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t � <br />fMEvaprNn P °PLICATION FOR <br />cITMOF ��NPERMITTION °"e <br />everett <br />DEPT. OF COMMUNITY DEVEIOPMENT SERVICES <br />CITY HAII 259�87�5 � <br />EVERETT, WA9B201 ��OMSINATION ❑ BUILDING �MECHANICAL ❑PLUMSINC PERMIT NO <br />o NF Mnrt eooxtss <br />/j [� Z�P VNONF <br />�ac iTtcr oR v� i� � . �SC` � � / 1 ��i5�/.U/.`/� I�G1' i� � �%C') % �.� % � 7 % <br />M�II�DDPlSS CITY � Zlp PHONE <br />GENFR�LCONIRACIOII MML�DDNlS$ ��ip <br />ZiP VNONE ll[[NSE 1 <br />NfCn r�1Ul CONIpApOR M�II nDONE55 ��ry <br />21F PNONF IICFNS[ I <br />PIU+�PIUG[ONIPACIOR M�II��ORF55 ��T� <br />Z�P VNONE ll[ENSE I <br />CU55O! WORK <br />GNEW ❑ADDITION <br />\'e1U�110Y 0! N'ORN <br />f <br />DISCAiBf WORR� / <br />G] <br />US( OI PUIIDI`�G <br />❑ALTERATION ❑REPAIR <br />7 <br />llGAl OlSCPIP110N 01 PFOP:qtt �SNOWN 8llOW ON VT,1CN IOUR COPI(51 <br />l01 � qIOCK � p{ <br />I�H �DOMI55 D � � <br />Y�/J .C�nU/f <br />►IUMBING <br />NO. TY! <br />wnTER CLosf i I <br />LAVATORV <br />OF FII(TU�E <br />K�TCMFN $INK 8 DISP <br />DISwA5HE0. <br />UUNDRY TRAY <br />CL01HE5 WASNfR <br />WATEIt NEATER <br />URINAI <br />DflINKINC FOUNTAIN <br />VANUM <br />$INK <br />YARD <br />TYPF Of <br />u <br />STR[FT SRMCF <br />lOT ARFA <br />�:CUPANCY GN( <br />NO Of STORIfS <br />BASEMFNT NI <br />—_ A�flOVAl3 <br />1 ENVIFONMENTAI CMECK liST <br />2 BUILDING PL�NS <br />l fIR[ HYDRANT <br />1 FI0.F PROTfCTION SYSTFM <br />5 GRADINLIfk�AVAilON6CLf�RINClLRUBflINL <br />6 DRAINAGF <br />7.FNVIRONMENTAIIMPACTSTATFMENT <br />E MF�LTH DISTRICT <br />APPIIUTION ACC. BY P��NS CMECKED BY <br />47�79 <br />�f <br />R[AB YA0.D SFTOAI <br />VAUNT $IIE <br />❑YES ❑NO <br />+O Of �WILLING <br />NA% OCC IOAD <br />�IRF SPRINKLERS <br />3EQU�R[D <br />7YE5 ❑NO <br />�f OAiF <br />❑DEMOLITION ❑FENCE ❑SIGN ❑GARACE ❑BUILDING RELOCATION <br />fOR ISSUANCF BV <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PRnVISIONS Of LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR IOCAL LAW REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. p <br />SIGNATURE OF CONTRACTpR OR AUTMORIZED ACENT DATE �^�—p� <br />�• <br />MECMANIUI <br />�iM CON� UNITS—H F EA <br />REFRICERATION UNITS—M P EA <br />BOR[RS—NP EA <br />GASFIPEDAC UNITS—TONNACEEA <br />iORClD AIR SVSTEMS-07 U M EA <br />1vAlL MEATENS-0 T U M <br />UNI7MEATERS—BTU M <br />V[rvIIlA71pN FAN <br />RANGEMOOD <br />AIR HANOIINC UNIT— C F M <br />STOVE <br />MFTAL iIqFPUCE 6 CNIMNEY <br />CH[O: <br />iE[S <br />SU�iOTAI � <br />�EIIMIT � <br />FEE �RECEIPTNp. <br />BUIIDINC y <br />PLUMpINL <br />Id[CNANIUL <br />OTMER <br />Pf NAITV �� B C <br />SEC lOJ(a� <br />TOTAI <br />►FIIMIT VALIDAiION <br />WhIEN PpppFRlY VAIIDATfD �IN TMIS SPACE� THIS �5 YOU0. PERMIT <br />