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APPLICATION FOR _,. .-. _ � � - ,; :=����-- ��«<„ <br /> I��Ewrpn�� �ONSTRUCTION � -� "�' � ;_,_,. � e <br /> cin oc <br /> everett PE a.M IT �= �.-- �� ��� � � �- <br /> f>< <br /> DEPT. OF COMMUNITt DEVELOPMENT SERVICES <br /> CI7Y HALL 259�87�5 <br /> EVEREtT,WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBINC PERMIT N <br /> OWMER M611 AOONl55 are ziv rMonc <br /> ����eNA G��� ,� ���y ��,%,�p,� � rY�� ��-:��3 �5.� -3.� � <br /> ��rr Z�p vNONF <br /> �.RCHI !CI OR DISIGNER M�II ADOPF4 <br /> GFNFII�I C�NIN�CiOR M�II A00R65 CI1Y ZIP YHONE IICFNS[1 <br /> �/ � / /� �t�ro / G��r�.�-�zz 1J✓ ���k�r- 9�'��a 3s� �s2�si �'3s�-s7ilC3 <br /> O (r/,Ily C I1 LIP <br /> nIFCNAMC�I CON1ReC100. M�II�DDRF55 <br /> PIV.\IflIVG COv1P�C10R MAII ApDNHS <br /> Cltv ZIP YMOn[ lIC[NSE I <br /> ��ASS U�N'O0.R <br /> �NE�V ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUIIDING RELOCATION <br /> \'At W��Ov OI wOMK <br /> t �s�- <br /> 0❑ �B!WOPK � <br /> Oi�t16 ri ;i� � , a� <br /> vxorosio usi oi PUILOI4G I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CGRRECT ALL <br /> PROVi�lONS OF LAW$AND ORDINANCES GOVERNING THIS TYPE <br /> t[Wl DFSCRIPIIOM Of PROPIRiY 15110WN 9llON OR.NIAC'I/I 1O110.�JPt61 / OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �a,�fl�o�.3 0� � Ev�� <br /> n'��� ,� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE �UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMA`10E OF CONSTRUCTION. <br /> SILNAIUR[ OF CONIRACTOR OR AVTMORIZED AGENT DATE <br /> ��c��` ' 9aa-oos -nni-o�bc \ I <br /> IOP�DO0.f55 , �� � ;� ' 1 .� l�I �t � <br /> � c� �,E'. . X "` , , � <br /> MEfHANIGL <br /> PIUMlING FEE <br /> NO. <br /> TY►E OF FIXTURE FEE NO. TY�F OF EQUIPMENT <br /> AIR COND UNITS-�I P EA <br /> WA1ER ClOSET ITOLIEiI <br /> 0.EFRICFRATION UNI1S-N P EA <br /> n�nnua <br /> HOILFRS-NP f� <br /> UCATORV(W�SM BASIN) <br /> CAS FIRFD AC UNITS-TONNAGE EA <br /> SMOwfR <br /> fORCf f1��R SYSTEMS-B T U M EA <br /> KITCHEN SINK L DISP <br /> WAIL HEAiCRS-fl T U M <br /> 015 W�SMF R <br /> UNI7HU1fR5-flTU M <br /> IAUNORVTRAY , <br /> FvnVUR�i1VL COOLERS <br /> ClO7MF5 Y.'�SHEN ��OTNfS DNYfRS <br /> \VA7FR HEATfR <br /> VfN11l�TION MN <br /> URINM <br /> RANGEMOOD <br /> DNINKINC fOUNTAIN <br /> �- AIp HANOIING UNIT- C F M <br /> fIOOR DRAIN S10V[ <br /> \'ACUVAI qpEAKI NS <br /> M[7 AL{IN[PIACE 6 CHIMNEY <br /> ROOF ORAINS-RAINIU�fR$ <br /> SINK 6ERVICL-OAR.11C 1 <br /> SU�70TAL � <br /> fU!TOTAI �F�MIT S <br /> ►EI1MIi 1 f <br /> TOT�IiEF f TOTAIffE <br /> PLAN CMKK FFE <br /> SIOF YARD S�TP�CK STRI[1 5[T��CK 0.UR YARD 910ACR PUN C��[CK NUM1�IIER FtE pKFIPT NO. <br /> USE ZONf lOT ANU y�[ANi SIT[ F[ES VAlU�T10N IFE <br /> ❑16 CNO <br /> TYPF Of CONST OCCUPANCY GNOUP �D O� UW[IIING VNI75 J J <br /> BVIIDING f����`�' - `�� <br /> pZ[ OF IfIOG NO OF$iOR16 n1AX OU LOAD <br /> 1'1 UM1IOING <br /> FIH[ ZON[ B�SEMEN7 flLUR00.�15 RFQUIR�IpKlL0.1 MtC"ANICAL <br /> nr�s nr+o <br /> �/��OV�l3 �T DATf OTHIR <br /> 1 ENVIHONMENTAL CM[CK 1157 U B C <br /> PtNAL7Y SfC JOlfa) <br /> 7 BUIIDING�UNS --�¢ � <br /> TOTAL � <br /> J FINF NYDRANT <br /> ►EIIMIT VRUDATION <br /> � FlRE PROilC110N S�STEM WMLN PNOPLRLY VALIOATFD UN iH15 SPACII����5 IS YOIIR PFRMIT <br /> 5 GH�UINLIL%UVATION6QURINGIGRUNNING <br /> 6 ONAINALF <br /> 7 ENVIRONMFN1At IMP�CT STATEMFNT <br /> E M[AITM DISTRICT <br /> AFPIICATION ACC BY PL�NS CHECKFD BY APPA fOR ISSUANCE NV <br /> � �_ <br /> � <br />