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� �,E�,,,,,,, AP P L I C,�T I O N F R- ���,� <br /> G7YOF :ONSTRUCTION <br /> e v e r e t t PF RM IT e <br /> DEPT. OF COMMUNITY DEVELOPMENT SFRVICES <br /> UTY HALL 259�87�5 <br /> EVERETT,WA9E201 ��OMSINATION ❑ SUILDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br /> OWN[I1 MMt�DOMpS CITY Zlp PHONF <br /> �• ' � .� � �:,�•�" / /n/� /�Pc�� Fi� t�� ����,s/?? <br /> �aCniTtCi0110[AGNtN M�II�DC SS � CIiY ZIP �NONE <br /> J�:>o�. ��.��i �y Has�, F' %�,L . �aA'"[ ,S��,i:.,s 2:2 -o%-SyOf/�OC •f/.3a'dOz <br /> GINUM[ONiR�C1011 �� � M�I ADDRESS Clir <br /> 21P �HpNF IICFNSE/ <br /> MfCMANIUI COM6�[i00. M�II ApDR[55 CITY (IP PNON[ ��f.ENS[/ 1 <br /> r <br />�` PIVMBrvGCONiIl�CT011 M�IIADOP[S$ CRY ZIY pNONF liC[NSE/ <br /> ClA55Of WORK <br /> I'� ❑NE\V ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION CFENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> V�IUnIIONO/f lWORKf <br /> I� s H �") � CJ(J <br /> Ul`�CRIB[WONR ' <br />� ,' �-S; � „� e S.'�,N _ �e- or. S �a/� ��'� �c's <br /> VROVOSIUI:SF 01 BUIl01NG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />� No u� e PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL � <br /> IEG�I DfSC41VIlON p{VMOPtNLSySHOWN B[LOW O0.�iT�CM IOUR COPIfiI PROVISIONS OF LAWS AND ORDINANCES COVERN�NG THIS TYPE <br /> OF WORK WILL BE COMPLIED WI1H WHETHER SPECIFIED HEREIN <br />; w���BlO[k�or "�� 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 REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br />` SIGNATURE O�CONiR�CTOR OR AUTHORI2ED ACENT DATE �, <br />� IOB eDD0.EJ5 � <br /> X � <br />�` �WM�ING MECMANICA <br />( NO. TYrE OF il1[fU�E iEE NO. TY►E OF EQUVMENT FEE <br /> M W�iER CLOTET fTOIIETI AIR COND UNIT$—HP EA <br /> f B�TNTUB qEFRIGfRATION UNITS—MP.EA <br /> P L�VATORY�WASH B�SIN) qOIlE0.5—MP.EA � <br /> 1 . SNOWER C�5 N'[D�C.UNITS—TONNAGE fA <br />' I;IiCHEN SINK 8 DISP <br /> P FORCFD AIR SYSTEMS—BSL. M EA <br /> I DISWASHER WAII MEAIERS—B.TL M <br /> I, UUNDRV TR�Y UNR HEATFRS—BS U. M <br />+ CLOTHE$WASMER <br />[ 4VAFORATIVF COOLERS <br />� WATER HEATER CIOTHFS DRYFRS <br />� � URINAL VENiIUiION F�N <br /> D�INKINGiOUNT�IN R�NCF HOpD <br /> FLOOR DR�IN Alq M�NDUNG UNIT— �F M. <br />� VACUUM BREAKERS STOVF <br /> ROOF DRAINS—RAINIEADERS MFTAI RREPUCF&CHIMNfY <br /> 1 � SINK6ERVICF—B�R,ETC) <br /> 1 <br /> 1 <br />� <br /> i <br /> i ! fU�iOiAl lU�TOTAL f <br /> KIIMIi f fE�MIT � <br /> TOTAI I[E { TOTAI iE[ � <br /> SIDf YARD SETB�fK STRFfT SETBACK RE�R YARD SETBAfK P��N CMFCK NUM9EN PLAN CHECK FEF <br />' � iEE RECFIPT NO. <br />' � USE ZONE LOT ARFA <br />� � ❑ESN ONO IE[f � VAWATION �[[ <br /> � TYPE OF CpNST. OCCUPANCY GROUP Np.Oi DWFILING UNITS <br /> BUILDING f <br /> SIZE OF BLOG. NO.OF STORIES M�1% OCC.IOAD <br />' PWMBING <br /> FIRE ZONE BASFMfNT BFDROf NS FIRE SPRINKlERS <br /> NIQUIRE� MECH�NIUL <br />� OYfS ❑NO <br /> AM�OVAU �1' D�f[ OTNER <br /> 1. ENVIRONMENTAL CHECK LIST U.9 C. <br /> PEN�LTY SEC. JOHa) <br /> i BUIIDING PUNS <br /> J FIRE MYD0.�NT TOiAI <br />, �. fIRE VXOTECTION SYY�EM H�MIT VAIIDAiION <br /> 5 GRADINGIEXCAVATIONB CtEARINGGRUB9ING WHEN PROPfRIY VALIDAT[0�1N TN�S SPACE)THIS IS YOUR PE0.MIT <br /> 6 DRAINAGE <br /> 7. ENVIRONMENTALIMPACTSTATEMENT <br /> ! NEALTM DISTRICT <br /> APPUCAiION Af.C.BY PlANS CHECKEO BY APPR.fOR KSU�NCE BY <br /> 41J9 <br /> . _ __ _ . ._ _ ___ _ _ C'_ _ . <br />