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tM EnrprNn AP P L I CAT 1 O N F O R - ���,�„ <br /> °�TM°F .,ONSTRUCTION e <br /> everett PERMIT <br /> DFPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259•8715 <br /> EVERETT,WA 98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNER M�II�DDNISS �f CIIY ZIP pMONF <br /> x: '•Pir�� ������r l�vd. �� , i,(o/ i� ;T. Si✓�l�>.s,! a.<� rsr,xyd - s��-�t�9 <br /> A0.[ L OR 061G�:1R M�II�DDRESS CITY ZIP PMOHE <br /> -. LtNFN�I COrv1R�[iOR MMl�DDN6S / ❑IY ZIP PHONE IICtNSF� <br /> '� �/>/��71.v (D.va.� �o0, na. ./u/ ��� S�• S��/c%i,�� !d% 9'�.z9n SG�?- �� <br /> vif iUICO�+iqnCi00. M�II ApONFSS CIIY tIP PMONE IICENiF� <br /> PIUn�01vG CONIN.1CiOR M1UiI ADDRl55 ❑tv tlP pHpNE UCENSE I <br /> ❑n5501 wONK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �EMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> V�IUAtiOu Oi��'ORR <br /> 5 <br /> Of5[RIBF WORK <br /> X ,� , <br /> VNOPOSf0U51 Oi PUIl01YG 1 HENEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lfG�lO[SCNIPLION Of PNOP[NIY�SIION'N fl[lON'OR�iI�CN IOUR COPIf51 PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br /> �`� � �/ � � � OF WORK WILL BE COMPLIED WITH WHETNER SPECIFIED HEREIN <br /> io�.L�aiocalyor �� OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> X • cle��' d ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE nF CONSTRUCTION. <br /> SIGNATURf OF CONTRACTOR ON AUTHORIZED AGENT DATE <br /> IOP�OONl55 y ��V{ <br /> x �' � � ^G��4^ - � � <br /> PLUMlING MECMANIUL <br /> NO. TY�E OF FI%TURE fEE NO. TY�E OF EQUIfMENT FEE <br /> WAiE0.CLO5ET�TOLIET� �IRCON� UNITS—MP EA <br /> 9ATMTUB 0.EFRIL[RATION UNITS—HP.EA <br /> UVAT00.V�N'ASHflA51N� BOILE0.S—HP F� <br /> SHOWER GAS FIRFO AC UNIiS—TONNAGE FA <br /> KIICMEN$INK 8 DISP FORC[O AIR SYSTfMS—B T U M EA <br /> DISWASMfR W1lLNFATFRS—BTU M <br /> I�UND0.V TNAV UNIT HEAiFRS—B i U M <br /> CLOTHES WASNFR EVAPOR�TIVE COOLERS <br /> WATER HEA7kR Cl01HF5�RYFRS <br /> URIN�L VENTILATION FAN <br /> DMINKINL fOUNTA�N RANLF HIX7D <br /> FLOOR DR�IN AIR HANDLINC UNIT— C.F M. <br /> VACUUM BRFAKENS STOVF � <br /> ROOF ORAINS—RAINLEADERS MFTAL FIREPUCE 6 CHIMNEV <br /> SINK�SfRVICf—BAN.ETC 1 <br /> SU�tOTAI SU�iOiAl � <br /> ►FIIMIi { ►[AMIT � <br /> T07A1 FFF f iOTAI iFF � <br /> SIDF V�RD S[TOACK STR[[T S[TflACK RUR YARO SFTBACK PUN CN[CK NUMtlfR PUN CMECK FEF <br /> FEE RECFIPT NO. <br /> USF IONE LOT AftEA y��ANT SITE <br /> ❑YES ❑NO iEES VAlUAT10N tFF <br /> IYP[OF CONST OCCUPANCY CROUP NO Of DV/ELUNG UNITS <br /> � 9UIlOING f <br /> 512E Of BLDG NO OF STORIES MA% OCC IOAD <br /> PIUMPING <br /> FIBE ZONE BASEMFNT NkORWMi FlNE SPRINKLENS ' � <br /> RFQUBED MECHANIUL <br /> ❑YFS ❑NO <br /> AH�OVAIf �V O�iE OTM'R , <br /> 1 ENVIRONMENTAL CHECK 115T I1.BC. <br /> PFNALTY SFC JONa) <br /> 2 BUIIDING PUNS <br /> J FIqF HYDNANt TOTAL <br /> � FIRE P0.0TfCTION SYSTEM ►EIIMIT VAIIDAiION <br /> 5 GRADINpt%CAVATION 6 CIfARINCIGRUtlPING WHFN PROPfRLY VAUDATED pN THIS SPACEI THIS IS YOUR PERMIT <br /> 6 DRAINAGE <br /> 7 ENVIRONMENTAI IMPACT ST�TEMFNT <br /> ! HFAITH DIST0.ICT <br /> APPIICAIION ACC BY PUNS CHECNED BY APiR FOR ISSUANCf BY <br /> 9�1-79 <br />