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PPPLICATION FOR evereM <br />�TM�'°'"° :.ONSTRUCTION e <br />everett PE RM IT <br />DEPT. OF COMMUNITY DEVEIOPMENT SERVICES <br />CITY HALL 259�B745 <br />EVERETT, WA9B201 ��OMBINATION ❑ BUILDING ❑MEtHANICAL ❑PLUMBING PERhiIT NO. <br />Y��,o �Do� ������ t <br />PIU.MflIUG CpNIRI' fOP MAII AOOPI55 CItY ZIP PHONE tl[fw5� • <br />CU55 Uf �1'OPN <br />❑NEW ❑ADDIiION <br />l'�W�t�O^+Of N'ORK <br />s �DG . A 0 <br />u�sceiet woer: <br />o us� or nmioi�c <br />❑ALTERATION ❑REPAIR pIDEMOLITION ❑FENCE ❑;IGN ❑GARAGE ❑BUILD�NGRELOCATION <br />e <br />u <br />llWl DISCRIF110N OI P0.0PlR1VISNONN R[lON ON �iUCH roUX COPIISI <br />�o�/ r c NIOCA�o� ��.v� o� � ✓��v <br />IOfl ADONl55 <br />PIUMBING <br />NO. TYPE OF i�1 <br />WATER ClOSET �TOLIETI <br />BATMTUO <br />LAVATORVIWASH OASIN) <br />SHOwER <br />KITCMEN i!NK h DISP <br />OIS\YASHFR <br />UUNDRV TNA'f <br />CLOTN6 �'.ASHER <br />1vATER IIEATER <br />URINAL <br />URINKIKC FOU�TAIN <br />FIOOfl DRAIN <br />WCWhI flRF�KERS <br />ROOi ORAINS-RAINLLAUER$ <br />SINK (SfRVIC!-BAR [iC 1 <br />SIpF YARnS[ll'. <br />USF ZONF <br />Twt oi torvst <br />512! Of PIUG <br />fINE ZO�C <br />fU�TOTAI <br />►[�MIT <br />TOTAL IEE <br />57R[E1 $CTf1ACK <br />lpi AREA <br />OCCUPANCY GROUP <br />NO OF 5T00.1F5 <br />OAS[�1EHT IIfUNi <br />A��IIOVAlS <br />1 FNVIRONM[N7AL CHLCK 115T <br />2 BUILDING PLnNS <br />7 FIN[ NYDRANI <br />� tl0.f PROT[CTION SYAEM <br />S GHAOINGiI xCAVATION A Cl! AXiNCIGRUHNItiG <br />b DRAINAGF <br />7 EN\'IRONMFNIAL IMPACi $TA1FMfNT <br />E MFALiH DISTRICT <br />�f <br />R[ AN YARD 5! l Ok <br />\'AUN1 SIII <br />❑Y6 ❑NO <br />NO OF DWELLING <br />EQUBfD <br />]YR �:NO <br />�y OAiF <br />APPLIUiION ACC BY PUNS CHECKED BV I APPR FOR ISSWNCk PY <br />91-;9 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW TIiE SAME TO 9E TRUE AND CORRECT ALL <br />PROVISIONS OF LAW$ AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNATURE OF CONTRAfTOR OR AUiHOR�ZED AGFNT DATf <br />MFCMANICAL (/ <br />NO. TY�E OF <br />AIR COND UNIT$-11 <br />UNITS—H P FA <br />OOILIR$—NP EA <br />GAS FlRfD AC UNITS—TONNACE EA <br />fORCFD AIR SYRFMS-0 i U M <br />\1'ALIHFATERS—BTU M <br />UNIfHEA1EN5—NTU M <br />(\'APONATI':f COOlERS <br />CIOiHES DRYFRS <br />Y[NiIUTION FAN <br />R1NG! HOOD <br />AIR HANDLING U� <br />MC7AL FlHFPUCE 8 <br />PIAN OILCR <br />S <br />— CIM <br />t[LLMIT 1 <br />T07AliFE � <br />PUN CMFfK FE[ <br />F!E � RFCEIPT NO. <br />evituinc 3 <br />PlUM01NG <br />MEClIANIUL <br />O1HFR <br />PFNAl1Y U PC <br />SEC ]OAa) <br />TOTAI <br />t[RMIT VALIDATION <br />\4Mf N PROPEMII VAIIDAIEU II4 iH15 SPAC[I7HI51$ YOUR PkBMIT <br />� <br />