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a <br /> APPLICATION FOR _ �,«<n _ _ _. ___ _ <br /> ""E""'"" CONSTRUCTIOh � � <br /> cin oF I p I <br /> everett PERMIT � <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL]59-87�5 <br /> EVERETT,WA9B201 ��OMBINATION BUILDING ❑MfCHANICAL ❑PLUMBING PERMITNO. <br /> N,q MSR O�XI55 II1 ZIP PHONE <br /> ' � �L�f��x�"��z �«<�/!�'� 9Q�� �S�_v z�_ <br /> �NCNITtCT OR p6�GMR � MAII AOUR[SS CIT ZIP iHOHF <br /> GfN[Ml � IR�C10R MAII�DORE55 ��TY 21P PNONE IICENSE� <br /> ) � <br /> AIfCH�MUI C 0.AC10R MAII A000.F55 CI1Y LIP PHONE IICENSF� <br /> PWAIflIUGCONIReCiOR Me1leUOPL55 CIIY 21P PNONE IICEN5E/ <br /> CU55 01 W ORK <br /> ❑NEW ❑ADDIiION ❑ALT[RATION ❑REPAIR ❑DEMOLITION ENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> �aiu�nor+�oiwoa'. �� <br /> � 7/�,�� — <br /> OLSCRIfl!KO c � <br /> � / � � <br /> PROp ousi oi nunoi�c I HEREBY CE FY THAT � HAVE AD AN EXAMINED IS AP- <br /> PLICATION AND KNOW TI1E $AME TO BE TRUE AND CO RECT ALL <br /> IEGAlO(SCRIPIIOYOf PNOP[RIYISNOW uowoa uu�rou ornsi PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE <br /> �� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> i��aioU`/�`�o ' � OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AU7HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SILNA1UNf OF CONTRACT02 OR AUTHORIZEO AGFNT OATE � <br /> � ,�� <br /> IOP�ODNlSS v <br /> A <br /> fIUMlING � . 'f�ECHANIUI <br /> NO. TY►E OF FI%TURE fEE NO. TY►E OF EQUI�MENT fEE <br /> WATIR CLOSE7ITOLIET) AB fOND UNITS—N P.EA <br /> REFRIGERAiION UNITS—NP FA <br /> [IA7MTU9 <br /> UVATORY�WASH flA51N) BOIlEHS—N P EA <br /> GAS FI0.E0 AC UNITS—iONNAGE EA <br /> SMOw[R <br /> KITCMEN SINK 8 DISP FORCFD AIR$YSTFMS—P T.0 M EA � <br /> �. WAIL MEATCRS—B T U M <br /> DISW�SMF0. <br /> UNII MFATE0.5—B T U M <br /> LAUNDRYTftAY <br /> ClO7HF5 WASHfR [VAPORATIVE COOlFRS <br /> WATIR HEATER «�iHFS DRYER$ <br /> V(NTIIATION fAN <br /> URINAL <br /> DRINKINGFOUNTAIN FANLE NOOD <br /> FIOOR DRAIN AIR H�NDIING U`11T— C.F M. <br /> �' VACUUM BHFAKFRS STOVf <br /> �tl ROOF ORAINS—RAINIFADERS ��1ETAl FIRfPUCF 6 CHIMNEV <br /> SINR�SFRVICE—NA0.ETC 1 <br /> �. <br /> '�, <br /> ` ' SU�TOTAI SUtTOTAI s <br /> F ►E�MIT f �E�MIT s <br /> � TOTAI FEF 3 TOiAI iEE � <br /> PUN CMECK FEE <br /> SIDF YARD SCTMCK STNtIT SCTIfnCK RUR YAR�SFiOnCK FUN C11[CK NUn117[R FEE RFCEIPT NO. <br /> , USE ZONI LOT ARU yAUNi SRE �F�g VALUA710N iFE <br /> ❑YFS ❑NO <br /> iYPE OF CONST OCCUPANCY LNOUP NO Of DWkILINL UNIT$ <br /> euuoiHc s I�•cx' 25 �C� <br /> SIZf OF tlLDG NO OF STONIfS MA% OCC I.OAn <br /> PLUMOING <br /> 1 <br /> FIFF ZON[ BASEMENT ❑lONOOAIS REQUIREDKLERS MECMANIUL <br /> � C]YIS ❑NO <br /> A►►�OVALf �Y DATE OTII[R <br /> 7. ENVIRONMENUI CNECK LIST pENAIiY U 9 C <br /> SEC JOJIa) <br /> ) BUILDING YUNS <br /> Toui 2�� C�O <br /> 7 FIRE HYDNAN7 <br /> - 1 FIRE PROT[CTION SYSTEM �FRMIT VAIID�TION <br /> WMfN PROP[RLY VAIIDATFD UN iM15 SPACf�TNIS IS YOUR PERMIT <br /> 5 GNADINGF%CAVATION6GlfA0.1NGIGRUtlBING <br /> 6 ONAINAGE <br /> 7 ENVIRONM[NTAIIMP�CTSiATEMFNT <br /> E MFAUH DISTNIC7 <br /> �PPIIUTION ACC.0Y PUN$CNfCKFD 9Y AVPR iOR ISSU�NCE BY <br /> G� �. <br /> g.1�79 <br />