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_ �1 <br /> 1 <br /> , tMEr+rprMn 4PPLICATION FOR ���,�„ <br /> °m°F CONSTRUCTIOh 0 <br /> everett PE RM 1 T <br /> DEP7.OF COMMUNIiY DEVElOPA1ENT SERVICES <br /> CITY HAIL 25'DB7/5 <br /> EVEREi7,WA98101 ���MBINATION ❑ BUILDING ❑MECHANItAL ❑PLUMB�NG PERMIT NO. <br /> OWNtq M�R�OUNI55 �RV ZIP pNONF <br /> Peter poyle 1222 E Marine View Dr Everett 98201 259-5303 <br /> ' �RCNIT(CT00.0[SiGMR MMIADDRlSS CItY =IV PMONF <br /> LIN[P�ICONiR�Ct00. MMLApORfSS f1iY ZIP PHONF UCFNSl� <br /> Perma-Bilt Industries 3416 E�•erett Ave Everett 98201 258-4171 PERMABI179�F <br /> ��tClq•llUICOVIReCtOR MMI�DDN(SS fliY LIP PHONI tICFNSEI <br /> PIV��Iu�GCOniX�C101 MMIA�DFfSS CIiY ZIP PMONE IICENSt1 <br /> � <br /> • (l�55 UV N'00.K <br /> �NEW ❑ADDI710N ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGF ❑BUILDING RFLOCA710N <br /> \'4 W 110N DI K00.R <br /> f �CS�O. ��. <br /> fltSCFll11 WO0.l <br /> Pole Construction Gara e & Slio <br /> raoros�ous[oi xwmn+c 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lLG4 D6C0.1PIlON Of Y0.0Y(R1Y�SNONIM1 0[lON'Oq 41IAO1106ECOPl[51 PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ior_eioca_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION$ OF <br /> 4387-230-003-02 ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> 1222 E Marine View Dr Everett SIGNATVRfOfCONTRACTORORAUTHORIZFDAGENT o�re � <br /> ioneooaiss � � ` � <br /> X <br /> PIUMEING MFCHANICAI <br /> NO. TY►E OF il%iURF FEE NO. iYPF Of FQUI►MENT iEE <br /> WAi(RCLOSE7�TOlIET1 ABCOND UNI75—HP EA <br /> PATMTUB R[fNIGERATION UNITS—H P [A <br /> UVAiORY�WASN BASIN� BOIL[RS—M P EA <br /> SHOWFR CASFlRE�AC VNITS—TONNAGEFA � <br /> NITCHEN$INK b�ISP fORC[D AIR SYS7EM5—OS U. M EA <br /> OISWASHFR 1YALLHfATfRS—pTU M <br /> L�UNDRYTRAY UNIiHfAi[RS—PTU M <br /> ClO1M[$WASMER EVAI'ORATIV[COOlERS <br /> WniER MLATER GLO7HF5 ORYERS <br /> URINAL V[NiILATION FAN <br /> DRINKING FOUNTAIN RANCE NOOD � <br /> FIOOR DRA:N �IR HANDLING UNIT— C F M <br /> WCUUM 9REAKFRS S10VL <br /> ROOF OR�INS—RAINtFADERS MF7Al f10.FPUCE 8 CHIMNEY <br /> SINK($lRVICE—BAN,ETC� <br /> SU�TOTAI SU�TOTAL f <br /> VEIIMIT f tElM1T f <br /> iOT�I iEE f TO'AL I[E f <br /> $IDE Y�RD S[iBACK $TPFFT 5[Tfl�CK RUR YAqD [TBACK PIAN CM CA NUMBfF PUN(HECK iEE <br /> S � 2�G /v A �� �� fEE3/= RECfIPTYO. . r <br /> USE ZONE LOT APEA y�UNT SITF/ 10 �•J <br /> � � ❑YES 6MlY �[FS WlUAT10N I[F <br /> TYPE Of CON57. OCCUPANCY GNOUP NO Of DWRIING UNIIS <br /> SIZ O!BIDG NO OF$TORIE$ M�% OCC IOAO BUII�ING s3 SOO o � <br /> (�`TZ s.f; � — PlUM91NG <br /> RR[ZONE BASEMCN7 PLURWnB fB[SPRINKIEAS <br /> R(QUB[0� MICNANIUI <br /> — ^ — �Y[5 [HFO <br /> AM�OVALS �� DATE OTNfR � � <br /> ' 1. ENVINONMENULCMECKIIST U.PC. <br /> PENALTY SEC JONa� ' <br /> 7. BUItDING PlANS <br /> ) f�RF HYDRANT t07�1 <br /> � fIME PROT[CTION SVSTEM �E�MIT VAUDAiION <br /> 5 LNA�INGIk%CAVATION 8 CLEARING/GRUBflING H'MEN PROPfRLV WLIDATFD IIN THIS SPACEj TNIS IS YOUR PFRMIT <br /> 6 D0.AIN�CE � <br /> L ENVIRONMfNT�LIMPACTSTAT[MFNT <br /> E HFALTH DISTRICT <br /> APPIICATION�CC.BY PL�NS CHFCKED BY APPp.fOR ISSUANCE BY <br /> �, 6 s:w,�� � - c. <br /> 9-1 79 <br /> � <br /> r, <br />