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tMErNprwn �PPLICATION FOR <br />°�TM°F CONSTRUCTIOh <br />everett PE RM IT <br />DEPT OF COMMUNIiY DEVELOPh1ENT SERVICES <br />CRY HALL 259�87�5 <br />EVERETT, WA 98201 ❑COMSINATION ❑ SUIIDING ❑MECHANI�AL ❑PIUMlING PERMIT NO. <br />!Y!fl11 <br />e <br />CU5501 NORI( �� <br />❑NEW ❑ADDIIION L7ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINGRELOCATION <br />,,���ra��"�� <br />❑ISCRIPI WOR; <br />__ � • �l� I �--� / � <br />cyi <br />lf C�l lSCM�P110N Of V0.pPI R 1T �SNON'N pf 10N ON �I I AQI {OUN COVII SI <br />,�, o „,o�,_o, N�rbm�e Uicin� , <br />1� /� % _ /t��i /' �� — /h—r`--. <br />PIUMlING <br />' TY�E OF FlXTUII <br />N'AtFR CLOS[7 ITOLIETI <br />11A7MTUA <br />I�VAiORY�WASH NAS�N� <br />S��OWER <br />NI1CMlN $INk A DISP <br />O15�.'�SMkR <br />L�UNDN\ TNAY <br />CLO7MI1 KASHFR <br />N'AIfN HfATLR <br />URInAI <br />pHINA1NG FOU�TAIN <br />f I OOR DR �IN <br />VANUM pRf.�KLHS <br />ROU� DRAINS- RAINLfADLRS <br />SINK 6f R\9CF —BAP. f�C 1 <br />VS! ZOYf <br />fIN[ ZONf <br />' :RI[T SL111ACK <br />L01 ANtA <br />OCCUPANCYGNOUP <br />NO Of STORIFS <br />Af►�OV�IS <br />1 ENVIRONMLNTAL CHLCK LIST <br />7 BUIIDING PUNS <br />] flRf HYORAN7 <br />� fINEPR07(C110NSYSTfM <br />5 GRADING'I%CAVA71DN6QURINGICRUBBING <br />6 ONAINAGE <br />7 FNVIRONM[N7AlIMPAQ STAT[MENT <br />E MUUM DISTRICT <br />APPUCA710N ACC BY PLANS CHECNED BY I �PPR ��R ISSUANC[ tlY <br />�f <br />NUR YAND SI111ACK <br />\'AUNT SR( <br />CiY[S CNO <br />NO OI OWLLIING UNI <br />MA% OCC LOAD <br />HFI SVRINKLIR$ <br />NfQU�RfO <br />rY1T 1';NO <br />�t U�TE <br />9.L79 <br />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 />PROVISIONS OF LAWS AND ORDINANCE$ COVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUC710N. <br />SIGNATUR f CONiRAC10R OR AUTHORIZED AGENT DATE <br />Y. � �t-r at o..�,�.-�.�� /� -�a - d�y <br />MECHANICAL <br />REf0.10ERA710N UNITS—M P U <br />BOIL[0.5—MP EA <br />GAS FBED �C CNITS—iONNAGE FA <br />IORCID AIN <vSEMS—B T U M <br />14A11 Mf ATkRS—fl T U M <br />UNIT NUTFRS—P 7 U M <br />lVAVORATIVI COOlERS <br />CLOTHfS DNYfRS <br />VFN11U110N FAN <br />RANCFHOOD <br />AIR HANDUNG UNIT— C f M <br />SiOVt <br />A1tlAI FINFPI�C! 8 CHIMNEY <br />SU�TOTAL <br />►EtMIT <br />lOTAI IEF <br />PUN CHI CK NU.NtlLR <br />fkE <br />iF6 VAI <br />FEE <br />/� <br />PLAN CHECK FEE <br />RECEIPT NO. <br />V iFF <br />flUIIOING % <br />rwn�niNc <br />MlCHANIUL <br />OTHfR <br />PfN�LiY UflC <br />5[C )OAa� <br />TOTAL <br />►EIIMIT V�IIDATION <br />WNEN PROPENIV VALIDATED PN THIS SPACfI TMIS IS YOUR PERMIt <br />