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. . , <br /> fMErlrprMn APF';ICATION FOR �� �„ <br /> °�TM°� CONSTRUCTION e <br /> everett PE RM IT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 254E715 <br /> EVERETT,WA9E201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. � <br /> CIWNFII Mnll AUDNItiS CIIY IIP PXONF <br /> '— %J'i�,�J /�-,�.:.-, r � �-� �a-�-.L �>.�-u-za° y�.�-o� ot s�,� - 7y�, <br /> ♦IICNITlCTOR�f51GNIR M�II� ORISS CIIY 21P PHON[ <br /> � GINtMtCOn µ'iOR M�II�O�RlSS Clix 21P PNONF �ICFNSF� � <br /> G�s.-,� G��.<<-.,� i3 S � 9— ��f�`. ,l�o • �l• i'.�-rn-.--�i-Qi G,�9t sSa� <br /> MICN�NIUI CONIR�Ci09 M�II e�DM155 CIIV LIP PNONI IICENS[I � <br /> PI V\1pl\G NNiq�[ION M�IL�ODNfSS CIIY ]IF PHON[ UCFNSE 1 <br /> t I H�OI NORN � <br /> i <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE ❑tlUILDING RELOCATION il <br /> �+u��nn+�or woxx <br /> ~ � .��� 't � I <br /> PI�fNiNl 1VOR� . . <br /> � J 7w�-� I <br /> rxnro��pi�si ur puuuiNG 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- � <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lIG\l DISCF�FLIOYOI YROVlRIYISNON'N pIIOW OR�II�CH iOUR COPII51 PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE <br /> �3_�5/ a.�� OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi _aiocx_or OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF I <br /> a% ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. ' <br /> SIGNATUR FCONTRACTORO THORIZfDACENT DATE � <br /> iilP�[lf1NItS �. V � �/� `�/� i <br /> 3 T <br /> ^ � <br /> �WM�ING MFCHANIGL I <br /> NO. TY►E OF R%TURE FEE NO. TY►F Oi EQUI►MENT FFE I. <br /> W�TER CLOSET�TOLIETI AIR COND UNI75—H P fA � <br /> BATHTUB REFRIGfRATION UNITS—M P FA ( <br /> IAV�TORY(WASH BASIN) BO�LERS—N P [A f <br /> SMOWER GASRRFDAC UNITS—TONNAGf EA I <br /> KI1CNfN SINK 8 DISP FORCED AIR SYSTEMS—B T U M FA <br /> DISW�SHF0. WAIIMEATERS—BTU M I <br /> LAUNpRV iR�V UNIT HFAiERS—B T U M � <br /> � CLOTHFS WASMFR FVAVONeTNE COOLERS ' <br /> W�TfR NEAT[R CLOTMFS ORYFRS <br /> URINAI VfNiIUTION FAN �., <br /> DRINKIHG FOUNTAIN RANGF MOpD <br /> FIOOR DN��N AIR HANDIING UNIT— C i M <br /> �� VACUUM BRF�KFRS STOVE <br /> ROOF DR�INS—R�INIf�DFRS MFTAL FIRFPIACE 8 CHIMNEY <br /> j SINK ISERVICf—BAR ETC� <br /> � <br /> i fU�TOT�I lU�iOtAl � <br /> i R�MIi f R�MIi � <br /> � fOTAI fEF f iOTI.I iEF f <br /> � SIDt Y�IID SFiEACK STRfFT SCTBAfK RUq YARD SFTBACK PC�N CMECK NUMBFR PLAN CHECK iEE <br /> FEE 0.FCFIPT NO. <br /> ' USE 20NE LOT�REA yACANT$ITE <br /> � OYFS ❑NO iEFS VALU�TION i[[ <br /> � TYPf OF CONST OCCUPANCV CROUP NO O�OWFLUNL UNtTS <br /> � BUIIDINC f <br /> S�ZF OF BIDL NO Oi STORIFS MAX OCC tOAD <br /> � PLUMPINL <br /> � flRf ZONF B�SFMENT HIUN(wM5 FIRk SPRINKLFRS <br /> � RFQUIRED . MFCMANIUL <br /> f]YES f1N0 <br /> A�MOV�If �Y DAiE OTHFR <br /> i <br /> 1 fNVIRONMENTAICMECKl15T U.BC <br /> ' PFN�LTY SFC NIA�I <br /> i BUILDING PUNS <br /> ] RRF HYDRANT iOTAI <br /> � iIRE PROIECTION SYSTEM �[�Mli VALIO�iION <br /> S GR�DINCIf%C�yAT10N6CLkARING/GRU9RING WHEN PROPERIV VALIDATEDIIN TNIS SP�CF)THIS IS YOUR PfRMIT <br /> 6 ORAINAGE <br /> 7 ENVIRONMFNTAIIMPACTST�TFMENT ' <br /> E NFAITM DISTRICT <br /> �rPUC�TION ACC BY PlANS CMFCKfD BY APPR fOP ISSU�NCE BY � ' <br /> i <br /> 9.1�79 <br />