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v <br />�ME»ro�.� A �PLICATION FOR, � ���,�n <br />��TM�F ..ONSTRUCTION e <br />everett PERMIT <br />DEPi OF COMMUNITY DEVELOPMENi SERVICES <br />CITY HALL 259�87�5 <br />EVERETT. WA 98201 ��pMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br />owr+te muieoosess urv .. zir �_� r1non[ J� <br />�„" r a ti ! i` � �'.9•�� •'...Y` �` ��ZF � <br />!�? _ . _ _ ... 1__.. ..�� s a ,� s � '!`. �/� .l.f ; �. .,>:. r . ..,.• Ir. - <br />M�II <br />a.�.�� <br />rlNtl�i COM1�R�CIOR MMl ��ORE55 C�1Y ZIP VHOHF lICWSF � <br />��''' CI1Y LIP PNOME IICFNSE � <br />Mf.H�NIUI COuiR�Q00. M�II ADOPKS <br />PIGMqIVGCO'�10.ACtOR M�ILe0DNI5S UtY ZIY PHOHE llC[NS[1 <br />Cl�SS UI N'ORK <br />❑NEW ❑ADDITION ❑ALtERATION RFPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />� �PIJJ.dO' <br />DlSCRIBE K / 1� S J.w /-�' <br />PRO��T� •�'� f �r L�/ <br />PUIIDIrvG <br />l[UlD[5 IVTIOHOfVROP[NtY15MOWNP[IOWON IiACNfO COPi <br />a�o,3.�,«, o, � , <br />-�� ,S-a ��ry /L /sa� <br />IOP n00RF5S j�i!//�! ' / /� ? <br />/ /d2 S" <br />r. �MsiNc <br />N �, TY►E OF FIXTURE FEf <br />WATER CLOSFT �TOLIFT) <br />BATMTUP <br />UVATORY (WASN AASIN� <br />SMOWFR <br />KI1CHfN SINK 6 OISP <br />DISWASHEN <br />UU�7RY TRAY <br />GLOTHES wASMFN <br />WATFR HEATER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR OpAIN <br />VANUM BRUKFRS <br />ROOF DRAINS—RAINLEA�ERS <br />SINK (SF NV ICE —BAR. f TC 1 <br />SU�70TA1 <br />►FRMIT ! <br />iOiAl iEF f <br />___ ...__ ..-_...., cmrst crinefr RUR VARD SlTOACK <br />USE ZONE <br />TYPF Of CONST <br />SIZE OF BIOG <br />FIR[ ZONE <br />lOT A0.EA <br />AR�OV�Lf <br />1 ENVIRONMENTAL CHECK LIST <br />i BUILDING PUNS <br />7 FIflE NYORANi <br />� FIRE PNOTEC710N SYSTEM <br />5 GRADINGIL%UVATION6CLkA0.1NGLRUtlflIhG <br />6 DRA�NAGE <br />7 ENVIRONMFNT�L 11APACT STATfMENT <br />VAC�NT SITf <br />OVE$ ❑NO <br />NO OF DWELLING l <br />MA%.00C LOAD <br />RRE SPNINKtERS <br />0.FQUIRfU <br />❑YES CNO <br />�Y DA7F <br />E MF�LTH DISTRICT I � <br />•oo� ir�nnN ACS BY PUNS CMECKED BY APPN fOR ISSU�NCf tlY <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WI7H WHETHER SPECIFIED HEREIN <br />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 REGULATING CONSTRUCTION <br />OR 7HE PERFORMANCE OF CONSTRUCTION. <br />S�GNATURE� CONT0.ACTOR OR AUTHORIIEO AGENT DATE <br />CG71 <br />AIN COND <br />OF EQU <br />-N P EA <br />C�SFIREDAC UNITS-TONNAGEFA <br />f00.CEO AIR SYSTEMS-B.T U M <br />W�ll MEAT[RS-B i U. M <br />UNITMEATERS-BTU. M <br />EVAPOR�TWE COOLERS <br />CLOTHFS DRYERS <br />VENTIUTION fAN <br />RANGFHOOD <br />�IN H�NDLING UNIT- C F M. <br />SiOVE <br />METAL FIREPLACE 8 CHIMNFY <br />CHCCK <br />iEFS <br />fEE <br />fF! <br />{ <br />=HECK FEE <br />RECEIPT NO. <br />BUIIDING f <br />PlUMf11NG <br />MECMANIUL <br />OTHER <br />PENAIiY UBC. <br />5[C 7DNa1 <br />70TAL <br />�FIIMIT VALIDATION <br />N'HfN PROPERIY VAl10ATED IIN TNIS SPACEI TMIS �5 YOUR PERMIT <br />