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. .. <br /> ---� <br /> � APPLICATION FOR <br /> ' orE°""'"" CONSTRUCTIOI� `�e <br /> � everett PERMIT <br /> iDEPT. OF COMMUNI7Y DEVEIOPMENT SERVICES <br /> CITY HALL 259-BRS <br /> EVERETT,WA9B207 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> I �A-�-�iR�rf /l�iTI�CFS MZlaL7� d�"� ���'�'L-lT K�-ZI��I ��E <br /> •� CNItECTORIIESILMFR MM/AUDNF55 CIiY 21P PHONE <br /> I GfNER�ICONTN� IOM MAIIADDNfSS CITY 21P PMONE UCENSEI <br /> � �d/�a,�cr� �oY'- �i �p -f-< f�i��r, �/,/. �� .�3r-r�s�s l'�cocq�.�,� <br /> � MECM�NIUI CONiR�QOR M�II��ONESS CIIY LIP IHONF IICEN$F 1 <br /> � <br /> PILL+�PihL[OH1p�CfOR M�II�O�R[SS CI1Y IIP PMONF UCENSE I <br /> i �l <br /> I C1�550{WORc <br /> ��� ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FFNLE ❑SIGN ❑GARAGE ❑BUIIDING RELOUTION <br /> V�W�iIONOf WORK <br /> � /,30� <br /> Of5 f WOPt <br /> C�QD�$I�TIo�IJ <br /> FROI'OS[DUSf OI PUiIDING 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> i PLIGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> l[Wl DISCNIP1iONOi YROPlRLY�SMOWN BFIOw OR�iT�CN fOUN COPIF51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io�_eioce_ov 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 LOCAL LAW RECULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SICNATURf OF CONiRACTOR OR AUTMORIZFO AGENT D�TE �f��//� <br /> L viri-, <br /> � i ion�ooa sz <br /> �7 O S X <br /> PIUMEING MECH C <br /> NO. TY�E OF il%TURE FEE NO. TY►E OF EQUI►MENT FEE <br /> WATER CLOSET�TOIIETI AIR COND UNITS—M P.EA <br /> BATHTUB REiNICE0.ATION UNITS—H P E� <br /> LAVAT00.Y�WASNPASIN) BOILFQS—HP fA <br /> SHOWER CASFIREDAC UNITS—TONNAGEEA <br /> KITCHkN�INK 8 OISP F00.CED AIR SYSTEM$—B T U M E� <br /> �ISWASHFX wALLNFATERS-81U M <br /> LAUNDRYTRAY UNITHfATE0.5—flTU. M <br /> CLOTHES WASMER EVAPORATIVF COOLERS <br /> WATFR NEATEN CLOTNES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINKINC FOUNTAIN RANGF HOOD <br /> FIOOR DRAIN AIR HANDIINC UNIT— C f M <br /> VACUUM BREAK[N$ STOVE <br /> ROOF DRAINS—RMNLEADERS MfTAL Fl0.FPLACF 8 CMIMNEV <br /> $INK�SFRVICE—BAR,ETC� <br /> ' SU�TOiAI SW TOTAL f <br /> ►E�MIT f R�MIT f <br /> i0i�l RE f TO7AL iFE f <br /> SIDF YARD SR�ACK STREET 5[TBACK NU0.YARO SRBACK PLAN CHEIX NVMBE0. PLAN CMFIX FFE <br /> FEE RECFIPT NO. <br /> USE ZONf LOT ARFA y���NT SIIF <br /> �YES ❑NO iFES �ALU�iIOM iFE <br /> TYPf Of CONST OCCUPANCY GROUP NO Of DWELIINL UNITS <br /> _,. 9VIlU1NG s � <br /> SIZE OF 9LOG NO.Of STORIES MA% OCC IO�D , <br /> PWMflIN, <br /> FIRE ZONE B�SFMFNT IIL�NOOMS FlRI SPRINKlERS <br /> NEQUIRED MFCHANICAL <br /> �YFS ❑�+O <br /> A►►tO\'Al5 �Y DAfF OTHFR <br /> 1 FNVIRONMENTAL CMECK L15T U BL <br /> PENAUY $EC.J03�a) � <br /> 2 OUIIDINL PlANS <br /> 7 fl0.E HYORANT TOTAI <br /> 1 iBE PROTFCTION SYSTFM ►[RMIT VAUDATION <br /> S GRADINGI%UVATION d CLEABINqGRUBflING WHEN PROPERLV VALID�TEO ON TNIS SPACEI TMIS IS YOUR PERMIT <br /> � <br /> 6 DRAINAGE <br /> 7 FNVIRONNFNTAI IMPACi STATFMENT <br /> E. MFAITII DISiRIC/ <br /> APPIICATION ACC.0Y PIANSCMECKFD BY APPR iOR ISSU�NC[ BY <br /> 41�79 <br />