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. , <br />.APPLICATION FO� <br />CONSTRUCTIOI� <br />everett PE RM IT <br />DEPT. OF COMMUNITY �EVEIOPMENT SERVIC[5 <br />C�TY HALL 259�8745 ,....{ � <br />EVF.RETT.lYA98301 ❑COMBINATtON L�BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br />c.L�ea�c.nc� <br />.H�n eonaiss <br />�itv rir <br />everetl i <br />e <br />ciniRuconrRnaox nunnonnus an zir v�+ov�. ua�+scr <br />���Th7-i- � <br />M(CMANICAI (ON1RACiOR Aqll ADDR(55 CILY LIP PMONI IICFNS[ I <br />PIV��flING COviN,1CT0R M�IL ADDF[$S CIi1' IIP PNONL L�C[NSf I <br />nnss or woeK � (-L`� � ' <br />❑NEW ❑ADDITION ❑ALTERATION Y�IREPAIR ❑DEMOLITION ❑F[NCE ❑SIGN ❑CARAGh ❑BUILDING RFLOGTION <br />V�LU�TIOp p^jf wOR�J � <br />f �1 / �� <br />D6CRIPI N'ORN <br />PMOPOSIDUS[OFBUIl01NG / <br />�� , <br />lr f% �( <br />LlGAlDESCRI/P110NO/PRnO,P[/RiY�SM%OyW/N�O( ( <br />T <br />LOt `�"vBIOCK OF JI ( c � <br />InB �ODRE55 <br />�LUM�ING <br />NO. TYrE Of FIXTU�E <br />WATER CLOSET �TOLIET� <br />BATHTUB <br />UVATORV (WASH BASIN) <br />SMOwER <br />� KITCHEN SINK 6 DISP. <br />. OISW�SHER <br />' UUNDRY TRAY <br />� , CLOTHES WASMER <br />� W�TERMEAtFR <br />URINAI <br />� ' DRINKING FOUNTAIN <br />.y � FLOOR DRAIH <br />. , VACUUM BIIFAKFRS <br />•� ROOF DRAINS—RAINLE�DERS <br />t�. � SINKISFRVICF—BAR,ETCI <br />s <br />USE ZONE <br />7YPE OF CONST. <br />IONE <br />I I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />oa � IACN fOUR COF�LS) �PROVISIONS OF UWS AND ORDINANCE$ GOVERNING THIS TYPE <br />F�� 7�Ih4 9YUVtM� j" WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CnIJCEL THE PROVISIONS OF <br />_ ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTIUN. <br />SIGhATURE Of CONiRACiOR OR AUTHORIZEO AGFNT D�TE <br />� � ��� �� _/ ��l '�>' Z �'G. /5�- <br />X/ � ./�1G4 �t / � "��'� <br />TOiAI RF <br />IEEi SETB�CK <br />lOT AREA <br />BASEMENT � RFDROOMS <br />�KROVAIf <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PUN$ <br />7. FlRE HYDRANT <br />l FIRE PROTECTION SVSTEM <br />5 GNAUINGII%CAVA710N6CLLARINGIG0.UNNING <br />6. DRAINAGE <br />A ENVIRONMENUL IMPACT STATEMENi <br />B. HEALTN DISTRICT <br />FEE <br />f� <br />REAR YAND SL79AC <br />VACANI SITE <br />OYLS ❑NO <br />NO Of DWELLING l <br />MA%.00f..LOAD <br />FINf SPRINKLERS <br />RfQU1RED <br />❑YFS ❑NO <br />�Y D�TE <br />APPLICAiION ACC. 11V FUNS CHCCK[b HV I APPR. fOR ISSUANCf 14Y <br />9 1J9 <br />MFCMANIGL <br />NO. TYPE OF EQl <br />AIR COND. UNITS—H P EA <br />REPRIG_dATION U'dT5—H <br />GAS FlRCD A C UNITS—TONNM:E EA <br />lORCCD AIR SYHEMS—A.T U. M <br />WAlLH1:ATtNS—fiTU M <br />UNIT HlATERS—17.T U. M <br />CLOTHES D0.VEN5 <br />RANG[HOOD <br />AIR HI.NDLINC UN�T— C F <br />PLAN CMECK NUMBER <br />iFFS <br />6 CHIMNEY <br />SU�TOTAI <br />rFIIMIT <br />iOTAI FFF <br />• 1 FEk <br />:HECK FEE <br />RECEIPT NO. <br />VALUATION I FEE <br />flUILDINC f <br />PIUMPING <br />MfCHANIGt � <br />OiH[R <br />Pf NAl1Y U. n C. <br />SCC. 30J�a1 <br />TUTAL <br />►ERMIT V�LID�TION <br />WM[N PROPERLV VAl IDA7ED pN THIS SPACf) iHIS 15 VOUR PERMIT <br />