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. , <br /> , <br /> tMEnrp�n APrLICATION FOR ^ ���,�, 1 <br /> ��r�f CONSTRUCTION e � <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALI 259�E7�5 <br /> EVERETT,WA9E201 ❑COMBINATION U BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNfR m�il �OONISS CiIY ZiP PNONE <br /> ��'l�iw/ �CAI.�'T�'� 2�� /��1�.� � <br /> AIICHRFR OII D[SILNlN �ult�ODRI55 CILY ZIP PHOHF I <br /> �slMGO �iA.� CO�I� �I�ll � F�kO �.ti �l �1'Oe�� �I-A4C�3 '�2��'� <br /> GINIRM COHLRM'IOR Mel �� I55 tIIY 21P PHOHE llC[HSE I I <br /> �IICNANIMI CONIR�CIOR MMl�DDNI55 ❑iY LIP PNONF IICFNS[I Ii <br /> ! <br /> fIP�1Pl'.Y.COMp�[lOR MAII�ODNf55 CIIY 21P PHOHE UCFNSF/ � <br /> l I U�OI NONR ,--, � <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOIITION ❑fENCE LJSfGN ❑GARAGE ❑BUILDING RELOCATION � <br /> � <br /> �.w/�+no���nr wo�k � <br /> �DVV�� — <br /> Illll'NINI WORI.� _ <br /> � i�xuvovuoe or nwiui�+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEC THIS AP- <br /> . PLIUTION AND KNOW THE SAME TO BE TRUE AND COR tECT ALL � <br /> IIGV OISCNIF110N UI YROPlNI115MOWN flFIOW 00.�i1MN IOUR COPII51 PROVISIONS OF UWS AND ORDINANCES COVERNING THIS TYPE i <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN � <br /> im _aiocx_or pR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO � <br /> GIVE AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF � <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT�ON <br /> OR THE P[RFORMANCE OF CONSTRUCTION. I <br /> ( - SiGNATUR[ OF C TNACTOR OR AUTHORIZFO AGENT DATE � <br /> � inn,onaits � G e0 ' <br /> I�'�_.: X ' �� <br /> �IUM�ING ME AhICAI <br /> NO. TY►E OF FI%YURF fEE NO. TY►E OF FQUI�M[NT iFf <br /> W�TER ClO5E71TOLlFT� AIN CON� UNITS-H P EA � <br /> BAiH1UB REfRICFRAiIONUN115-HP FA � <br /> L�V�TORY�WASHBASIN� POII(RS-HP EA <br /> SMOWFR f,ASFlRFDACUNITS-IONNAGEEA _ �', <br /> - KITCHEN SINK 6 DISP IORC[D AIR SYSTEMS-B T U M E� � <br /> i D�SWASHFR WAItMFA7fR5-flTU M <br /> 1 . UUNDRYTRAY UN1IHFARRS-BTII M <br />!1 ' CLOTMFS WASNER LVAPORAiIVE COOLF85 <br /> � WATER HFATFR CLOTHlS DNYFRS <br /> URIN�I VFNiIUTION fA� <br /> DRINK�NG fOUNTAIN RANG[ HO00 � <br /> � FIOOR DRAIN AIR HANDLINC UNIi- C F M <br /> I�I� VACUVM BRF�KFRS S���t I <br />� - � ROO{OR�INS-RAINLUD[RS MfUIfBfPLACfBCHIMNfY � <br />' � � SINK�SERVICf-BAR.F TC 1 ' <br /> II � SU�TOT�I SU�TOTAI f <br /> ►[RMIT { ►F�MIi � <br /> TOTAL I[E f TOTAI iFE 1 <br /> SIDF YARD 5l1flACN STRfl7 5[TflACK RUR Y�RD 5f iflACK PUN CH!CK NUMB[N PLAN CHKK FEE <br />�I FfE RECfIPT NO. <br /> II USF IONE lOT ANEA y�CANT SIIF <br /> t <br /> ❑YES GNO fFFS VAlUAT10N iEE <br /> TYPF OF CONST OCCUPAN[�GROUP NO Oi DWELIING UNII$ <br /> BUILDING f <br /> SIZE Of BIOL NO Oi STORIFS ���X OCC IO�D <br /> i <br /> PLUMOING "v. <br /> fIRF ZONf BASFMENi If1UHOOMS REQUIRfON�ERS MFCNANIUL <br />. f7YE5 f7N0 <br /> ��►ROVAIS �f DATF OTMfR <br /> � FNVINONMFNTALCH[CKllST UBC <br />, iFNAITY SEC 30Ne� <br /> 7 BUILDING pUN$ <br /> 7 RRF MYURANT TOTAI <br /> / i1Rk PRUTfC110N SYS7[M fF�MIT V�IID�TION <br /> WMW PROPkNLV VALIDA fOI�N TMIS SPAIE)7H1515 YOUN PfRMIT <br /> S GRADINf,q%CAVATION6CLURINGICRUHHwL /-� �/-/J/� <br /> 6 DRAIN�GE C/ ` �� �� <br /> 7 ENVIRONMENTAL�MPACT ST�TEMfNT <br /> S NFAITM DISTRICT <br /> 1PPlIUT104 ACC flP P 5 SMfIXFD OY _ APPR �OM 65UANCF PY <br /> - �—_i'/ � �_L _/� _ _ _ T <br />