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9 <br />r <br />L <br />IM Evergreen <br />OILY OF <br />APPLICATION FOR <br />everett �.ONSTRUCTION <br />PERMIT <br />DEPT OF COMAIUNIIY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA 98701 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />11N'NIN MAIL \IIUNISS <br />nl, zll` ruuNl <br />-7-4LQ <o XAM 1431 W &WIAT 4,l; G ��aRt TT <br />C 1 I I 1 C I OR DIS c NI AT MAT DORISS (III JII' 1'IU)vl <br />611E R Al I I IN I R A( I OR WII ADDIFIIS <br />111\ <br />'Ir <br />1'111141 <br />III I"I I <br />�-r5 _24A,1nh )3)1 N'Z3Wrn/ <br />Il IIANICAL LO IR C UR hikli ADURISS <br />Tip TTLI <br />UI, <br />c'+ <br />7 8%33 <br />/II` <br />3/ i Obit <br />rupN! <br />Z5yz`Ir <br />II(E NIL <br />IYU.(RINC(ONTRACTOR "A'(ADDRESS III, ZIP !'IUj I 11(l,,,, <br />([ASS Of N'ORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑RI PAIR 0DIANIOLI1ION ❑FENCE ❑SIGN ❑GARAGE ❑RUIIDING RELOCATION <br />VALUATION 01 NORK <br />5 <br />//D�RN <br />Dill ATE 11R1 <br />/G <br />F1LAq/i' L jL)ST1M. _- < r r IF 1 t_ti_t- <br />rquruMDva OF RwlulNl; <br />I HEREBYCERTIFY THAT I HAVE READ AND EKAMINED 1111S AP- <br />PLICATION AND KNOW THE SAME: 10 FIT TRUE AND CORRECT ALL <br />PROVISIONSO[ LAWS AND ORDINANCES GOV.RNING THIS TYPE <br />OF WORK WILL RF COMPLIED FIVE ILL WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY 10 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY 01HER SIA11' OR LOCAL LAW REGULAI ING CONSTRUCTION <br />OR 11IL PERFORMANCE OF CONSTRUCTION. <br />SIGNATURT OI CONTRACTOR OR 'TIIORIZI AC,tNI DATE <br />x _ <br />IF CAI DIS(R I PI ION Of PROPER; 115HONN RII OW OR A 11 Al11 FOUR(OP(IS) <br />Rol _Rla'A_ol <br />Inn q'nvl `I <br />24 - — - <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />LEE <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />IY A I I R I IOSI I IlOL IF 11 <br />AIR(f)NO L'Nl1A-141' IA <br />RADITUR <br />R IF RI(;I RAT RUN UNIIN-111' IA <br />LAVAI(IRY (SVASH BASIN) <br />❑)IIIRS-.TIP IA <br />MIOWIN <br />I; AS IIRIU A(' LIMES-IONNAGI EA <br />KII('14 N SINK A UISP <br />IUR('ID AIR SISII MS-11I U MIA <br />DISN'ALIIIF <br />NAZI IF All RS-IFIIF M <br />UUNURI IRAI <br />I'NIT IIIAIIRS--THEE M <br />( 1,()1III S N ASHE R <br />I VAPI )RATIY'I (001I RS <br />WATIR IIIATER <br />CIOg114 URTERS <br />URINAL <br />SINT11A11UN IAN <br />DRINKING FOUNTAIN <br />RAN(,l II)OU <br />'IUOR DRAIN <br />AIR IIANDIING UNIT- C I M <br />VACUUM FIRE AKE Its <br />SN1S'1 <br />ROOT DRAINS-RAINLE ADIRS <br />MI tAl FIRIPIA1I A CHIMSIfy <br />SINK (5IRVICI -RAN. I ICE <br />SUR TOTAL <br />STIR IOTAI E <br />PERMIT ! <br />PERMIT $ <br />TOTAL Ill S <br />TOTAL fit S <br />SIUI YARD 5I IIIACK <br />STREET SE IHAQ <br />REAR TARO 51111A( K <br />PLAN pIICN NUMIIER <br />PLAN <br />11[ <br />CHICK ILL <br />RECEIPT NO <br />USE ZONE <br />IOT AREA <br />VACANT Sill <br />I_hIS ❑NO <br />fits <br />VALUATION <br />fit <br />TYPE OF CONS7 <br />OCCUPANCY CR111.P <br />NO OI DWLLIING L'NIIS <br />11URDING <br />S <br />Slit OI NLUG <br />_ <br />NO Of STORIES <br />MAX OCC IUAD <br />NUMBING <br />HET ZONE <br />HAS[MI NI <br />RI UNIIU\IS <br />IIRI SPRINKLERS <br />RIQUIR[D <br />5 rNO <br />MI(IIANIUI <br />APPROVALS <br />By <br />DATE <br />OTHER <br />I fNVIRONM[NtAI CIILK LIST <br />PINAUY <br />LIB( <br />SEC IU IIRI <br />7 RUIIDINC PLANS <br />) IINI HIURANT <br />TOTAL <br />A I IRI PROTECTION ST51[M <br />PERMIT V'AUDAIION <br />N TIE N PROPERLY VALIDATE D OR THIS SPACE I THIS 1S 1UUR PERMIT <br />5 GRADING'I XCAVAI ION A ❑ I ARING'GRUHRW G <br />t ORAINACI <br />7 ENVIRONMENTAL IMPACT STAIEAMN', <br />R IDAnI1DIS1RIC1 <br />APPLICATION ACC RY <br />PLANSCIIL[KIU m <br />r /L <br />APPR IOR ISSUAN RI <br />L <br />