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, <br /> A P P L_ I��.AT I O N F O R ' everett <br /> everett c�P RMITTION e <br /> �� <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES � <br /> CITY HALI 259-8745 ; <br /> EVERETT,Wn9B201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. � <br /> i <br /> owH� I nuu nnuu�ss an� zir rNONr � : <br /> C�A2Le5 �• Q/�dc��u�l 11:3� �o��J�� �Uc2cl� SYa.. , �%5a-���.15 i <br /> �RCHnITfCTORD6ILNFR � / A111L�OORISS tlll ZIP PMOHF � �y �'7� (� <br /> l-Kanr' �crn�-F«��+�sL �� ��� UQ1t � �' IU� 1��'S �53-6c/a7 �i�l LZ <br /> GfNfR/Aj 'ONiRAQOR/� / AI�IIAppR[55 CIiY ZIP PNON[ LICENS[t <br /> /-�'(�7C�.� L�O'i( \'F7CCC�"L07� �� �� �� � � �� /! � <br /> �NfC11ANaAI CON1RACiOR AIAIL AD�PI55 CRY Ili' PNON[ IICFNSE� � <br /> PWNpINGCONIPACIOR AUIl�00R155 Clll' ]IP PMONI IICENSEI I <br /> 1 <br /> CUSS O��N'ORK ,�, � I <br /> ❑Nf:W ❑ADDITION ❑ALTERATION L]ICEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BWLDING RELOCATION � <br /> WlU ON^OFWOaK <br /> f ��U' Vv� . I <br /> OI SCRIp[N'00.N <br /> 2er.c,� rvn — n�oc��/ �c�cltian — ,.e ct.e.2 crn � aL,<.rl�"n i <br /> � reoroscouscorn niNc I EREBY CERTIFY THAT I HAVE READ AND AMINED THIS AP- i <br /> �p���. PLICATION �1ND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lo�i +�P IONOF PROPERl�O\VN P[LO\4 ne��� ue eorie PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE � <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN I <br /> OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> ,A /� �) ` GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS UF � <br /> Ll � �IS 1 Q+ � IG •` Y I V ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION 'i <br /> /n/ OR THE PERFORMANCE OF CONSTRUCTION. <br /> I I p� TQ/�I CI /�U'L � �� SIGNATURE OF CON7RA TOR OR AUiHORIZF�ACENT D�TE <br /> I <br /> IOB ADDNFSS <br /> ' 7( 3u 'C3`2SOv� � d �-� 7 i <br /> I I <br /> �WMlING MECHANICAL <br /> � ! NO. TYfE OF FI%TURE FEF NO. TYPE OF EQUIPMENT FEE <br /> . WATER CLOSET(TOIIET) AIR GON�.UNITS—HP.EA � <br /> ' BAT4TU8 REFRIGkRATION UNITS—H.P.EA �� <br /> I <br /> . UVATORY(WASH BASIN) �ORENS—HP.EA <br /> '� . SHOWER GAS FlRED AC.UNITS-10NNAGF EA i <br /> 1� ' I KITCHEN SINK 8 DISP. fORCCU AIR 51'S7CM5—BS.U. M EA i <br /> DISWASHER WALL HEATERS—II.T.0 M <br /> 1 • <br /> LAUNDRY L:AY UNIT HEATfftS—R.TL. M <br /> �i I � CLO7HE5 WASHER NAPORAiIVE COOLERS <br /> �j � WATER HEATER CIOTHES DRYER$ <br /> � URINAI \ENTIUTION FAN _ <br /> � , I DRINKINGFOUNTAIN N�NGFHOOD <br /> � . � I FLOOR DRAIN IIR HANDLING UNIi— CF M <br /> � VANUM BNFAKERS iiOVE <br /> �I1 . � ROOF DR�INS—RAINLEADERS MEUL FlRLPUCE 8 CHIMNEY <br /> � � �. SINK(SERVICE—BAR,ETC) � <br /> SU�iOTAL SU�iOiAL f <br /> ►ElMIT f rFI1MIT f <br /> TOTAL FFE f TOTAI FFF � <br /> ' SIDE YAftD$ETEACK SiREET SEiBACK REAR VARD SFT9ACK PUN CHECK NUM9ER PUN CMECK FEE I <br /> FEE ftECEIPT NO. <br /> �� <br /> USE ZONE lOT AREA y�CANT SITE <br /> '� . � OYES ❑NO FFFS VALUATION iFE <br /> I TYPE Of CONST. OCCUPANCY CROUP NO OF DWELI.ING UNITS <br /> PUIIOING f <br /> i' SIZE OF BIDQ NO.OF STORIES MA% OCC.LOAD <br /> y PlUMI41NG <br /> aI FIRC ZONE BASEMENT III DNOfT�S HRE SPRINKLER$ <br /> REQUIRED MfCHANICAI. <br /> ❑Y6 ❑NO <br /> A�►IIOVALS !Y DAiE OTHFN . <br /> i. [NVIRONMENTAL CMECK LIST �,�N^�tY U.flC. <br /> SEC JO�a� <br /> 2. BUII.DING PUNS <br /> iOTAL <br /> 7 FBE HYDRAN7 <br /> 4. FlRE PROTkCT10N SVSTEM PEIIMIT VAlIDA710N <br /> WHCN PROPERIY VAUDATED pN THIS SPACE�iH151S YOUk PERMIT <br /> S GNADINf,�(XGVA710NhCUARINGIGRUl4HIKG <br /> G DRAINAGE <br /> . kNVIRONMENUI IMPACT SUTEMkNT <br /> (nl iH DKTRICT <br /> �` GVIO�.ACl, lll I'L.1'.SIHLCKIUin nPl`hlllHl�4�15t111� <br />