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.; <br /> ` I _ _ ...� <br /> P PPLICATION FOR ���,�„ <br /> �E�""""' �,ONSTRUCTION e <br /> �verett PE RM IT <br /> . DEPT OF COMMUNITY DEVELOPMENT SERVICES . <br /> CITY HALL 259-87�5 ,�,/ <br /> EVERETT,WA98201 ��QMBINATION ❑ BUILDING L7MECHANICAL ❑PLUMBING PERMIT NO. <br /> owr+tg_O�� � �1'e.PY\1`� M^p��Q`a I IYIP atv zir rnorvE , <br /> J �'l�. Z�ex-e�'t- CfB�PI �5�1 -�ba 2 <br /> ARCNIT[CT Oq DESICNIR M�IL�DDRF55 fITY ZIP PMONE <br /> GEnfR�l[ONIR�CiOR MMt AOOP[55 ❑LY ZIP PHON[ UCFNSE� <br /> n�tUUnIUt CON1i�CLON MAII�ppPt55 CIIY 21P PHONE UCENS!I <br /> . PWMPInGCON10.�CTOR MnIlA00RE$$ UIY ZIP PHONE IICFNSFt � <br /> [USSOf WOIIK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑NEPAIR ❑DEMOLITION ❑FFNCE ❑SIGN ❑GARAGE ❑dUILDING RELOCATION <br /> VeW�IIOH Of wORR <br /> � 6DC� <br /> niscaixi woaa <br /> raoroseous� o� xuiiou+c I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br /> IEC�I DfSCRIP110NOf PqOPENiY�5110NN p(lOW�e�n.0 ioue co �cs PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br /> ��� �� ^,� � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi /1— IF BIOCK�por � r•1 � � , OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> a GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ?� ��� �� � ANY OTHER STATE OR LOGL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SiGNAN �CONTkACiOR OR AUT�HOR12FD A NT DATE <br /> ION�ODRfSS � v � ( �{ • 23 � <br /> O �( f v� � v� <br /> �IUMlING MECHA ICA <br /> NO. TY�E OF FIKTURE FFE NO. TYPE OF EQUI►MENT FEE <br /> WAiERCtOSET�iOtIFT1 AIRCOND UNITS—HP FA <br /> p�TMTUB HFFRIGFRATION UNITS—MP EA <br /> IAVAiORY�WA5NBA51N) flOILERS—HP EA <br /> SMOWER CAS FIRFD AC L1NIT5—TONNAGE EA <br /> KITCHEN SINK 8 DISP FONCEO AIR$YSTEMS—B T U M EA <br /> DISWASHFR N'AILHEATERS—BTU. M <br /> LAUNDRY TRAY UNIT HfATFRS—Bi U M <br /> CIOTHES WASMF0. FVAPORATIV[COOLERS <br /> WATEN HEATFR CLOTHFS DRYFRS <br /> URINAI VFNTIIATION FAN <br /> D0.INKING FOUNTAIN RANGF HOOD <br /> FIOOR DR�IN �IN NANOLING UNIT— C f M <br /> VANUM BREAKFRS S70VE <br /> ROOF DRAINS—NAINLFADERS MFUI iIREPUCE b CHIMNFY <br /> $INK ISFRVICE—B�R,FTC 1 <br /> SU�TO7Al SU�TOTAL f <br /> RIIMIT f rEI1MIT f <br /> iOiAi iEF f iOTAL FEE f <br /> SIDF YARD SCTUACK STRF[T SRBACK RGR YARD SE7PAGK PLAN CH[CK NUMH[R PLAN CMECK FEE <br /> FkF RKFIPi NO. <br /> US[ ZOHC l0T AREA VACANT SITE <br /> ❑YFS ❑NO FFES VAlUAT10N fFE <br /> TYPE Of CONST OCCUPANCY GROUP NO OF DWEILINL UNIT$ <br /> OUItDING s <br /> $IZF OF tlLOC NO OF$TOHI[$ MA% OCC LOAD <br /> PLUMOING <br /> FlR[ ZONC AASEMENT HFDN00.�15 FINF SPftINKlfRS <br /> REQUINED MECMAf:IUL <br /> f7VFS C7N0 <br /> A►MOVAlS �Y OAiE OTNER <br /> 1 fNVIRONM[NTALCHfIXl15T PEH��TY U.P.C. <br /> SfC.1011a� <br /> 2 BUILDING PLANS <br /> TOiAI <br /> ) FINE MYDNANT <br /> � fIRE P0.0TECTION SYSTEM �fI1M1T VAIIOAiION <br /> WHFN PROPERLY VALIUATFD(IN TMIS SPACFI TMIS I$YOUR PERMIT <br /> � 5 GNA�INGI!%CAVATIONBfIknRINLlGRUBNINC <br /> 6 D0.AINAGF <br /> 7. ENVIRONMfNTAL IMYACT STATEMFNT <br /> E NEALTN C115TRICT <br /> APPLIGTION ACC BY PlANS CNECKED BY APPR F00.ISSUANCF BY <br /> g.1�79 <br />