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APP�ICATION FOR ���K„ <br /> '"'E"ro'"" C�,NSTRUCTION e <br /> cm or <br /> everett PE RM IT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HAIL 259•8715 <br /> EVERETT,WA9B301 ��OMBINATION ❑ SUILDING ❑MECHANICAL ❑PLUMlINC PERMIT NO. <br /> 1 OWH/E� M�II�ODN[SS CIIV ZIF ` / PNOHE <br /> T��i � i � � nl � �'� �. 7/f7 (�c•c `< �r /� �PA't�7�T� �� � - <br /> nI1CHITfROI1DF51GN10. MAII��DRF55 ���Y 21P PNOHE <br /> GfNt��l CONiRACiOR M`�II�D00.E5/5� ���Y LIP PNON[ UCFNSF 1 <br /> /� . _ � � � �.��`1 l.l /^ - <br /> ��I[M�tilUl CON�R�[l00. M�II AD00.E55 ���Y tIP PNO [ U[[NSE� <br /> PIV��Pe+G[OYiR�C10R M�II�DOR[SS Ci�� ZIV PMON[ IICENSE� <br /> CUSS Of N'ONK <br /> ❑NEW ❑ADDITION ❑ALTERATION LiREPAIR ❑�E.NOLITION ❑FENCE ❑$IGN ❑GARAGE ❑BUILDING RELOCATION <br /> V'�W�110NOf WORK <br /> f � �� <br /> OfSCNIH!KONK <br /> � / . G- .G Lis�'3 J . : � <br /> PROPOSfDUS�t w� o���c �� � I HEREBY CERTIFY THAT I H�VE READ AND EXAMINED THIS AP- <br /> �tic-L.�-" � PLICATION AND KNOW 7HE S�ME TO BE TRUE AND CORRECT ALL <br /> t[Wl0[SCRIPIIONOf PROpfRIrISNONH PfIOwOR AileCN IJll0.COPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> 3P � ' ,3 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi J.�_eioc�0 oi � OR NOT. THE GRANTING O'� A PERMIT DOE$ NOT PRESUME ?O <br /> GIVE AU7HORITY TO VIOLnTE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCnL L�W REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUR[ Of CONTRACTOR OR AUTMORIZFO ALFNT DATE <br /> IOP�O�NISS ,� / r � / / �G7 <br /> � {�Gc-i=. % • X i/�� <br /> �IUMlING M ANIUL <br /> NO. TY/E OF FIl(TURE fEE NO. TY►E OF EQUI►MFNT FEE <br /> WATER ClOSFT ITOIIET) AIR COND UNITS—t1 F EA <br /> BATHTUB BEfRIGFNATIONU`11T5—HP E� <br /> ' IAVATON11W�5H0A51N) BOIIER$—HPU <br /> $HOWER CAS HRED AC lNRS—TONNAGE EA <br /> KI7CMEN SINK b OISP IORCED AIR SYSTCMS—Bi U M FA <br /> Di5WA5NkR WALIHEATERS—BTU M <br /> L�C'•�8Y TRA1 UNII NIATFRS—BT U M <br /> r�pINfS wASMFR [VAPORATM1'F COOIERS <br /> WMLR HUIER CLOTHFS DRIFRS <br /> UR�NAI VENi1LATION F�N <br /> ORINKING�OUtiTAIN RANC[ MOOD <br /> fLOOR DRAIN AI0.NANDLING UNIT— C F M <br /> YnNUM ARFAKERS STOVE <br /> ROOf I]RAINS—RAINLUDERS AIETAL FIRFPUCE 8 CNIMNEY <br /> $INK 6FRVICf—BAR[7C I <br /> SU�TOiAI SU�TOTAI f <br /> tFI1MIT f �EllMli s <br /> 70T�lIFF f 70TAlFFF s <br /> SID! YA0.D SfTOACK STR[[T 5[TOACK RUR YARO 5[70ACK PUH CMCCK NUMBFN PUN CHEIX FFE <br /> F[E RECEIPT NO. <br /> USF ZONf lOT ANEA yAUNT 517f IEES VAlUA710N t[L <br /> OYES ❑NO <br /> TYPE Of CON57 OCCUPANCY G0.0UP NO Of OWELLING UNIiS <br /> OUIIDING S <br /> SIZE OF OLOG NO OF ST00.1f5 MA% OCC IOAD <br /> PWh101NL <br /> FIRC ZON[ BASFMENT :iIUNOOMS RfQU R�IDKI[RS MfCHA41UL <br /> f7Y15 [1N0 <br /> Mf�OVAIf �Y DATE OiHFR <br /> 1 [NVIRONMINTAL CH(CN ll5i PfNAITY U BC <br /> SFC )ONa) <br /> 1 OUILDINL PLAN$ <br /> TOTAI <br /> � riar �+roanr+t <br /> � FlRf PR07ECTION SYSTEM �[IIMIT VALIDAiION <br /> WNFN PROPFRLY VAIIOAT[O pN TMIS SPACE)MIS IS YOUR PE0.MIT <br /> 5 GflADINGL%UVAilON6QURINGIG0.U0flING <br /> 6 ORAINACf <br /> 7 ENVIRONMENTALIMPACTSiATEMENT <br /> E NULTM DISTRICT <br /> �PPlICA710N ACC BY PlANS CMFCKFO BY APPR FOR ISSUANCE Ht <br />