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ARPLICATION FOR �� ���,�n <br />tMErNpn�n �, � N ST R U CT 1 O N �9 <br />cin or <br />everett PERMIT <br />DEPi. OF COMMUNITY DEVEIOPMENT SERVICES <br />CITY HALL 359-0745 <br />EVERETT, WA 9�201 ��OMSINATION ❑ SUILDING ❑MECHANICAL I��LUMlING PERMIT NO. <br />CNNFII M�II �UDM65 CITY ZIP PNOHF <br />• — • -- •-- . , _ . _ ,i> - -- !�.. r_____ G o��� �rc-_ �L.rr� <br />OR OFSIGN[Il M�IL �OUIIF35 UTY 21Y �NONE <br />GENER�tCUNiRA('tOR MAIIAUDI1E55 Cliv ZIP �MONE IICFNSEI <br />MfCN�r�IC�I CONiR�CiOX M�II A0011K5 UtY LIP PMOHE IICFNSF � <br />PIUMpIrvf. [ON1R�CiOR Mell �DDRESS CIiY 21P YNONL IICENS[ � <br />Cl�SSOf WORR <br />❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILOING RELOCATION <br />VAIUAIIONOi WORR <br />f <br />DhSCRIB[KORN ,�oo �-o�«r� �/�l�!%>42y� sN�' F� � J'�'uv `�'D //A/:/D <br />rxoroseo us� or awiowe � <br />P�o�a�l -l1.��i� � sruoy <br />IEWI OESCRiPiIOM Of FROPfRTYISNOWN BIIOW OR Af1�CN {OUII COPIf51 <br />ioi __ eiocx _ or <br />IOB �OORl55 � <br />i � <br />�IUM�ING <br />HO. <br />WATfR Cl( <br />� B�TMTUB <br />; UVATORY <br />j DISWASMER <br />IAUNURYTRAY <br />i <br />CLOIHET wASNFR <br />W�iF0. HFATER <br />URINAI <br />DRINKING �OUNTAiI <br />I <br />FIOOR ORAIN <br />. VACUUMBRfAKfNS <br />ROOF DR�INS—RAII <br />I HEREAY CERTIFY THAT I HAVE READ AND EXAMINEC� TMI� AY- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ONS OF <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SILNATU0.F Oi CO4TRACTOR OR �UTHORIZED AGENT D�TE <br />2 //7 /��U!(/L>G�� /I( <br />�-�.o X 0 <br />MFCHANICAL <br />iEE NO. Tt�E OF <br />AIR COND UNITS-H <br />rF�Mli � <br />iOTAI iEF s <br />lOF VARO SFTB�CK SiREFT SCiBACK RUR IARD SF <br />JSE ZONE lOT AREA yACANT SITE <br />�YE$ ❑NO <br />fYPE OF CONST OCCUPANCY GROUP NO OF DWflt <br />iIZF OF BIDG. NO. OF STORIfS MA% OCC l0 <br />RRE 20Nf BASEMENT HLOROOMS REQU RFtDKLI <br />nYFS i�NO <br />AM�OVAIf �� <br />1 ENV�FONMFNTAL CMECK LIST <br />7 BUILOING PLANS � <br />7 iIR[ MYDRANT <br />/ FI0.f P0.0TECTION SYSTFM � <br />5 GRADINGIf%CAVATIONbCIEARINL,'LRUBflING <br />6 D0.�IN�GF <br />7.ENVIRONMENTAIIMPAQ SiA7EMENt <br />W�LI <br />—M P EA <br />�.D�C UNITS—TONN�� <br />AIR SYSTEMS—B T U. <br />IATERS—BT.0 M <br />ATFRS-9TU. M <br />ATIVE COOLfRS <br />VENTILATION FAN <br />R�NCE NOOD <br />�IR HAN�LINL UNIT— C F <br />STOVE <br />MFUI FIREPUCF 6 CNIMNEY <br />�� <br />iOGI i[[ f <br />iBACK PLAN GNFCK NUMBER PLAN CMECK FEF <br />FEE RECEIPTNO. <br />iE[S � V�LU�710N il <br />ING UNITS <br />BUIIDING S <br />�D <br />PLUMBING <br />RS <br />MFCHANIUL <br />D�TE OTHE0. <br />E HfALTH DISTN�CT I <br />AVPtIUTION ACC. BY PLANS CMECKED BY APPR FOR ISSUANCE BY <br />PFNAITY <br />UBC <br />SEC. ]OJlal <br />10T�1 I I <br />►l�Mli VALIDATION <br />WHEN PROPERIY VAIIDATED IIN THiS SPACf� iM15 �5 YhUR PERMIT <br />