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� . ARPLICATION F�-� ' .�� � <br /> G�"'°""' L..JNSTRUCTION e <br /> everett PERMIT <br /> DEPT. OF COMMUNITV DEVEIOPMENT SERVICES , <br /> CITY HALL 259�E715 � <br /> EVERETT.WA9E201 ��OMlINATION ❑ SUILDING ❑MECHANICAL ❑�LUM�ING PERMIT NO. <br /> OWNfR MeII�DUMR3 CITY ZiF INOHE <br /> �o�� j.3�aS oNsT �Nc- l3l0 -//G`-`' Nf �F4LF*VUf q �Poo�/ ys'3 �9`//�/ <br /> �lCMITfCT OR Dl51GH[R(� n MAII�DDRFSS 1 , fITY ZIY C �NONf <br /> RedRcccK I�{�Q R /7�SCc ��DO yDF�4 /�� N �f- B£4l.�V4C' /POOY `�.S.S�- llS� , <br /> GFNFIIAI[OMR�CTOR MAII A0011155 CITY ZV IHON[ IICFHSE 1 I <br /> � /u� .s3- 9 / � <br /> fL�'u+N L3Ros C,us /3/0 —//GitiN � �PG�evu� 9 �sv 5� � S� y , <br /> MItM�MUI CONiR�CIOR M�IL ADD�63 CITY IIP �MONE lIC[NS[/ <br /> I <br /> PIUN91tiG CONiMC10R M�IL AODRBS CITY ZIP PNONE UCENSE 1 <br /> i <br /> ' 1 <br /> c❑NEWWO��OADDITION ❑ALTERATION ❑REPAIR ,�DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINC RELOCATION i ' <br /> V�W�TIONOf WORR � <br /> 3 � <br /> OESCII�NE wONk . � <br /> PRO Sf0 USf Of PullUlr+ ` � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• '� <br /> PUGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL j , <br /> uc�i �IPiION Of�IIO�ERIY IS n�i W OR�iT�CH IOUR COPIf51 ,� n PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE � <br /> 7�� �l�w�y OF WORK W�LL Bt COMPLIED WITH WHETHER SPECIFIED HEREIN � <br /> wr�eioca_or OR NOT. THE CRANTINC OF A PERMIT DOES NOT PRESUME TO ' <br /> � �� C� CIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Oi � � <br /> ANY OTHER STA1E OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. � <br /> SICN�IURE OF CONTRAfTOR OR/AU�THOIIIZFD AGENT D�iE � <br /> IOB�D�fS�� 1 �� X �-�V `� � ���� � . � � <br /> �P <br /> RUMUNG MECMANICAL . ' <br /> FEE NO. TI'►E O/EQUI�MFNT FEE � <br /> NO. TYrE OF FItTU�E - <br /> W�TER CLOSET�TOUET) AIR COND UNITS-N P.EA �, <br /> BATHTU! REFNIGENAiION UNITS-NP.FA <br /> I�VATOIIY(WASM BASIN) BOILERS-NP EA ; <br /> SHOWFII GAS FIRFD A.C.UNITS-iOUNAGE EA � <br /> � KITCHEN SINK L DISP FORCED�IR$YSTFM$-B.TL. M FA I <br /> � DISWASHEII WAII HFATEIlS-B.T.I•. M , <br /> L�UNDRY TR�Y UNIT HF�TFRS-B.T U. M <br /> ' CIOTHES\V�SMER EV�POIIATIVECOOLEIIS � <br /> WATEII MEATER CLOTMFS DRYEIIS i <br /> . UQIN�I VENTIIATION FAN <br /> � DRINRING fOUNT�IN IIANGF HOOD � <br /> i <br /> FIOOR DRAIN AIR MANDLING UNIT- CF.M. <br /> VACUUM OREAKFIlS STOVE .. <br /> � IIOOF DRAINS-R�INLE�DERS MFTAI FIREPUCE L CHIMNEV � <br /> ' SINK(SERVICE-BAR.FTC 1 � <br /> I <br /> I <br />� � fU�TOiAI fU�TOTAI � <br /> RIIMIt f �lIMIT • <br /> f TOiAIftE • TOiAI RE 1 ,, <br /> i <br /> SIOF Y�RD SFTB�CK STREFT SFTB�CK RF�R YARD SETBACK Pll1N CHFCK NUMBER rLAN CMECK FFE <br /> 1 �FE NFCEIPT NO. i <br /> 1 <br /> I� � USE ZONE lOT Al1E� V�UNT SITE �Elf � VAlUAT10N �� - <br /> ❑YFS ❑NO <br /> i TVPF OF CONST OCCUPANCY GROUP NO.OF OWEILING UNITS <br /> BUIIDING s <br />�� SIiE O�BIOG NO.OF STORIFS MA%.OCC.IO�D <br /> PIUMBING <br /> iIRE ZONF BASFMFNT PkOROOMS qEQUIRF1DKLERS MFCHANICAL <br />( C1YF5 �N�` <br /> I1MlOVAb �� D�t[ OTMEII � <br />� 1 ENVIRONMENTAI CMECK LIST ' pENAITY U.BC. � <br /> SFC.JO71�1 <br /> 7 BUILDING PlANS � , <br /> TOTAI <br /> 7 iIRE HYDRANT <br /> 1 FIRF PROT[CiION SYSiEM ft�MIT VAIIDATION <br /> WHEN MOPEIIIY V�IID�TFD IIN TMIS SPACF)iMIS IS YOUII►E0.MIT <br /> 5 GR�DINGIf%GVATION6ClEARINWGIIUBBING . <br />� 6 DRAINAGE � <br /> 7. ENVIIIONMFNT�LIMPACTSTATFMENT <br /> !. HFALTN DISTRICT <br /> A►PIIC�TION ACC.BY PLANS CHECKED BY APPR.fOR ISSWNCE BY <br /> 41�79 <br />