIZf��GENT DATE <br /> � <br /> IOP�DDR[55 <br /> X <br /> ►IUM�ING MECHANIUL <br /> NO. TY►F OF FI%TUtE <br /> FEE NO. TY�E OF EQUI�MENT FFE <br /> WA1ER ClOSET ITOIIFTI �IR COND UNITS—H P EA <br /> HEfRICERATION UNITS—HP.FA <br /> BATNTUB <br /> L�VATORY�WASH BASIN� BOIlERS-H P EA <br /> SHOWER WS FIRED AC UNITS-TONNACE EA <br /> KITCHFN SINK 6 OISP FORCFD AIR SYSTEM$-B T U M FA <br /> WAII HEATERS-B T U M <br /> DISW�SMFR <br /> UUNDRY TRAY <br /> UNITMEATERS-BTU M <br /> CLOTHES WASHER EVAP00.�TIVE COOlERS <br /> WATER MFATEN CIOTHES DRYERS <br /> URINAL VENTIUTION FAN <br /> DRINKINGiOUNTAIN RANGF MO00 <br /> fIOOR DRAIN AIR MANDIING UNIT- C F M. <br /> VACUUM BREAKE0.5 STOVE <br /> ROOF OR�INS-RAINIEAO[RT •MEtAI FIREPI�CE 8 CHIMNEY <br /> SINK�SFNVICE-BAR,[TC� <br /> fU�iOiAl � <br /> fU�iOTAI <br /> ►(IIMIi / �E�MIT � <br /> iGfAli[E � TOiAIiEE � <br /> PLAN CMECK FEF <br /> SIDF YAND S[TBACK STRFFI SCTBACK RUR YARD 5[TflACK PUN CHECK NUMBER FEE RECEIPT NO. <br /> USt 20NE lOT ARFA VACANT SRE �E�y V�W�T�ON RF <br /> OYES ❑NO <br /> TYPf Of CONST OCNPANCY LROUP NO Of DWFILINC UNIiS <br /> BUIIDING f ,'j — <br /> SIZE Oi BLDG NO OF STORIES M�% OCC lOAO <br /> PLUMBING <br /> FIRE ZONE BASFMfNT PlONOOMS RFDU RF,DKLERS M[CH�NIC�L <br /> ❑Yf5 ❑NO <br /> AM�OVAIf �t UATF OTHER <br /> 1 ENVIRONMENTAI CMFCK lIST pENAITY U B.0 <br /> SEC ION+I <br /> I BUIIDING PL�NS <br /> TOT�I ]�� ' <br /> 7 FIRF HYDNANT <br /> 1 FIRE PROTECTION SYSTEM ►[�MIT VAl10AilON <br /> WHEN PROPENLY VALIDATEU IIN THIS SPACEI TM�S IS Y!1UR PERMIT <br /> 5 GRADINGF%UV�TION 6 CLfARINCIGRUBflING <br /> 6 DRAINAGE <br /> L ENVIRONMFNTAL IMPACi$T�TEMENT <br /> E NFALTM DISTRICT <br /> APPlIUT10N ACC.9Y PUNS CMfCKED BY APPR FOR ISSUANCF BY <br /> 9�1-79 <br />