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_, <br /> �,E,,,�,,, 4PPLICATION FO�' �„ <br /> �°F CONSTRUCTIOh <br /> everett PERMIT e <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-0715 <br /> EVERETT,WA9E201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> � � V IC'1 V� I � 1 Il I S� i 1 M�II AI�I I �� UTY 11P PMONF <br /> . ,�s F,���N a�ao ► <br /> AR[HITfCT OR OESIG�+FR MAII�DDRF55 CIIY � LiP PHONE <br /> GFNERMCONTP�CTOR M�IIAppRF55 �Ilv ZIP PHONE IICFHSE/ <br /> �' Sean� i �sl�� 20� NF �lt, 4Ir�5 9R'2�5�1 -;3�/—/971� <br /> MECN�NIUI CONTRACTOR M�II ADORE55 UTY LIP PMONF IICENSE/ <br /> PWMflINC CONLR�C'TOR M�II ADDRl55 CIIY ZIY pHONE �ICENSE� —_I <br /> C1�55 Of N'ONR <br /> ❑NEW ❑ADDITION . ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> V�1U�110NOf W00.K <br /> f <br /> DLSCRIBE WORK <br /> � ric ' . - ' fi orne�-- o-� �ar( <br /> vqoros�ous�or aunoivc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IEL�I OfSCRIPiIOMOi PROPFRfY�SHOWN PIIOW OR�iT�CN fOUN COPII51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH�S TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> IOi�BtIXK_01 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 LOCAL LAW REGULATINC CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR OR AUTMORIZED AGFNT DATE .� //� <br /> IOBn00Rl55 _ ��_ �'y a <br /> F / Cct S �e r-t� X <br /> PIUMlING MECHANICAI <br /> NO. TY►E OF FIIfTURE FEE NO. TY►E OF EQUI�MENT FEE <br /> WATFR ClOSET�TOLIFTI AIR COND UNITS—H P EA <br /> BATNTUB RFFR�GFRATION UNR$-MP FA <br /> U\'ATORY�WASM BASIN� BOILERS-M P FA <br /> $HOWFN CAS FIHEDAC UNITS-TONNACE EA <br /> KITCMfN$INK b DISP FORCCD AIR SYSTEMS-B.T.U. M EA <br /> DISWASHER WALLHEATERS-BTU M <br /> LAUN�RYTRAY UNITNFA7FR5-BTU M <br /> CLOTHF$WASMfR f\'APOItATIVE COOLFRS <br /> WATER HEAiER �IOTHFS DRYERS <br /> URINAI VINiILATION FAN <br /> DNINKINGLOUNTAIN q�NGE MOOD � <br /> i FLOOR DRA�N AI0.HANOIINL UNIT- C.F M <br /> VACUUM BR[AKFR$ STOVE S <br /> ROOf DNAINS-RAINLFA�ERS METAL FIREPI�CE 8 CMIMNfY <br /> SINK ISFRVICF-BAR.ETC� <br /> SU�iOTAI SU�70TAL f a <br /> ►EIIMIT f rFRMiT f O <br /> iOTAI fEE f TOiAI FEF f <br /> SIDF YARD 5[TOACK STRFFT SCTOACK RUR YARD SETfiACK PLAN CMECK NUMBfR PLAN CHECK FFF <br /> FFF RECEIPT NO. <br /> USI l.ONE LOT ARFA y���NT SITE <br /> ❑YES C40 iFF3 VAIUAiION iEF <br /> TYPE OF CONST OCNPANCY G0.0UP NO Of DWFILING UNIiS <br /> BUIIDING f <br /> SRE OF BLDL. NO.OF STORIE$ MA% OCC LOAO <br /> PlUM1iING <br /> i1RE 20NE BASEMFNI OIONOOMS FIRf SPRINKLENS <br /> REQUIRED MECHANIUL � � <br /> ❑Yf 5 ❑NO <br /> AAl10VA15 �Y DAiF OTt1ER <br /> 1 ENVIRONMENTALCMFCKLIST U.BC. <br /> PE rv�l l Y SEC.IOHa� <br /> 3. BUILOINC PLANS <br /> ] FIRE NYDNANT TOTAI <br /> �. FlRE PROiECTION SYSTEM �EIIMIT VAlIDA710N <br /> 5 GRADING!%GVATION 6 CIURINGCRUBflINL WHEN PROPERLY VALIDATFO pN TMIS SPACE�THIS IS YOUR PFAMIT <br /> 6 D0.AINAGE <br /> I. ENVIRONMFNtAlIM7ACT5TATEMENT <br /> !. HEAtTM DbTRICT <br /> APPL�CATION ACC BY PLANS CHECKED BY APPR.fOR ISSUAN[E tlY <br /> 41�79 <br />