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, . , <br />� , APP�:�CATION FOR everetl <br /> eVerett C�� PERM TTION e <br /> DEPT. OP CCMMUNITY UEVELOPMENT SERVICES <br /> C�TY HALL 259-8745 �' <br />� EVERET7,WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. ; <br /> OWNfR MnllAi)DMfSS CIl1' T.II' I`IIOM <br /> � ,� /�/y ''17Z.e� �J— � <br /> i ANCHRIC!OR AELGNFR � AI41L ApDN155 CIIY ZIP PMON[ . <br /> I <br /> GfNLFAI� CUNiRACIUN � � MAR�pp0.65 �IIV p.� (IP PIION[ IICE�5C1 . <br />� %7Ll/ �✓ -!/Lr-rva 3J�.S— S,t� 9� ��i�a�. /��'.�S A ����I'l/.d/-Pk-.f�X�3 <br />� MLU1A AlCOY1RAQON AIA IlORL55 �CI1V LII'�� PHON[ IICFNSEN Dy <br /> PLUMpINGCONiRAiIOR AI�II ADDRISS CIiY ZIP PNOti( LICENS[1 <br /> C1�550f WORK <br /> ❑NE\V ❑ADDITION ❑ALTERATION BREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \',1WAilON O!��O�r <br /> I S 3 � <br /> OFSCHI \YOR\ <br /> � � � � I <br /> rRoroscoust nuitoin I HEREA CERTIFY T I HAVE READ AND AMINED THIS AP� � <br /> � PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL '�, <br /> imni ocsa_ir,�noH or reoriairisiown neiowoa nruo uReoriEsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />` ior7�,��SaiocKa�G o� �,a� `� OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN � <br />� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> I GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF i <br />� ANY OTHER $TATE OR LOCAL LAW REGULATING CONSTRUCTION I <br /> OR THE PERFOR�NANCE OF CONSTRUCTION. I <br />` SIGNATURE OF CONTRACTOWOR A aIi2E�AGENT DATE I <br /> �011AUDR65 �� �/�`� �/ � <br />� /� �- X h-Eiir.� /. �—j^D(� I <br /> I i <br />� PLUMBING MECHANICAL I <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br />' WATER CLOSET�TOLIET� AIR CONO UNIiS—HP. CA �� <br /> 1 . BATHTUB RCFRIC[RA710N UhRS—MP FA i <br /> F / LAVATORV(WASH NASIN) Q POILCRS—HP EA <br /> SMOWER WS FlHED AC UNRS—TONNAGE EA I <br />� KITCHEN SINK 6 DISP. 4 0 FORCED AIR SYAFAI$—B.T.U. M�� ii <br /> DISWASMER \1'ALL HCATEHS—O.T.U. M <br /> , UUNDRY TRAY UNIT HU7LR5—I1.T.U. M �, <br />�� CLOTHES WASHER FVnPORA7IVL COOlERS �, <br /> WATER MEATER ClpT11L5 DRYERS <br />� j URINAL — I� <br /> VCNTILATION FAN <br />' � DRINKING FOUNUIN RANGE HUOU ', <br /> fLOOR DRAIN AIR HANDLINC UNIT— C.EM. � <br />� I VACUUM BREAKERS ' S70VL . <br /> _ ROOF DRAINS—RAINLEAOfRS �UEUI FlREPUCE b CHIMNEY <br />` � $INK(SEBVICE—BAR TC 1 <br /> 1 OO <br /> i <br />� � <br />� .: p <br /> � <br /> t <br />� sus rot�� p suerorn� s <br />' . ►EIIMIT f PFRMIT { � <br /> � TOTAI FEE f QQ TOTAI FFE f � <br />� SIDE YARD SETBACK STFEET SETBACK RFAR YARD SET�ACK PLAN CMfCK NUMBER PLAN CHCCK FEE ' <br />� <br /> FEF RKEIPT NO. � <br /> ' USF 20NE LOT AHEA VACANT SITE � <br /> i , ❑YES ❑NO FFES VALUA710N FEE � <br /> i TYPE OF CONST. OCCUPANCV GROUP NO.Of DWFLLING UNITS <br /> i <br />' SRE OF 9LDG. NO.OF STORIES MA%.OCC.LOAD ��UILDING 3 <br />� PWM171NC <br /> FlRL ZONE AASEMFNf 111UNUOAiS FlRI SPRINKLLHS <br /> RfQUIRfD MCCHANIUL <br /> ❑YLS ❑NO <br /> ARROVALS BY DATE OTH[N <br /> i. ENVIRONI.ICNTAL CHECK LIST PCNALTY U.[I.C. <br />� 2. PLiI DINC PlAnS 5[C.)Ol(a) <br /> J. FlRE HYORANT iOTAI <br /> �. FlRE PNOT[CTION SYSTEM PFRMIT VALIDAiION . <br /> 5 GRAUINq�I%GVATION ACIUBINCICRU11141Nf. WHFN PHOPFRLY VnLIDATFD pN THIS SPACE)THI515 YOUR PERMI <br /> 6. DRAINAG[ <br /> A ENVIRONMENTALIMPACTS7ATEMENT <br /> B. MfALTH DISTRICT <br />� APPLIUTION ACC IfV P��NS CHCCKkU I71' APPR.IOR ISSUANCI I4Y <br /> q.1.7q <br />