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I <br />i <br />��.Ew,��.� 4PPLiCATION FO" <br />°""°F CONST/'RUCTION `"°'°„ <br />everett pfRMIT � <br />�EPT. OF COMA7UNITY DE\'ELOPMENT SERVICES <br />CITY H4LL 259�8745 f <br />EVERETT, WA9B201 ��OMBINATION OO BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ONNtR ]I�I� �UGItISS ❑i5 ZIP[�` PMONE7 <br />�. ., /� . <br />�N[IlliFe R�U[S��k�1:lyEtLs 7Z�"�i 100�<<l' .C�F,Sf � � Q 7p.2%� Js3��Z% <br />�.niwm m�il epON63 Cii1 ZIP PNONF IIfENS[ I <br />} �A� l� s�. �o / S� �,��.t �hv,:.,�.x 3.�y �.�9 <br />[CM�NUI WNIN�QOR A411 ADDR(SS CIiY LIP YNON( IICENS[ 1 <br />PIUMqI\GCONiNAC10R m�il�00R[SS f.I�Y ZIV PNON[ LIC{NSFI <br />CI �SS Of KONY. <br />❑NE�v ❑ADDITIOh ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑PENCE ❑SIGN �GARAGE ❑BUILDING RELOGTION <br />\'��nfInNOI WORa <br />� ��000 <br />DtSCNIl1e \\�]NA <br />VNOPOSfD l'S! O� <br />tlrnl u15cRlallo�� of vqoPlRtr <br />1 �V� �BLOCA "�+ LOt <br />\' <br />101� nUUN! 55 <br />'7�o N� <br />I HEREBY CERTIFY THAT 1 HAVE READ ANU EXAMINED TI115 AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />uuow na �nno� ioux covnsi � PROVISIONS OF LAWS AND ORDIN4NCE5 GOVERNING THIS TYPE <br />(. � AR OF �VORK WILL UE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />Ofi NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION <br />OR THE PERFOR.'viANCE Of CONSTRUCTION. <br />SICYATU E OF CONTNACTOR OR AUTHORIZED AGENT DATE <br />,%-n c' _ <br />PlUM81NG <br />NO. TYPE OF FIXTURE <br />� N'ATEH CLOStT�IOLIETI <br />HAlIiIVP <br />� UVATORY I\VASN f{�SIN� <br />KIIO/[N SINK 8 OISP <br />OUIVASM E N <br />UI;N�Ni iHM' <br />U OI H(S l\'ASHf R <br />R'nILN MlA7(N <br />UHINAI <br />DNINALVL fOUN7AlY <br />VACUUAIHREAKIRS <br />HOOI URAINS—RAIKIFA�[ft5 <br />SIr�K �Sf NVIC[ —IInR. F iC 1 <br />l5E ZO"�f <br />TYP[ O� C�"+5: <br />"4� - 1� <br />SIZL OF NLDC <br />SU! TOTAI <br />PfPM1T S <br />iOTAI FfE S <br />LOT AREA <br />OCCUPANCY GROUP <br />Rc-n�ooc-L K3 <br />NO OF STORI6 <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMFNT <br />AINCOND Un175—HP U <br />R[fNICfRAiIONUN175—HP EA <br />CJ'(,J ItOILlHS—HP EA <br />CA$ FlNfD �C UNITS—TONNAGC U � <br />I ONCf D �IN SYSTCMS-17 T U M EA <br />N'AIlHLA7LR5-11TU M <br />UN1INLATfRS-0TU M <br />����rokntivt cooiERs <br />VAUr�i SIIF <br />i7YE5 C::O <br />JO Of U\YlIIING <br />.�nx occ iono <br />HNI LUNI UASfMfNi IIIUNOUN} IIRk <br />NfQ <br />— --- �„� <br />APPIIOV\LS er <br />1 LNtlIRONMINjAL CHECK lIST <br />$ OUIIUING PUN$ <br />7 fIREM'i�Y.ANi <br />� HRf VRO7tCTl0Y SYS7EA1 <br />5 GRAOINGl7tUVATIONM1CLfARING�GRUtlflING <br />6 DV.AINACE <br />7 fNVIRONM[NTAL UIPACT STATEMENT <br />E HEALTH DISiHICT <br />OAi[ <br />5 <br />APPLIIMIOH ACC UY PLANS CHECKFD BY �PPR fOR ISSU.�NCF I1Y <br />9 L79 <br />TT,V�I � <br />- , � _ ; <br />CIOiHfS DRYfHS <br />VI N71LA710N MN <br />Nnn'f.E MO00 <br />AIR MANOLINC UNR— � p ld <br />$lOV[ <br />Atf Ul ! IR( PUCE 6 CHIMhEY <br />'UN CN[CK NU.�tf{tB <br />�'�//� S6 <br />SUBTOTAL 3 <br />PEPMIT S <br />� � RECBPT NO <br />VALVAiION FEf <br />wno��r, s�2�p a� <br />PlUMOING <br />•\ H IUMUI <br />oT,re <br />PkNALTY U B C <br />$FC JOl(a� <br />TOTAL <br />P[RMIi VAIIDATION <br />WMEN P40PfRLY VAUDA7LD�1N IMIS SPACE� THIS IS YOUR P[RMIT <br />f <br />