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,�,E,,,��,� APPLICATION FOR� ���,�„ <br />°�^°° .,ONSTRUCTION <br />everett PE RM IT e <br />DEPT OF COMMUNITY DEVELOPMENT SERVICE$ <br />CITY HALL 259�8745 <br />EVERETT, WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MMI�U�N[55 [ITY lIP ONONF <br />�i�ni+�ar w. 1)CK/Y.��1 1 YUT l'INFN6�T�I GUC-KC// %.6r�uJ J" J- �"/ <br />ARCNI1fCTORO[SIGNfP M�IL�pONf55 ❑TY 21V PNOHE <br />U/l�//h rl <br />G[N[R�L COMIR�CION el�ll �ppRF55 CITY 21P PHONE �ICFHSF � <br />_� l�: N�12 <br />MlCN�nIULCONt0.�CLOR M�II�pOI1155 fIIY IIP PHON[ IICENSE/ <br />MU+�PIrvG tONiR�C10R MAR AUDPlSS CIiY IIP PNOHE IICENSF 1 <br />Cu55Of WORK <br />❑NE1V ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN �ARAGE ❑BUILDINL REIOCATION <br />YeWA1�ONOf WORK n /� ^� <br />s ��� 'C��V. C�, <br />0(SC0.1Bf WORK <br />I ./ /� <br />VROVOSI O U51 OI flUIIOINL <br />IIC�I Of SCFIPfION O( VROVlR1Y �SNOWN 9LlOW ON AIqC1110UR COPIL51 <br />ioi�jf i+�2e�ocK � or i�ar oF Pi NE <br />IOP eDDRlSS <br />/ % C' y /�/ <br />�IUM�ING <br />NO. TY►E OF FIXTU�E <br />WATEN ClOSFT ITOIiET) <br />BAIHTUB <br />UVATONY �WASM BASIN� <br />SNOWFR <br />KITCMFN SINK 6 DISP <br />OISWASHER <br />LAUNORY TRAY <br />CLOTMfS WASHFR <br />wA1ER HEATER <br />URINAL <br />DRINKINC iOUNT�IN <br />FLOOR ORAIN <br />VACUUM BRF�KERS <br />ROOF �RAINS-0.AINLEADERS <br />$INK�SFRVICE-B�R, ETC1 <br />,y� <br />n.(� .. SU� TOiAI <br />USE ZONE LOT AREA <br />TYPE� W� OCCUPAN <br />�I�-�1.�i� <br />512[ � BLDG � <br />VE�_ I BASfMFNT I 11tUXOOMS <br />�-- <br />AMIIOVAIf <br />1. ENVI0.0NMENTAI CMECK L151 <br />7. BUILDINC PUNS <br />J FIRF HYDRANT <br />� FINE PRO1EC710N SYSTfM <br />5 GRADINGIF7(GVATIONBCIfARINGGRUBflING <br />6. DR�INACE <br />7.ENVIpONMfNTALIMPACT57ATEMENT <br />e nFniTH oisTRict <br />APPI�CATION AK. BY PUNS CHECKED BY <br />�.0 , <br />9�1�79 <br />I HEREBY CEkTIFY THAT I HAVE RE'.D AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOUL LAK' REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURE OF CONTR�CTOR OR AUtHOR12ED �GENT DATF <br />MECMAHICAL <br />NO. TYfE OiFQUIPMENT <br />AIR COND UNITS—HP. EA <br />REF0.IGFRATION UNITS—M P EA <br />flOIlFRS—HP EA <br />CAS FIRED �C UNITS—TONNAGE E� <br />FORCED �IR SYSTEMS—B T U. M <br />WAtI HFATERS—BS.0 M <br />UNITMFATENS—BTU. M <br />EVAPORATIVE COOLERS <br />CLOTHFS DRYERS <br />VLNIII�iION FAN <br />RANGfHOOD <br />AIR M�NOLINL UNIT—' � C.F M. <br />STOVE <br />MEUL FlRFPUCE 8 CHIMNFY <br />ZO� � c <br />'AUNT SITE iEEf <br />7YE5 .`�O <br />O OF UWkILING UNIiS <br />—^ BUIIDING <br />IA% OCC LOAD <br />� l PIUMBING <br />IRE SPftINKlERS <br />'EOUIRE MECHANIUI <br />7YE5 O <br />�T DATF OTHt0. <br />PENAl7Y <br />70TA1 <br />APPR iOR �SSUANCE BY <br />►E�MIT � � <br />70TAlIEF � <br />PL�N CMECK FEE <br />FFE � RFCEIPT NO. <br />I /. 'i S'"3: c <br />U8C <br />SEC JONa) <br />►fI1MiT VALIOAiION <br />WNEN P0.0PIRLY VAl1�ATED (IN THIS SPACE� iH15IS YOUR PERMIT <br />�� ���. a«� �N P�,�,� c�� <br />NO /�"_-//UL-3.J OG� `+EwJtil�CJ�C_ <br />�i SG 6F' /� G.�f . /�-Ni� r� <br />sD '� l /��� � <br />�/ � � <br />