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i ' � <br /> �,E„�„�, � ApP LICATIO N FO R - �,n,,,, ; <br /> �°� ..ONSTRUCTION e <br /> everett PE RM IT <br /> DEPT OF COMMUNITY DEVFLOPMiNT SERVICES <br /> CITY HALL 254117/5 <br /> EVERFTT,WA 97701 ��OM�INATION ❑ �UILDING ❑MECMANICAL ❑�LUM�ING PERMIT NO. . <br /> OWN(� MMI�DOM155 CIiT 2V NION! <br /> 4. /�� S^`i C.4%'� a'.� � /��-� ks l7�4 Fvr��ff �/�.Po s ' s� i 9�6 <br /> eeourtrT oe otsicwie �un noo�tss atr nr rHorrt — <br /> �� <br /> GINEMI CONfMCTOR MAII�ODR[55 CITY ilP �Nq1[ L'SfNSE� <br /> _- 4!A� <br /> MICN�NIUI CONIR�Ci011 M��l�0011[SS CIIY LV PMONF 11.fNSE� <br /> �� <br /> IIUMPInG COM111��iC� M�II�UDIIlSS CIiY 21� INONF LIfFMS[/ <br /> N�f. <br /> cuss or o�c � <br /> ❑NEW ❑ADDITION I�ALTERATION ❑REPAIR ❑DF.110LRION ❑FENCE ❑SIGN ❑GARACE ❑BUILDING RELOCATION <br /> \'�1U�110N UI WOIIk . <br /> f <br /> DISQiBF W011k <br /> ��TC �fAG� � �� � <br /> vxovosmuv oi nunoi�c I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINEO THIS AP- ' <br /> PLIGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL � <br /> ucei o[savnor+or r�ortetr�snowH etiow o��tucN�oue mrnsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE ' <br /> OF WORK WILL BE COMPLIED WItH WHETHER SPECIFIED HEREIN <br /> �or_aiocK�or OR NOT. THE GRANT!NG OF A PERMIT DOES NOT PRESUME TO <br /> GIYE AUTHORITY TO ViOLATE OR CANCEL THE PROVISIONS OF � <br /> ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. K <br /> SIf,NATURE O CONTRACT AUIHORRED AGFN7 DATF � <br /> we�ooRess � <br /> � I � _ <br /> �W M�ING MECNANItAI ` <br /> NO. TYR OF i1kTU�E fEE NO. rirF Oi EQUI�MENi itE ' <br /> ' W�iER CIOSET(iOIIETI AIR COND UNITS—H P.EA �� <br /> . BATHTUB REFRIGF0.AilON UNITS—HA. EA <br /> � , ' L�VATORY�WASM B�SIN� BpIlFRS—N P EA . <br /> SMOWER LAS flllEO�C UNITS—TONNAGE EA � <br /> � � � KITCNEN SiNK L DISP fORCED AIR SYSTEMS—B.TL M EA . <br /> , DISWASNER WALL MFATER$—B.i U. M , <br /> ,. � UUNDRYTIIAY UHITHEATFRS—ETU M � <br /> CIOTNES WASMER EVAPOR�TIVE COOLFRS i <br /> , WATFR NEATfR CIOTHES DIIYFRS . <br /> ' : i UIIINAL VFNTIIA?IUN FAN � <br /> - - � DIIINRING fOUNTAIN �ANGF HOOD <br /> �������H Alll HANDIING UNIT— C F M. <br /> � 111 VACUUMlnf�KE1l5 STOV! I <br /> . � ROOi DRAINS—IIAINLEAOFRS MfTAL f111EFLACE L CHIMNEY , <br /> SINK ISFRVICE—lAll,ETC 1 <br /> { <br /> { <br /> � W�TOiAI 1U�TOTAL � <br /> � �lRMli f A�MIT • <br /> ( TOTAI►!! i � TOTAU[F • <br /> � SIDf YA110 SFTE�CK STRFFT SETSACK R[AR YMID SF7EACK PLAN CH[CK NUMBEII ►LAN CMECK iEf <br /> ' iEE IIECEIIT NO. <br /> USE ZONE lOT AUEA yAC�NT SIiE <br /> OYfS ONO 1![f V�LU�TION �[I <br /> � T7/F Of CONST • OCCUP�NCYGROUP NO Of OWFIUNG UNITS <br /> BNIDINL f <br /> 5¢E Oi BLDG NO.Oi STOIIIES MAII OCC IOAD <br /> ._ PLUMBING <br /> fIRF ZONf SASfMFNT BlOROOMS FIIIF 5►UINI(lERS <br /> . ❑QS�RO� MFCMANIUL q� <br /> V <br /> AM�OVAIf �t D�i! OTMER <br /> 1 FNVIqONMENTAL CMECK LIST U.EC. <br /> PfNALTY $FC.707��) <br /> 7 BUILDIHL P�ANS <br /> ' ] ilRf HYUqANT tOiAl �'Jl <br /> V <br /> 1 flRf PRpTECTION SYSTFM rltMlT VALIDAiqN <br /> 5 GRAOINGIF7ICAVAIION���fARINWG�UOSING WHEN PIIOPEIIIY VALIDATED�IN iH15 SPACF�TMIS IS YOUR PEIIMIT <br /> 6 DRI1IN��E <br /> . 7. FMVIRONMENTALIM�ACiS7ATEMENT <br /> ! HFAITH DISTRICI <br /> A►►LICATION ACC er ►LA!IS CMFCKED eY AIMI fOR ISSU�NCE !Y <br /> V, � . <br /> 4,.,� . <br />