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,�.Ew��.� �PPLICATION FOR <br /> �ONSTRUCTION °"""' <br /> GI1Y OF <br /> everett PERMIT e <br /> DEF7 OF COMMUNITY DkVELOPMENT SERVICES <br /> CITY NALL 259•B7/5 <br /> EVERETT,WA 9P201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> �� ��p M�IlnUOMl45 .1 CII1 21P PNONf <br /> mn ����n 3��2- �A-k � ,X�_���Ti" L'lR�n� �4'L- <br /> �RCNRFi00.0lSIGNIR M�II �ODNl55 CIiY 21P PNON! --�� <br /> G(N[R�ICOVIR�CiOR M�IIAppI1f55 CIIV ZiP PNONF lqFNS[1 <br /> MICM�NIUICONiR�CLON M111nU011lSS ❑iY LIP PMONf lIC(NS[I <br /> PIU+�N�tiC CprviP�C10R �lell eDDR[55 CIIY ZIP PMON! llC[HSE� <br /> Cl�S5f4 WORR <br /> ❑NEW ❑ADDITION ❑ALTERATION �jtEPAIR ❑DEMOLIT�ON ❑FENCE ❑SIGN ❑GANAGE ❑BUILDING RELOCATION <br /> W W AiION Of NOij[ <br /> � �� � ��...�l.l�� <br /> O15[PIBf N [ <br /> r ovos�oust or nuiion+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lfL�l DISCRIPIION Of PqOP[RiY�SMOWN BlION OR�li �N IOIIM COPIlSI PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br /> ����� `S� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN <br /> ioi�._nixK IV- lo� �'eT 1 OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RECULA7ING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> `� S14N�TURE Of CONTRACTOR OR AUTMORIZCO ACFNT DATF ��i / (,j1� <br /> IOP e00R[SS 1 . �) <br /> X <br /> ►LUM�ING MECHANIGI ' <br /> NO. TY�E OF FI%TURE FEF NO. TY►E OF fQUI►MfNT FEE <br /> WATERCIOSET�TOIIET� AIR�ONO UNITS—HP EA <br /> 9ATMTU9 REfRIGERATION UNITS—H P. F� <br /> UVATORV�WASH BAS�N� POILERS—H P EA � <br /> SHOWFH WS FlRFD�.C.UNITS—TONNALf fA <br /> KITCHEN SINK 8 DISP fORCFD AIR SYSTEMS—B.T U M EA <br /> �jl DISwASNFR WALLHFATERS—B7U M <br /> ;p LAUNDRY TRAY UNIT HEATFR$—B T U. M <br /> CLOTHES W�SHER FVAPORATIVF COOlERS <br /> W�TIR HEATER <br /> ,�•� CIOTHFS DNVERS <br /> �� URINAL <br /> V[NIIU710N fAN <br /> � ORINKING FOUVTAIN RANGF MOOD <br /> FIOOR DR�IN AIR NANDLING UNIT— �f M <br /> VACUUM 9RFAKERS SiOVE <br /> ROOF DRAINS—RAINIFADERS MfTAI FIREPUCE 8 CHIMNFY <br /> SINK�SE0.VICf—B�R,fTC 1 <br /> � SU�TOTAL fUtlOiAt � <br /> ►[�MIT � r[IIMIT { <br /> � TOiAI iIf t TOTAI I[E t <br /> SIDf YARD 5[TPACK STRf[T SCTqACK RUR YAPD Sf TBACK PUN CM[CK NUMBFN PLAN CHFCK FEF <br /> i FEE RECEIPTNO. <br /> USE ZONE lOi ARFA y�UNt SITE <br /> ' OVlS ❑Np f[ES VAlUAT10N IF[ <br /> TYPE Of COnST OCCUPANCY GROUP Np p{ OWEIIING UNITS <br /> �/ 9UILDINC S <br /> SIZL OF PLDG NO OF SiORIES M�% OCC IO�D <br /> PWMNING <br /> FIRF ZON[ BASFMFNT NIDNOpMS iIAE SPRINKLLRS <br /> RFQUIRED M(CHANIUI <br /> f��(5 ❑NO <br /> �NIIOVAIS �f D�TE pTHFR <br /> 1 FNVI0.0NMENiALCH[CKLI57 <br /> PFNµiY UPC <br /> 3 BUIWINL PUhi $FC 70Na) <br /> ] RPI HVDRANT TOTAL <br /> � FI0.i VXOTFCTION SVSTEM � ►[IIMIT VAIID�iION <br /> S GRADINGIf kUVATION 8 CLF�NINLIGRUBflII.^ N'NfN PROPERIY VAUDAiED(IN 1N15 SPACf�TNI$IS YOUR PFRMIi <br /> 6 DRAINAGE <br /> 7 ENVIRONMFNT�L IMP�CT STATEMFNT <br /> E HFALTM DITTNiCT <br /> A�pl1UTION ACC BY PUNS CNFCKFD PY APPR fON ISSUnNQ flY <br />