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��.Ewro,�� A PPLlCATION FOR <br /> "'"°° CONSTRUCTION °""`" <br /> everett PERMIT e <br /> DEPT OF COMMUNITY DEVELOPA'ENT SERVICES <br /> CITV HALL 259�B7�5 <br /> EVERETT, WA98201 [t]OMBINATION <br /> ❑ BUILOING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> 01YNf q <br /> __ M�II�DI)N(55 ❑fY <br /> /' ZIP PNON[ <br /> I�th ��E- Jc�l,h•j,.r, `%23i: Qi. 'v., ,.< V�' �� ,L'r.'_"%/ vv <br /> �RCNITlCiORO(SIGNLR - ' <br /> M�IL �UONf55 . ' �� 5/J � �:�� f• <br /> C�viL Cr-.1 ' - c arr zi> v�o�� �— <br /> - '`� C-o. 'i 15.�5 !.l v �'c: ��; ��� , � � >� <br /> n ' <br /> ox Mninooatss /cnrv � `�� i� j lJ � 'vYl �11 iC « 2�4L <br /> `>��;C- 21P PNON[ UC[NSF� <br /> nncN�nic�iconrk�ciox ��S'C�i� <br /> mu�nooe�ss �i�y <br /> � 1iP PMONE 11�EHSE/ <br /> ✓�'Wl.(' <br /> �IU��PI\G CONIN�CIOR Mql nDDR(SS <br /> CIIY ZIP FMOrvF <br /> LICFNSF I <br /> C_ "' �y.,�_ <br /> CI�55 O(KORK <br /> ❑NEW CI�ADD�TION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDINGRELOCATION <br /> ��+iwuov or woAc <br /> � �Sih ; <br /> DISCPIOf N'OqK <br /> f�<t J �I � ?G (.v�;.t L ; C�v;-�' <br /> t k: i�;d � .�� <br /> vROrosf p v5!or PWtolnc <br /> �.� 0� E, I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION�ND KN01V THE SAME TO BE TRUE AND CORRECT ALL <br /> IEG�I OlSCqIP110Y Of PROFiRiY15NOWN 8[lOW OR.1flACN 10UM COFIlSI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> �oi_`+yeiax_ar 3�'�� �<�C�� r�,� '� ( 5 UF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �pn, GOIVE �UTHOR TY TO'VIOL�ATE ORRCAINCDE�L THE PROVISIUNS OF <br /> ANY OTHER STATE OR LOGL LAW RECULATINC CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUR[ Of CONTR�CTOR OR AUTHORIZEO ACFNT DATE <br /> IONnODNISS� , <br /> C / / <br /> ` L U (_i��� .�i��_. �J jt X '�Ll(Slti i^'J ��f CL l3ta 1 � �—� ��-. S'/ <br /> �WM[ING MECHANIGI � <br /> NO. TYIE OF FIXTU�E FEE NO. TY►F Oi EQUI�MfNT FEE <br /> wniEN CLOSET ITOLIEiI <br /> AIR COND UNRS-H P FA <br /> P�iHTUB REiRICFRATION UNITS-M P.U <br /> IAVATORV�W�5M8A51N� BOIlFRS-MP fA <br /> SHOWER <br /> GAS fIRED�C UNITS-TONNACE FA <br /> KI7CMEN$INK 8 DISP fORCFO�IR SYSTEMS-8 T U M FA <br /> DISwASNFR <br /> WALLNfATERS-BTU M <br /> LAUNORYTR�Y <br /> UNIT MLATENS-9 T U M <br /> CLOTNES WASH[R <br /> FVAVpRATIVE COOlfRS <br /> WA7fN HEAIER <br /> CLOiMkS DRVE0.5 <br /> U0.1NAl VFNflUTION fAN <br /> DNINKINC fOUN7AIN <br /> fl(�0.DAAIN RANGF HOOD <br /> �IR HANpLING UNIT- �.{M <br /> VACUUM BRUKER$ <br /> STOVF <br /> FWF DRAINS-RAINLE�DkRS MRAL fIpFPLACf 8 CMIMNfV <br /> SINN�5[RVI�E-BAq.ETC� <br /> SU�TOTAI fU�TOTAI / <br /> ►ERMIT { r(�MIT <br /> TOTAL iFE � <br /> i <br /> ADF YARO SRB�CK STREFT SCTAACK TOTAIi[E { <br /> RUp YANO S[TBACK PLAry CH[ NUMOER �N�NFCK iEE <br /> � �`'��� �/ �[/�j � FFE �� RfCEIPTNpo <br /> USF ZONE LOT AqEA <br /> ,{.� VAUNT SIiE TK S' <br /> �—I ��Z�(_�`tr ❑Y!5 Tr� i[FS VAW�710N f[! <br /> IYPI pf CpNSi OCCUP�NCY GROUP NO OI DWEIUNC UNITS <br /> SI= 1.1 ADDITN 3: 3 <br /> BUILOING <br /> SIZE Oi PIDG NO Of STORIES MA% OCC LOAD t���'�' �pZ <br /> I �— PIVMqING <br /> FIR[ ZONE BASfMFNT NIDROOMS fIR[ SP2INI;LfRS <br /> � �,� RfQUINfD / MFCHANIUL <br /> — rnrs [aia6 <br /> AM�OVAU �f DAT[ OiMFR <br /> 1 ENVIRONMENTAI CHECK LIST <br /> 2 BUILDINLPLANS PfNAL•Y UBC <br /> SfC JOHaI <br /> ) fIN[ HYDBANT TOTAL <br /> � iIRF PROTECIION SYSTEM ►[IIMIT VALIDATION �Z <br /> 5 GRAOING�1%UVAIIONb CLEARINLIGRU9flING wMFN PNGPfRIY VALID�TfD(IN iH15 SPACFI THI515 YOUR PFRMIT <br /> 6 DRAINACE <br /> 7 [NVIRONM[NT�L IMPACT Si�TFMENT <br /> E HUIiM DISTRICT <br /> APPLIUTIO4 ACC BY PUNS CHFCKFD BY APPR fOR i55UANCf flY <br /> I�J7'7) �-- L . <br /> 94 79 <br />