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. - � <br /> AP'°LICATION FOR � ��e <br /> '��""""' L�NSTRUCTION <br /> evdrett PERMIT <br /> DEPT.Or COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8715 � <br /> EVERETT,WA4E201 ��OMlINATION ❑ SU1lDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br /> OWHFR M�rt npDRFSS ��t <br /> ����'� �-��2� ���(; �-cn��ov��ae �e �uei�e-H- Z�9gao3 "�_,'�s- `�q �7 <br /> �IICNIT[CT OR UISI H[R M�II�ODII[SS CITY 21� �HONE <br />� G(HFRAICONipAt1011 MAll�00RE5S CITY 21P tNOHF UCENSE� � <br /> � <br /> MICHnNICAI tONiR�CIOo MAII AOOIIE55 CI1Y LIY IHONE <br /> tICENS[I I <br /> I <br /> ��T� Zp YHON[ IICENSE� <br /> PIU�NPInG CONIMCIOII M�II�DDR[SS <br />� Ct�55Df WORK I� <br /> r ❑NEW ❑ADDITION ❑ALiERATION ❑REPAIR �DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOCATION <br /> Y�W�f iON 0�WORk ' <br />� 1 � <br />�i OfSCRIBF WORN �\,� � � \�� _ a '-^ ' <br /> � � n Jll}'„". ��J1"\l CT^^-^'L. Q.�Q i <br /> � <br /> vRorosm us�or aunm�c �, I HEREBY CERTIFY T AT 1 HAVE READ AND E%AMINED THIS AP• : <br /> I �� � �,IJJ p� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl. S <br />� IEG�I DE RIPTION Oi%IOPt n�s wn eEiow o.ett�cH iou� n�s� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE i <br /> I r'q �(, � OF WORK WILL BE CQMPLIED WITH WHETHER SPECIFIED HEREIN I <br /> I ior��eiocK�or V�'✓u-�'�'` r OR NOT. THE CRANTINC OF A PERMIT DOES NUT PRESUME TO , <br />� GIVE AUTNORITY TO VIOLA?E OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIO'+ ' <br /> OR THE PERFORMANCE OF CONSTRUCiiON. <br />� SIGNAiURE OF CONTRACTCR OR AUiHpRIZFD AGCNT DATE <br /> �� IQe�owiEss F+-�rt' �!.`Ot�/ �Q. �(��L3 "}��-�—�`.`--'c / • � 0� � <br /> ��/C) `til'IUYI,�i.e-F _ <br /> � MFCHANICAI �� <br /> I �IUM�ING � <br /> NO. T1TE Of FI%TURE <br /> ifE NO. iTfE OF EQUI►MENT FEE <br /> � W�TER f�OSET�TOUETI AIR COND UNITS—H P.FA <br /> � EA7MTUP RFFRILERATION UNITS—HP E� � <br /> i Ij LAVA�� •,WASMBAS�N� BOIIERS-HPFA <br /> WS F10.F�AC.UNITS-TONN�CE EA ! <br /> i SHJNER � <br /> !IICNEN SINK L DISP FORCED AIR SYSiEMS-B.T.0 M FA <br /> WALL HEATEIlS-B.7.0 M , <br /> DISwASMEII ' <br /> I UUNDRY TRAY UNIi HEATERS-B T U M ', <br /> � EV�PORATIVE COOlERS � <br /> ! CLOTMES WASHER f <br /> � WATER HE�TfR CIOTMFS DRYERS � <br /> . URINAI VFNIIL�TION F�N � <br /> DIIINKING FOUNT�IN RA:dE HOOD � � <br /> , FCC^R DR�IN �IR MANOIING UNIT- C.F.M. i � <br /> � VACUUM BRF�KfIlS 510VE '� <br /> ROOF DR�INS-RAINLF�DERS' ME7AL FIRFPUCF L CNIMNEY <br /> ' SINK ISFRVICE-B�R,FTC 1 � <br /> i � <br /> � <br /> fU�TOiAI � ' <br /> fU�iOiAl , � <br /> rF�MIT f rE�Mli � . <br /> • ' � TOiAI i[E � TOi�I iEE � <br /> PLAN CMFCK FEE <br /> SIDF YARD SfTBACK STRFFT SCTB�CK NE�II YARO SFTBACK PLAN CNECK NUMBFR ' FEE RECEIPT NO. � . <br /> '� USE i.ONE lOT AIIEA � yACANT SITE ���5 . y�LUATION @F ^V <br /> ❑YE$ ❑NO 1 <br /> TYPF Of CONST. OCCUPAi1CY LROUP NO.OF OWELLING UNITS <br /> � BUILDING f <br /> SRE OF BIDG. NO.OF STORIkS MAX UCC LOAO <br /> PIUMBINL <br /> FIRF ZONE B�SEMENT PFDROOM: pEQUIRFDKlFRS MECHANIUI � <br /> 1 <br /> OYFS �NO <br /> A►►�OVAIf �r DAif OTHER <br /> 1 EhVIRONMENTAI CHECK 1151 pENAITY U.BC. <br /> SEi JOAd � <br /> 7 BNLDING PUNS TOiAI <br /> 7 FI0.F NYDRANT <br /> � HRE PROTECiION SVSTEM K�MIT VAIIO�iION <br /> WHFN PROPERIY VAIIDATEU(IN�MIS SP�CFI7HIS�5 VOUR PfRMIT <br /> 5 GRA�INGIfXCAVATION6CLfARINLIG0.UBAING , <br /> 6 DAAINACE � <br /> Z ENVIRONMENT�I IMPAC7 ST�TEMENT ' . <br /> E ME�LTN DISiRICT <br /> �PPIIC�I WN ACC.BY PlANS CHfCKED BY �PPII.fOR ISSU�NCE BY � <br />