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fMEwrpm� 4PP��CATION FOR <br />��TM�F CONSTRUCTIOh <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICE$ <br />CITY HALL I59-8745 <br />EVERETT, WA98I01 ��OMBINATION ❑ BUILDING ❑MECNANICAL ❑PLUMBING PERMIT NO. <br />5d.�x3G <br />rHo�F <br />Sc, <br />.1RCNITF[IOPUtSiCrvfR� MMI�UDRIA CILV 21V pHONk <br />GFNERMCONINACION �UIIADORlS$ CIiY ZIP PNOHf llC[NSEI <br />n11CNnM1IUlC2]NnC10P M1!�IIAD�Pf55 CIIY LIP PHONE LIC[NSE� <br />f`IU��OmG CO�vfNeCiOP �WnIL n�OR65 ❑iv 21P pNOMF �KENSF I <br />iUR OI NORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOCATION <br />1'�W�111A Of N'URI( <br />� /vuo <br />IRSCNINI � � �� <br />.Nsw /`f�nuS.L_ . <br />1`NOPOSlDUSI OI NL9lUluC <br />ll Wl UI/SC'RI%IOV OI VqOPlPIV p110NN Pf10N ON AiIACN <br />l01 �! PIOCr.732 OI , ,✓ .� i <br />�/3.� <br />IOPnO RI55 -/�� <br />ni <br />PIUMBING <br />NO. TYPE OF FI%TURE <br />PATlIIUe <br />IAVATORV �WASN HA9N1 <br />DISwASMER <br />LAUNDRY TNAY <br />WA7lR N[AiFR <br />ONINKING FOUNTAIN <br />VACUUh117BfAKfRS <br />NOOI DRAINS—RAINLUU <br />SINK ISFRVICL —OAR, L lC 1 <br />sue to <br />►F�MIT <br />70TAL <br />DF VARD SLTOACK STREET SC <br />USE ZO':[ <br />IYPC OI CI <br />AZF Ot OL <br />FIRC ZO�E <br />LOT AREA <br />OCCUPANCY GROUP <br />NO OF STORICS <br />OASEMENT BLUROOM$ <br />�►��OVALS <br />1 ENVINONM[NTAI CHECK L15T <br />I. BUIIU�NG PUNS <br />J fIHI MY�RANT <br />1 FIRC PROTFCTION SYSTEM <br />5 GNAUINCI�XG\'ATIONACLfARINGIGRUtlNING <br />b DRAINAGE <br />7. FNVIRONMENTAL IMPACT $TATEMENT <br />e MFALTH DISTNICT <br />1 <br />R[AN <br />VAUNT 51T( <br />❑YES ❑NO <br />NO Cf OwfIIINGUNIi$ <br />L <br />!Y 1 DA7E <br />APPLICATION ACC BY PlANS CHECKfD BY � APPR fOR ISSUANCF 8Y <br />y449 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE $AME TO BE TRUE AND CORRECT ALL <br />PRO\'ISIONS OF LAWS ANU ORDINANCE$ GOVERNING THIS TYPE <br />OF N'ORK WILL BE COMPLIED WITH 1YHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE. AUTHORITY TO VIOLATE OR C�NCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />9f.M1A1UN! OF CONTRACTOR OR AUTMORIZE� AGENT DATE <br />MECHANICAL �/ <br />NO. TYPE OF EQUIPMFNT <br />AIR CONO UNITS-N P b. <br />HEFRIGFRATION UNITS-H P fA <br />HOItFHS-HP EA <br />GASfBFDAC UNITS-IONNALEEA <br />fORCEU A10. SVSiEMS-9 T U M EA <br />1VAlL HfAT[RS-d 7 U M <br />UNITNUifNS-BiU M <br />LVAPONMNF COOI[RS <br />VENIIIATION fAN <br />RANGk IIOOU <br />AIR HAN�U4C UNIT- C f <br />S10Vf <br />MIUL RRFPLAC[ 6 CMIM4EY <br />NUMtlIR <br />SUlTOTAI s <br />PEIIMIT f <br />FEE <br />FEE <br />CMECK FEE <br />RECEIYT NO. <br />BUIIDINC % <br />PWMIiING <br />MFCHANIUL <br />OTMfR <br />PENAl7Y U e C <br />SFC JOHaI <br />70TA1 <br />�FRMIi VAIIDATION <br />WHEN PROPERLS VALIDATED pN TMIS SPACq INIS IS VOUR PE0.MIi <br />iEE <br />�I <br />� <br />