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. ,ME�,,,� qPPLICATION FOR ���,�„ <br /> ��r�F CONSTRUCTIOf� e <br /> everett PERMIT <br /> DEPT. OF COMMUNITY �EVELOFMENT SERVICES <br /> CITY HALL 25487�5 <br /> EVERETT, WA98201 ��OMBINATION ❑ 6UILDING ❑MECHANICAL ❑PLUMSING PERMIT NO. <br /> OwNt/ y � N�II n00NK5 /�/L/: CIIY ZIV pMpHF <br /> i v^-vC�l�-zC- <br /> MI IITlCLOROISICNlP MAII Rf55' ❑iY ZIP PHONE <br /> G[Nlq�l COrv10.AC10R 'A�IL�OORl55 CIiY ZIP PNONF IICFNSFt <br /> n1iCNAN1Ut CONIN�CIOA M�II AUDAI55 CIIY lIP PNONE IICENS[i <br /> Pyl �gflI4GCON10.�C10N MAII��� '�R CIIt 21F pHON[ �3_dYCENSFI <br /> � <br /> `Xio��+c-Sv/�l.z ?�-� �237�-y 7c� 5�-,�.�i� 9�/9�' �"-�ii 'PR-�o-�s- <br /> CTSS Of NOMK �(� C'.� <br /> ❑NEW mADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> W l W I ION Of wONk <br /> S <br /> OfSCPiP1 WOXR <br /> 1`POPOSFDUSF UI PUIIDING 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 /> IFC�101SCRI%IOYOf PNOPIRIYISNONN pllON'OX AII�CI'.IOUR COOII51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> tOt.�BIOCN�Of pR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGUT ATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGN�TURE OF CONTRACTOR OR AUTMORIZED AGENT OATf <br /> IOPe0DRf55 _ � � _ _ <br /> X +� • ( <br /> ►IUM�ING MFCHANICAI <br /> NO. TY►E OF FIXTURE FEE HO. TYfE Oi FQUI►MENT FEE <br /> W�TER CLOSfT�TOUFTI AIR CONO UNITS—H P.F� <br /> OATNTUB R[FpILERATION UNITS—M P.EA <br /> UVATORY�WASN BASIN� AOILfRS—H P E� <br /> SHOWFR GA$FINEO A.0 UNITS—TONNACE fA <br /> KI7CMFN SINK 8 UISP FOPCEO AI0.SVSTEMS—B T U. M EA <br /> DISWASHFR WAILMEATERS—B.TU M <br /> LAUND0.ViRAV UNITNEATERS—BiU M <br /> CLOIHES wASHEft N'APON�TIVE COOLFRS <br /> WA1EN HFATFR CIOiHFSfaYERS <br /> URINAL VFN71U110N FAN <br /> ORINKINC FOl1NTAIN RANGF MO00 <br /> FIOOR ORAIN AIR MANDLINC UNR— C i M <br /> VACUUM BNFAKERS S10VF <br /> ROOf DRAIN$—NAINIEAOE0.5 M[TAL fIRFPLACE 6 CHIMNFY <br /> SINK 6ERVICf—flAR E7C 1 <br /> � � <br /> fU�fOUI SU�iOTAI S <br /> ►[RMIT f ►[�MIT { <br /> � TOTAIif[ ! TOTAIi[F s <br /> SIDF YARD 5[TBACK STRFFT SCTPACK RUR 1'ARO S[19ACK PUN CM[CR NUMBER PUN CHEIX FEE <br /> FFC RECEIPT NO. <br /> USE 20Nk l0T A0.[A yAUNT Stt[ <br /> ❑YES ❑NO f[ES VAWA710N f[E <br /> TVPI Of CONST OCNPANCY LROUP NU O��DWfIIING UNI15 <br /> DUIIDIN�, s <br /> SIZf Oi BIDG NO OF$TORI6 MAk OCC LOAD <br /> r nmv+c <br /> fIRE 20N[ flA$FMfNT IIIUHOO.NS IIRI SPRINKI[RS <br /> RFQUIR[D MfCMANIUL <br /> f1Yf5 f'_NO _ <br /> A�►IIOVAIS �t D�7E OTMFR <br /> 1 ENVIRONMfNTAL CM[CK lIST ❑Bf.. <br /> PkNALTY SFC 70J(al <br /> 7 9UIlD�NL PLANS <br /> ) flRf HYURA�IT TOTAL <br /> � ilRf PROTECTION 5Y5TfM ►[IIMIf VAIIDATION <br /> KNLN PROPERLY VM�DAT[D UN 1M15 SPRCf)THIS IS YOUR PFRMIi <br /> 5 GNADINGIfXCAVATION6ClIARINGILRUtlI11NG <br /> h DR�INAGf <br /> 7 FNVIRONMFNTAL�MP�CTSTATEM[NT <br /> 1 HUf TN DISTNICT <br />