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I� <br /> ,ME„ro�.� ApPLICATION FOR ���,�„ <br /> ��TM°F .,ONSTRUCTION <br /> ever�tt PERMIT e <br /> DEP7.OF COMMUNITY DEVELOPMFNT $ERVICES <br /> ❑TY HALL 259�8745 <br /> r EVERETT,WA 98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> � owHea <br /> �/�iy./12y s}nl,<ay un nooxcss nir zir rnon[ <br /> ,C�s.�. �,e% ,�o�o �.�<<�,��� �-�. .uF �,�,71�—�r',3'rs z �6i-.�s�a <br /> �RCIIIIICiOFDISIGNIR M11All�UONISS CIIY ZIP PHON[ <br /> GIN Rel CONT0.AQON uAll��DNl55 CITY ZIP PNONE IICENSE 1 <br /> ,¢d� /1�„o��s �.-,� —�,L3o; ���.. ti/. /l� nK �� y,sr�a3 ��u-ozy�s Pi�rx�G.l /�SZ(bB <br /> � MFCIInMUI CON1RnCi00. Mnll nDDR6S CIIY LIP PIIONE llC[NS[I <br /> PlUNp1YLCOVIRAUOR MAltAODXl55 UIY ZIP FHONf II�ENS[I <br /> CUSS Of NOPK <br /> ❑NE\Y ❑ADDITION ❑ALTERATION I�IREPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOCATION <br /> VnlUnllOu/O�I�^vORR <br /> f �(/(/ <br /> OISCRI N'ORA ¢�/ ��'j� Clf ��r- <br /> n ,�j' �-T 'Y� V <br /> � C-e T DF ��/ •� � 'K /J7 O LY <br /> rxoros ,st or nwimnc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ES i 1�Ew Irc PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ttcni uFs4aivnovor r�or[air iiNoaH nuow oe ntuoi roua corusi PROVISIONS OF LAW$AND ORDINANCES GOVERNING THI$TYPE <br /> iorT��B10CN�o� & OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR GNCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAIURF OF CONIRACTOR OR AUTNORIZED ACENT DATE <br /> IOH�oDRiss `/y v � � � <br /> A <br /> PWMBING MECHANIUL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FfE <br /> \YATERCLOSFTITOLIETI AIHCOND UNITS-NP EA <br /> NMHTUB MFfRIGFRATIONl1NIT5-NP EA <br /> LM'nTORv PVASM HASIn� BOILkR$-H P EA <br /> SM0IVLR CAS FIREDAC UNITS-iONNACE EA <br /> KI7CNf N$INK d OISP �ORCED AIR SYSTCM$-B 7 U M EA <br /> DISN'ASMER \VAII HfATEHS-0 i U h7 <br /> UUNDRY TRAY UNI7 MfAT(RS-17T U M <br /> ClO7HLS N'ASMFR L\'APOPATIVE COOLER$ <br /> WATER MEATFR CLOTMFS DRYERS <br /> URINAL V[NilUiION FAN <br /> DRINKING fOUNTAIN RANGF MDOD <br /> fLOOR DRAIN AIH IIANOLING UHIT- CFM <br /> VACUUAI IIRUY.F0.5 S70V[ <br /> ROOf DRAINS-RAINIFADFRS MFTAL FIRFPUCE 6 CHIMNFY <br /> $INK ISE RVICL-BAR.[TC 1 <br /> SU�TOTAL SU�TOTAL S <br /> rfI1M1T 3 ►ERMIT f <br /> TOTAIiFF f iOTAIiFF f <br /> SIDF YARD 5[iMCK STRER S[TPACK p[AR YARD 5[TOACK PIAN CIICCA NUMIIFN PLAN CHCCK FfF <br /> FEE RECEIPT NO. <br /> USF ZOMk LOT AREA y�GNi SITE <br /> ❑YIS ❑NO FEFS VAWATION FE[ <br /> TYPf OF CONST OCCUPANIY GROUP NO OF UW[LIING UNI75 <br /> 17UIlDINC 3 �'}' <br /> SRE OF flLDG NO OF STONIES MA% OCC LOAD S�v <br /> YWMIIING <br /> I fBE ZO"1[ BASEMFNT 111UNOOMS FBf SPRINKlERS <br /> REQUIRtD MfCNANIGL <br /> ❑YIS flNO <br /> A►�IIOVALS �Y OATE OTNFN <br /> 1. FNVIRONMtNTAL CMECK LIST U.BC. <br /> P[NAITv SFf IONa) <br /> 1. BUIIDINL PUN$ <br /> 7 iIRF HYDRANT TOTAL <br /> a � I <br /> 1 flqE PPOTECTION SYSTEM ►E�MIT VAUDAIION — <br /> 5 C0.ACING!%CAVAIION 8 Clf ARINGGRI18flING WMFN PROPERIY VALIDATED IIN iM15$PACFI TH�S IS VOUR PERMIT <br /> 6 DRAINACF <br /> 7. ENVIRONMFNTALIMP�CTSTATEMENI ' <br /> D. NEALTH DISTRICT <br /> APPUGTION�[�.BY PUNS CHECKED BY APPR.FOR ISSUANCE BY <br /> 41�79 <br />