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4PPLICATION FOR ���,�„ <br /> '"'E"'°'"" CONSTRUCTIOf� e <br /> CItY OF <br /> everett PERMIT <br /> DEPi OF COMMUNITV DEVEIOPMENT SEkVICES <br /> CITV HALL 259�8745 <br /> EVERETT,WA9B201 �COMBINATlON ❑ BUILDING ❑MECHANIfAL ❑PLUMBING PERMIT NO. <br /> pµq�p� � ��_ MM1II �OOMI55 �///� CIfV 21P PNONE <br /> I� .��—! 4'y�r <br /> isT/ � <br /> �R NIi1CTORl�I51GNlq MnIIA NI55 C11Y ZIP PIIONE <br /> � � CfrvlR�t CO`+IR�CtOR Mell�DORI55 CttY ZIP VMON[ LICENSF I <br /> MICM�KIUI CO!�IN�CiOR MUl�UOAl55 lRY LIP FMONE IICFNSF� <br /> PyI '��,NWf.CONiP�C100. MnILnpORISS ❑iV ZIP PHO�+E �3�VV�ENSF1 <br /> f:Z'/�£�+F-.S�.�%�/fz .�.� �f°3�•-.Z-y71� Se.�7�r' 9�/9�' 7-�-�// �PtZ-1D-ES- <br /> cTSO�NORK � C <br /> ❑NEW mADDIiION ❑ALTERATION ❑REPAIN ❑DEMOLITION CIFENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> vuuenon or�.�oaK <br /> 5 <br /> UISCRIPf wOR� <br /> rxovosiouv a nunoi�+c I NEREBY CiRTIFY THAT I 4AVE READ AND EXANiNED THIS AP- <br /> PLIC�TION AND KNOW THl ;AM[ '.O BE TRUf !.ND CORRECT ALL <br /> IIf.Q OFSCNIPIION OI PNOVIRLY ISHON'N PIION'ON AIiAC1110U1 COP�f51 PROVISIONS OF LAWS AND ORDINANCt�GOVERNING THI$TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERElN <br /> �pt �pIOCN�01 OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STA7E OR LOCAL LAW REGULATINC CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATU0.[ Of CONTRACTOR 00.AUTMORIZFD�GENT DAif <br /> IOtl eUONf55 _ � v � • � � / <br /> A f . . i [ <br /> ►WMlING MECHANICAI <br /> NO. TY�E OF FIXTURE FFE NO. TYfE OF EQUI�MENT FEE <br /> WATFR ClOSFT�TOIIETI AIR CONO UNITS -H P.EA <br /> BATIItUO REFqIGfRATIONUNITS—HP F� <br /> 1AVATORY IWASM BASIN� flOIlERS—M P EA <br /> SMOWEN CAS RRFO A C.UNITS—TONNAGE EA <br /> KITCMEN SINK b OISP FORCFD AIR SYSTEMS—B T U M EA <br /> Oi5WA5NFR WALLHE�IERS—BTU M <br /> UUNLNV TRAY UNIT NfAiERS—B T U M <br /> Cl01HE5 W�SMER FV�PORATIVE COOLERS <br /> WAiFR HE�T[R CIOTMFS D0.YFR5 <br /> URINAI _ VEN7ILATIONi�N <br /> DRINKING�OUNTAIN ��NGF HOOD <br /> fIOOR DRAIN AIR MANDIING UNIT— C F M <br /> VACWM BRFAKFRS STOVE <br /> ROOF 00.AIN$—RAINIEADERS METAL FIRFPLACE 6 CHIMNEY <br /> TINN�SiRVICE—B�R,iTC 1 <br /> � � <br /> SU�TJiAI SU�TOTAL S <br /> rf�MIT ! R�MIi { <br /> TOT�I IFE f 70i�L f[F s <br /> SIDf YARD SCTBACK STRFFT 5[TPACK R[AR YARO 5l TBACK PLAN CN[CK NUMBER PI�M1 CMFCK FEE <br /> FFE RFCEIPT NO. <br /> USE ZONF lOT�REA y�UNT SITE F��y VAlU�710N �E� <br /> ❑YES ❑NO <br /> 1YP[O�CONST OCCUP�NCY GROUP NO Of DWFILING UNIIS <br /> BUIIDiNG s <br /> SRf �F BI�G NO ni STORIF: M�C OCC IOAD <br /> PIUMHINC <br /> �IRC ZO`1F BASEM[NT Hf DROOMS REQU pEIDNKlfRS MFCMANIUI <br /> CIllS '-!NO <br /> A►r�OVAIf �t \TF OTHFN <br /> 7 ENVIRONMfNUICHECKl15T PtN���Y UBC. <br /> TfC ION+I <br /> 2 BUIIDING PUNS <br /> TOTAI <br /> J FIRE HYDRANT <br /> I fINF VROT(CTION SYSiF�1 ►[IIMIi VAIIDAiION <br /> WHEh PROVFRD:VAII�ATLD{IN TMIS SPACEI THIS IS YOUR PlRMIT <br /> 5 GRAOINGIf%CAVATIONACIMRINCILRUBBINC <br /> fi DNAINAGE <br /> l FNVIRONM.ENiAI IMP�CT ST�TEMENT <br /> E MFALTN DISIRICT <br /> APPLIGTION ACC BY YIAN!CHEIXED 0Y APPR fOR ISSUAl+CE NY <br /> 9 1�7° <br />