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APPLICATION FOR Ce <br />the EY.TOFPP^ <br />CITY of CONSTRUCTION <br />CITY <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOP?SENT SERVICES <br />CITY HALL 259-8745 <br />O. <br />EVERETT. WA98201 []COMBINATION❑ BUILDING []MECHANICAL <br />❑PLUMBING PE�RM6T N <br />ray _ <br />CITY <br />UMBING <br />CLASS OF N'ORK ,,��--{{ <br />❑NEW ❑ADDITION ❑ALTERATION 9REPAIR ❑DEMOEITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />VALUATION Of WORK <br />S Agq7 Ae - <br />'ROPOSED USE Ot BUILDING <br />LEGAL DESCRIPTION OF)) PR�.t`` <br />OPEERTY(SHOW /BELOW' <br />LO1�BLOCk�1_ OF <br />v n <br />PLUMBING <br />NO. TYPE OF FI%TURF <br />USE <br />FIRE <br />BATHTUB <br />I AVATORY (WASH BASIN) <br />SNOW I <br />KITCHEN SINK b DISCI <br />DISWASHLR <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HLAT,R <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLE ADEILS <br />vNk FUR V ICE -BAR FTC 1 <br />FEE <br />PERMIT S <br />TOTAL FEI S <br />S1R[[T SC In <br />ROAR YARD St <br />LOT AREA VACANT SITE <br />DYES DNO <br />OCCUPANCY GROUP INO. OF OWE <br />NO OF STORIES MAX OCC LC <br />BASEMENT IIIDROUbK FIRf SPRINKI <br />-L. _ J • litl-V <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS 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 OR THE PERFORMANCE OF CONSTRUCTION. LNG CONSTRUCTION <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />AECHANICAL <br />M <br />TYPE9— <br />UNITSTION UHP EA AC UEAIR SYSTM EATERS—TERS— <br />APPROVALS BY DATE <br />I ENVIRONMENTAL CHICK LIST <br />2 BUILDING PLANS <br />FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />S GRADINGII%CAVAIIONBCLEARINGIGRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY .APPR FOR ISSUANCE BY <br />9-1-79 <br />VENTILAIIC <br />VENTILAIIC ! FAN <br />RANGE HOOD <br />AIR HANDLING UNIT— C I' <br />STOP[ <br />Nit IAL FIREPLACE A CHIMNEY <br />E <br />MIT <br />PLAN CHECK FEE <br />fit CHECK NUMBER RECEIPT NO. <br />FEES <br />VALUATION FI <br />F <br />Il It C <br />51C 1001 <br />PERMIT VALIDATION <br />WEN PROPERLY VALIDATED (IN IHI5 SPACE) THIS IS YOUR PERMIT <br />H <br />:J 0 <br />