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_ —I <br /> ` tME��n�n APPLICATION FOR ���,�„ <br /> �m�F CONSTRUCTIOI� e <br /> everett P�RMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�BR5 <br /> � EVERETI, WA9B207 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. �� <br /> ' OWNE0. � M�II eUON[55 C�tY ZIP PMONF <br /> �ab•f' �cc..�i•-� /3�S �+!'�.•!l�. •C•, H�•�•/1� 9Ps�S 3s s'-�-/�9 G , <br /> ANCNIIF[T 00.DISIGN[R M�II�OUNL55 CILY ].IF VHONE <br /> GfNER�I C IPA[i0R / M�R�OOR6 CIiY ZIP PHON IICENS[� <br /> o • Liz/l` �v�ex .363 /1r�./� 9d2»� /l�.eB� 2 33 0� _1 <br /> ' Mt[M�NIUlCOM1R�CI0 M�II�U fA CIIV LIV YHONE IICEN5F1 <br /> PIUMNItiLCONIR�C100. M�Il�00R65 ���Y 21P PMOHF IICENS[I <br /> (U55 U!KONK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ,�DEMOLITION ❑FENCE ❑$IGN ❑GARAGE ❑BUILDING RELOCAIION <br /> � Y�IU�iIOA OI KORR <br /> + �SO d <br /> otscaixi wou <br /> /N�i • <br /> ruaros�nuv or xuimiYc I NEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ieeniu�scaivnovarnoviarr�vw �r+nEiowoe�ri�n" �oRCOP�IS PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> �J�� ,�Jy� ��� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> tUl �1oCK!aCf�o� T� � OF. 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 LOGL LAW RECULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> . SIGNATURE O CONTRACTOR OR AUTMORIZED AGENT DATE <br /> iox nooxtss � J / � <br /> 3✓i Il� x �� <br /> PWMBING MECHANICAI <br /> NO. TYPE OF FI7.;UNE FEE NO. TY►E OF EQUI►MENT FEE <br /> � WATfRCLOSFT(TOLlfll AIRCOHO UNITS—HP.FA <br /> flA7MTUN REFRILFRATION UNITS—N P.FA <br /> � BOILERS—MP EA <br /> � lA�'�TORY�WASM RA51Y1 <br /> ? $MOWFH CASFIREDAC UNITS—TONNAGEEA <br /> i KITCMEF SIhK b DISP �ORCfD AIR SVSTEMS—B.T.0 M EA <br /> , DISN'•.iHER WAILHfATfRS—BT.0 M <br /> LAUN�0.Y TNAY UNIT HEATERS—B T U M <br /> i CIOTHkS WASHE0. FVAPORAiIVF COOLERS <br /> WATER HFATER CLOTNfS ORYER. <br /> ' URINAL V[NTIUTION FAN <br /> DRINKINGlOUNTAIN R�NGF HOOD <br /> f LOOR DRMN AIR NANDLING UNIT— C f M <br /> vACVUM BRf AKt RS STOVE <br /> HOOF DNAINS—RAINIEADERS MFTAL HRtPUCE 8 CHIMNFY <br /> SINK�SFRVICf—BAR FiC 1 <br /> ' SU�i07A1 SU�TOTAL s <br /> ►FRMIT f tFtMIT ! <br /> TOTAL fFE S TO7Al iFF s <br /> ' SIDF YARD SfTqAfK STRFET SCTPACY, RUR 1'ARD 5l10ACK f'LAN CHLCK NUAItlEH PL�N CMECK FEE <br /> FEE RECEI?T NO. <br /> USE ZONF LOT AREA yACANT SIIE <br /> ❑YES ❑NO FFFS VALUATION iFE <br /> iYPE Of CON57 OCCUPANCV GROUP NO OF DWFLLING UNIT$ <br /> BUIIDING s <br /> $IZF OF BLOC NO.OF STORIE$ MA% OCC LOAU <br /> PWM1IDING —.1 <br /> ' FBEZONF BASEMEN7 BtUHOOMS 0.QU AlDKlERS MCCHANICAL <br /> OVFS ❑NO <br /> A►►IIOVAlS �Y DAiE OTHFR <br /> , 1 FNVINONMENTAL CMKK 115T PENAITY U BC. <br /> SEC.NlJla) <br /> 2 BUIIDINGPlAHS <br /> TOTAI <br /> J fIRF HVDRANT " <br /> � FIRE PROTkCTION SYSTEM ►FIIMIT YALIDATION -- <br /> WHFN PROPERIY VAIIDATED IIN THIS SPACE�THIS IS VOUR PERMIT <br /> 5 G0.ADINGIf%G\'ATIONBQfARINGGRUBNING <br /> 6 DRAINAG[ <br /> ' 7. ENVIRONMFNTALIMPACTSTATfMENT <br /> E. HFHTH DI5T0.1C1 <br /> . APPLICATION ACC.BY PL�Ni CHECKED 6Y APPR.�00.ISSUANCE BY <br /> �I id <br />