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, . , - <br /> AF ��'LICATION FOR � �„ <br /> ��""'"" CONSTRUCTION e <br /> everett PERMIT <br /> DEPT OF COMMUNITV DfVELOPMENT SERVICES <br /> CITY HALI 259�E7�5 <br /> FVERETT,WA9B201 �COMSINATION � BUILDING ❑MECWANICAL ❑PLUMBING PERMIT NO. _ <br /> nwMR M��1 sD�x1A UtY ZIP PMONE <br /> William Lanqus 1026 Rucker Everett 982'll 252-3648 _ <br /> �RCNIIICIORUf51LNIM MMI�ODR155 CIIY IIP PHONE <br /> LINIRM CONiMC10N M�II���RISS CRY 21P IMOHE lIC[NSI I <br /> �VC1Si�N�(eICO�+iN�C100. MMI�DDRl55 bi1 LIP PMONE llC[HSEI <br /> Pll'��NNCIONIR�C�011 MMl�00Rt55 ❑fY IIP IHONF IICENSE1 <br /> t I�N OI N�OR[ � <br /> C�NEW ❑A�DITION �ALTERATION ❑REPAIR ❑DEMOIITION CIFENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> �u���unv oi wovx ' �� <br /> f 5��.00 <br /> UIKNINI WOR� <br /> kitchen remodel <br /> rxon�t�o ou or nunumc I HERE01' CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• i <br /> ainqle family residence pLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Ilf.�l I1ISCMIPIIOu 01 PROPIRIY ISNOWN BIIOW OR�iIACN IOUM CORF51 PROVISION$OF LAWS AND ORDINANCES COVERNING THIS TYPE ' <br /> OF N'ORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN <br /> i�, 29 qi�,K 2140� Heiqhte OR NOT. THE GRANTING OF A PERMIT DrJES NOT PRESUME TO � <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF '' <br /> ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTInN. O i <br /> SIGNATURI Of CONTRACTOR OR AUTHORIZED •I':i DATE 3/�� � <br /> ��/ i <br /> � �P1026tRucker Avenue X "�� '� <br /> ►IUM�ING MEC l �. <br /> NO. TYrE OF fl%TURE FfE NO. TY►E Of EQUDMENT FEE .. <br /> � WA7ERCLOSETITOUFp AIRCOND UNITS—NP FA I <br /> B�iNiUB RFFRILERATIONUNITS—HP F� <br /> ' UV�TOIlYIWASH BASIN� flOILERS—HP EA <br /> SMOWFR WS FIRFD AC UNITS—tONNALE fA <br /> I 1 KITCMfM 5�!�K 6 DISP Z OO fORCED AIR SYSTFMS—B T U M fA <br /> I WALIHf�TERS—BTU M <br /> DISWASHER <br /> � UVHDRY TIIIIY UNIT MUTFRS—B T U M <br /> � CLO7Ht5 weSMFR Fv�PORATIVE COOLFRS <br /> � I WATfR HEATER CLOTHFS OXYFRS <br /> � �R�N�� y[NTILATIONf�N <br /> I DRINKING FOUNTAIN A�NLE HOOD �, <br /> ; AIR HANDLING UNIT— C f M i <br /> - fIOOR DIIAIN <br /> � VAiUUM BRUKERS STOVf � <br /> � ROOi DRAIr+S—RAIHLFADFRS MFUL FlRFPUCE L CMIMNEY � <br /> I� SInK6FeVi[k—B�N.ETCI . <br /> � <br /> i <br /> I <br /> fU�10TA� Z OO fU�TOT�I � <br /> �E�MIi f �E�MIT � <br /> ' iOT�I If[ f iOGI iEE � � <br /> SIDF Y�RO 5(TPACN STREET 5[TA��K RUR YARD SETB�CK VUN CH[CK NUMBFN PIAN CNECK FEf '� <br /> FFE R[CEIPT NO. <br /> US! ZONE LOT�IIU yACANT SIiF IEEf VAI+'�TION R! <br /> �YFS GNO <br /> TYP[ Of CONST OCCUP�NCY GNOUP NO 00 DWfILING UN�75 <br /> �, BUILDINC s 500.00 5 00 <br /> SIZF OF BLOG NO OF STORIES M�k (CC IO�D <br /> � PWMqING � �0 <br /> fIRF ZON[ B�SEMENT NkOR(�MS RFQUIIIEO��ERS MECMAMCiI <br /> C7Y[5 ❑NO <br /> MMOV�If �1' D�if OTM[9 <br /> 1 FNVIRONMFNTA:CHECK U5T pENAUY U.BC <br /> SFC )011al <br /> 7 BUILOING VUN$ � Op <br /> TOi�I <br /> 7 i1RF M�DR�N7 <br /> � iBE PROTECTION SYSTEM rE�MIT WLIDAiION <br /> WHEN PROPERLV VAIID�TFD IIN THIS SPACF�iH15IS YOUR vE0.MIT <br /> S GRADINGII%CAV�710N6QfA0.1NGIGRUBRINC <br /> 6 DRAIN�Gf <br /> 7 fNVIRONMENUL IMPACT STATfMFNT <br /> ! NFAITM D15T0.1Ci <br /> AVPIIUTION ACC BV f`.AN$fNFCKED BY APPR fOF ISSU�NCk BY <br /> 9.1 79 <br />