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""'� ` i r'�r � "1 <br /> APJPLIC�►TION FOR -� <br /> �TME°'°'"° C,.lNSTRUCTION e <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVEIOPMENT SERVICES <br /> CITY HALL 259-0715 <br /> EVERETT.WA9E201 ��OMSINATION ❑ lUILDING ❑MECHANICAL ❑�LUMlING PERMIT NO. <br /> OWNkR M�II AOON65 ❑TY ZIP �NONF <br /> �U. '//•'��•�� h --- s-� i� i>;,�n/ ,�U����� 7T !./J�/ 9��z u cl 33 '7- /7.z i <br /> ARCN�i[[TORD[SIGNEM M�Il�D011FS5 CITY ZI� �NONE <br /> I�L�1'H�n� �)�fl Ri1� ,�/L� � 70 :i JurDHi✓ /3U �'d����JTll�i:� ��.2ny <br /> L[NFIIM CONT��CtOR M.�R�DDIIFSS CITY 21P FNONE lIC NSF 1 <br /> MICN�HIUI COMN�CIOR M�II�ODIIFSS CIiY LR PMONE UCEMfF/ <br /> PIUMpIYG CONiF�CiOR MMl�ODR65 CIfY ZII PNONF IICENSE I <br /> f1�350f WORK � <br /> ,�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> vni�nnor+orwoRR � <br /> � .�d c� <br /> DlSCRIBE WORk ', � <br /> , �c � voD -sToV�-- i <br /> vrtovostous[or nmiou+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• �. , <br /> PLIGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL ! <br /> IEGAL DtSCRIPIIOn Oi PROP[RLY ISHOWN B[lOW OR�T1�CM fOUll COPI(51 PROVISInNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE I, � <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN <br /> ior__eioc�_o� OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO � <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF � <br /> ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br /> OR tHE PERFORMANCE OF CONSTRUCTION. <br /> �L O � �J7f'� GL �� SIGN�TU F CONTRACTOF^^ �UiHORIZEf)AGENT DATE //-/J• P�a . <br /> IOP e0DPF53 , <br /> �y � i <br /> ►WM�ING ME MANICAI � � <br /> NO. tY►E Oi FII(TU�E FEE NO. TY►E OF EQUIfMENT FEf ; , <br /> wATF4 CLOSfT ROUET) AIR COND.UNITS—HP.EA <br /> BATMTUB 0.EfRIGFRATION UNItS—MA.EA � ��� <br /> , UVAT00.Y(WASN BASIN� BOItERS—MP EA ' � <br /> SHOWFR WS FBFD A.C.UN115—TONNAGE EA • . <br /> kITCMEN SINK 6 OISP �ORCED AIR SVSTEMS—B.T.0 M EA <br /> DISWASHER W�ll MEATER$—B.T.0 M � <br /> LAUNOXYTRAY UNITHEATERS—BTU. M <br /> CIOtHES WASHEN FVAPORATIVF COOlERS . � <br /> WATER NFATFR CIOTHFS DRYERS ' + <br /> URIN�L VFNTIUTION FAN ' � <br /> ORINKING fOUNT�IN RANGF MOOD � ' <br /> FIOOR DRAIN AIR MANDLING UNIT— C.F M. � i <br /> VACUUM BREAKERS STOVf ' � <br /> ROOF DRAINS—RAINIEADERS METAL FIREPLACE 6 CHIMNEV � � <br /> S�NKRERVICE—B�R,ETCI � � <br /> � SU�iOT�I fU�TOTAL f � . <br /> • R�MIT � rE�MIT � , <br /> � tOiAl►[E f TOUI f[F i I <br /> SIDE YARD SFTBACK STRFFT SFTB�IX RUII Y�RD SFTBA[K PLAN CHICK NUMBFR PLAN CHECK FEE � � <br /> � FEF 11ECFIPT NO. � <br /> � <br /> ' UiF ZONE lOT AIIF� yACANT SITE ' <br /> . OYES ❑NO �![f - VAW�TION tE[ <br /> TYPF OF CONST. OCCUPANCY GIIOUP NO.OF OWELUNC UNI75 � i <br /> ` BUILOING S <br /> SRE OF ELDG NO.Of STORIFS MA%.OCC LOAO <br /> PLUMBING <br /> FIRE 7.ONE BASEMENt NkDROOMS fIRE SPRINI(lERS <br /> RFQUIRED MFCMANIUL <br /> ❑YF$ CNO <br /> AAROVAU �t DAi[ OTMfR <br /> 1. ENVIRONMfNTAICHECKl6T U.BC. <br /> PFNAITY SfC.ION�) <br /> I. BUIIDING Pl�NS <br /> 7 illlE M�DR�NT TOiAI <br /> 1. iIRE PROTFCTION SYSTEM ►E�MIT VA4D�ilON <br /> WMEN PROPFRIY VAIID�TED�IN iM15 SPACE�THIS IS YOUR PERMIi <br /> 5 LRADINGIkXCAVATIONBCIE�RINGIGRUBBING <br /> 6. DRAIH�GE <br /> 7. FNVIIIONMENTAI IMPACT ST�TEMfNT <br /> !. MkAITM DISTRICT <br /> APPLIUTION ACC.9Y PlANS CHfCKED BY APPR.fOR 155UANCE 9Y <br /> V � <br /> 9�1-79 <br />� <br /> i <br />