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„ PPLICATION FOK ���,�„ <br /> '"'E"'°'”" CONSTRUCTION e <br /> CITY OF <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8715 p� <br /> EVERETT,WA98201 �COMBINATION ,pu BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> owNtn M�u�ooxtss atr zir YNONE <br /> VE�eu �. .6o�A,e r /3�9 �iNv/C �t fvF,P,E�i`' Lu.o• 9d.�o� as.a -���� <br /> �RCHIIfC10RDI51GNlR MAIL�ODRl55 CITY ZIP VHONE <br /> Sf7.n C A-� O cU.0 P,Q <br /> GIHIR�I CONiRnCi00. M�II�OUNFSS CRY ZIP PNONE IICENSE� <br /> �3r�7/ne As 6ccn�'�e <br /> Mf[HnnIUICONLP�CION M�IIADDRlSS CIiT LIP PMONE IICENS[I <br /> PIUn�PWGCOHIP�CIOR nU11�00R65 ❑IY IIP PHONE IICEN5E1 <br /> CUSS Of N'ORR <br /> �JNEW ❑ADDITfON ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN �JGARAGE BUIIDING RELOCATION . <br /> \'nlUAIIO'N/Oqf N,�O�P,K C -7'� ,(-�� � <br /> t �b�b�' [ CJ-��� <br /> Ot5�0.1Pi w'OPR <br /> ,/3u� /d; n �A -�- <br /> ruo>osin us�or nm i�c I HE�tEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> GA�f7G� PIICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT AlL <br /> «G�l OESCRIPilO�`+Of PNOPERfY ISNOWN PtIOW ON e�tACN 10UM COP161 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi �nioc��or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> ��'J�'�E'>/- ,DiU• T P�A� �� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ��1/ 'S9 - D � U �/ ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> p q OR TNE PERFORMANCE OF CONSTRUCTION. <br /> N - ��- 0�5 Of• ��' `v ��" ��/ �v / SICNAW E OF CONTRACTOR OR AUTHORRfD�GENT D�iE <br /> IOHeDDRl55 � �3,/-OI <br /> /-309 %I7f1 P/e d`7`• ED£.Pf.-I/ �U/f • 9&.�n / X c�w <br /> PIUMlING MECHANICAL <br /> NO. TYPE OF FI%TURE FEE NO. TY�E OF EQUIfMENT FFE <br /> WATfR ClOSET�TOLIETI AIR COND UNITS-H P.EA <br /> NEiRICE0.AtION UNI75-M P EA <br /> ❑ATMTUB <br /> LAVAIORY IWASH B�SIN� BOIlERS-H P EA <br /> SNOWER <br /> GAS FIRfD AC l/NITS-TONN�GE EA <br /> KIICHEN SINK b UISP FORCFD�IR SVSTEMS-B t U M EA <br /> WALL MEATkRS-B T U M <br /> DISWASHfR <br /> LAUNDRYTRAY UNITHEAiERS-BTU. M <br /> EVAPONATIVE COOLERS <br /> CLOIHES wASHFR ��pTHES ORYERS <br /> WA7ER MEAiER <br /> V[NTIUTION FAN <br /> UNINAL <br /> DRINKING FOUNTAIN RANCE HOOD II <br /> iIOOR DBAIN AIR HANOIING UNIT- C.f M11 <br /> \'ACUUM BREANE0.$ ST��� <br /> ROOF �RAINS-RAINLEAOERS M11ETAl FlRFPLACF 8 CHIMN[Y <br /> SINK(SFRVICE-BAR.ETC 1 <br /> SU�TOUI � <br /> SU�TOiAI ►F�MIi � <br /> ►E�MIT � <br /> TOTAIiFF f iOTAIifF � <br /> PLAN CNECK FEE <br /> S�DF YANO S[TOAGK STRFET SCTBACK Rf�N YARD 5[11IACK �LANj MC�n'UMd� FE�� �� A��N��� <br /> g 67 <br /> USE ZONE LOT A0.fA WCAnT SITE � {!Ff VALU�l10N IEE <br /> ❑YFS )YNO <br /> Typ[pf CONSi OCCUPANCY GROUP NO Of OWELLING UNITS <br /> �P� , 'IT A1 /�'(- ( euuoiNc ' <br /> SIZ[OF BLDL t � NO OF STORIkS MA% OQ IOAD <br /> � J T / —� PLUMPING <br /> /� C/ <br /> Fl0.E ZON[ BAS[MFNi ������R�>�MS R�QU RfIONKLfRS MfCHANIUI <br /> �� �— f7Y[5 n <br /> A���OVAIf �f D�TE OTH[R <br /> 1 (NVIRONMENTAICNECKl15T U.BC. <br /> PFNALTY SEC JON+) , <br /> 7. BU�IDING PUNS iOT�L <br /> J FIRF HYDRANT <br /> � FlRf P0.01ECTION SVST[M �EIIMIT VALIDATION � <br /> WMEN PROPERLY VAII�ATFD IIN THIS SPACE)THI�YOUR PFRMIT <br /> 5 GR�D�NCIF%UV�ilON6CLIARINGILRUflflING <br /> 6 DRAINAGE z�- ���'� x �p' �� � � �Z Op.uc, <br /> i <br /> 7. ENVINONMENTAL IMPACi STATEMENT //�j <br /> E PF�ITIIDISTftICI ' � /�{'(1� ��lu"1�*� <br />