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� <br /> APPLICATION FOR ��e <br /> cTrorom� �ONSTRUCTION <br /> everett PERMIT <br /> DEPT OFCOMh1UNITY DEVELOPMENT SERVICES . <br /> CITY MALL 259�0745 <br /> EVERETT.\VA9B201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ONNlR n1All�UONt55 CIIY ZIP PIIONf <br /> � D�'N�Pnrn S � .i7�13Qo � 2 y34 �'�lNn>��Frv �cvn, FvQ,�t� l.v.�,c. y�8�o3 <br /> ANCNILICL 00.D[SILNIP <br /> M1InILnD�RF55 CITY ZIP PMONE <br /> �� <br /> GfNIR�LC NIR�CtOR nUIlAU0Ff55 CITY ZIP PNONF IKENSf1 <br /> R `n7/n ��� <br /> x r r�UO .. <br /> n1fOlAMUlCOv1RACi0R MAIL�DDRF55 CIIY LIP PHONE IICENSFI <br /> � <br /> fll1n1i11tiC NMRACiOR M�II ADORL55 CI1Y ZIP PNONE UCENSF/ <br /> .�� <br /> CONEW,opKOADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \'AIWiIONOf NORK <br /> � , b'UO , l�-� <br /> otscuim �roxr: �/ �2L � � ,y ( CC".vy O'1-�� <br /> ( /� vN.a�ir C r�� <br /> G�C�(fft: r4 ��� <br /> rxorosiouSE or xwioivc I HEREBY CERTIFY THAT I HP'�E READ AND EXAMINED THIS AP- <br /> .� � 2y2�"�� pLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ucni oisceirno�v f 1'ROP[XiY�S110N'N P[lON'O0.�I1�CN fOUX COPIl51 PROVISION$OF LAWS AND ORDINANCES COVERNING THIS TYPE <br /> a � Y`r� yC �, OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN <br /> rwi QL.PIOCK�Oi �IVE OAUTHOR TYATOIVIOO TE OR CANC O THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORh1ANCE OF CONSTRUCTION. <br /> ^� ��d v/���1 �v� S�GNATURE OF CONTRACTOR ON AUTMORIZlO AGENT DATE <br /> � � /� `/ <br /> ti <br /> iou�oowess �a,� `, � �-IYC�. -X. V✓�'f�-�"^'� �c> cs l7 ��/ <br /> . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURF <br /> FEE NO. TYPE OF EQUIPMENT FEE <br /> WA7EN CLOSEi OOLIET) AIR COND UNIT$—H P FA <br /> REFRICERAiION UNIT$—HP EA <br /> HATHTUN <br /> UVAIORY�WASN BASIN� BOILENS—MP EA <br /> WS FIRED A C.UNITS—TONNAGE EA <br /> 5110wt R <br /> FORCED AIR SYFEMS—B T U. M EA <br /> KI7CHEN SI4K 6 DISF <br /> \YALI HEATERS—tl T U M <br /> DISW�SMER <br /> UNIfNEATERS-11T11. M <br /> LAUN�NVTRAY <br /> E\'APOR�iNE COOLERS <br /> . ClO7Nf5 WASNER ��pTHES ORYFRS <br /> WAl[R NfATER <br /> UNINAI V[NTILATION FAN <br /> ORINNWG fOUN7AIN RANGF HOOD <br /> AIR H�NDIING VNIT— C.FM <br /> fLOOft ONAIN <br /> VACUUM1�HNFAKERS STOV[ <br /> ROOF URAINS—H��NLFADERS MFTAI FlNEPUCE 8 CHIMNFY <br /> SINK ISFRVICL—17AN,ETC I <br /> SU!TOiAI s <br /> SU�10TA1 <br /> ►E�MIi 1 �ERMIT s <br /> f iOTAIFFE s <br /> fOTAI FFE <br /> PLAN CMECK FEF <br /> S�D[ YARD 5[TI1nCK STRE[T SCTMCK RUR YAND 5[TOACK PIAN CN[CK NUb1UlR FFE RECEIPT NO. <br /> US[ ZONt LOT ARFA VAUNT SITE iEFS VAWAiION FFE <br /> �YES �NO <br /> 7YP[Of CONST OCCUPANCY GROUP NO Of OWkLLING UNITS n� /� <br /> HUIIDINC, f�•y I�"� 'v <br /> SIZ[ OF dLOG NO Of STORIE$ MA% OCC LOAD <br /> PWMNING <br /> I FINE ZONI BASFMENT IIIDNOOMS REQl11RE'OKLLRS M[CMANIUL � <br /> � OYfS ❑NO <br /> A►�tOVAlS �Y DA7F OTHER <br /> 1 ENVINONMfNTAL CHECK LIST PtN��TY U.BC <br /> SEC.bNa) <br /> 7. 9UIlDING PLAN$ '� ( ""j, <br /> iOTAI —� v <br /> L ) FlN[ HY�RANT <br /> � FIRE PROTFCTION SYSTFM �FIIMIT�ALIDATION <br /> WHEN PROPERLY VAIID�TED�1N THIS SPACFI TMI515 YOUR PERMiT <br /> 5 GRAOINGI%UV�T�ONBCIUNINGIGRUBflING <br /> 6 URAINACC <br /> 7 ENVIRONMENiAI IMPAQ STATEMENT � <br /> E HEAllll D15T0.1CT <br /> APPlICA1�ON ACC BY PLANS CMECKED BY APPR.FORISSUAN E BY <br /> � , G, r�-v°s' (r L I� <br /> 9-1�i9 <br />