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, . . <br /> D►�PPLICATION fOf� ���,�„ � <br /> � , " " " �ONS�RUCTION , <br /> everett PE R NI I T e ' <br /> DEPT. OF COMMVNITY DEVELOPMF.NT SERVICES i <br /> CITY HALL 2598745 - <br /> EVERETT,WA98201 OO COMBINATION � BUILDING ❑MEtNANICAI �PLUMBING PERMIT NO. ; <br /> OWHIA MMl AOIlR155 CIiY ZIP PIION( � <br /> �o�Ms �i �'¢%�w�+Y 1521 �UGK�tZ `L�/��ZET' GI�ZoI 2��i-?.�88 <br /> APCMIIIO ON Dt51GNIR MAII AO�F65 UIY ZIP PHOH[ <br /> "1"lJoMt� M 'I"R��/A'� �-,4ME A5 .���'E <br /> GENIR/lGON1ReC100. M�IIAI)ORI55 Ul1 I.IP PNONL LICINSFI <br /> M¢NANIUI CONiNAQOR Alnit�DDNI55 ❑��' LP PHONI UCENSF� <br /> PIUMflINGCONTR�CIOP M�II�ODRf55 f.11Y ZIP PIIONf IICENSE� � <br /> CU55Of W00.K I <br /> ❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑�EMOLITION ❑FENCC ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VAlU�110N Of WORK <br /> � 37v�o°' 4'�bT��ALS + IA�SD '^' l-ABTdK — `T�TA�Lj/� � 5�50 � <br /> D[SCRiPL WONK ✓l�l.�l�t�I O� ���I N C'' �N I ��IO� Sr/�i(/� <br /> IG GI"I Clr <br /> (Il/ ' <br /> � rqoros[oustornminu+c I HfREBY CERT�IF THAT I HAVE READ AND EXAMINED THIS AP- <br /> / II`ka LE^'gMi L`� ��C�I�F PLICA710N ANU KNOW THE SAME TO RE TRUE AND CORFtECT ALL <br /> «GM 06CRIPiION Oi PROV[0.1\(SMOWN pllOW OR AiIACN 10U0.COP161 . PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> I , „ OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �p��fI tSqIOCK�or ' � sJ OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ,?O �•YC�I?�'f^ I?�idIZI��� L• ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUC?ION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE/0�/CONTRACTOR OR AUTHONI7.ED AGENT DA�E I <br /> 106�A/DDyRE55 v C �'� �,y�L � ��� �/�-t/. � �9�9 I <br /> 7I A 7����...�� <br /> �LUM�IHG MECNANICAL I <br /> NO. TY►E OF FI%TUIIE FEE HO. TYPE OF EQUI►MENT FEE I <br /> .VAiER CLOSET(TOLIET) � O AIR NND UNRS–HP.FA I <br /> BATMTUB [1 k[FRICfRATION UNITS–MP.EA <br /> UVATORV(WASH BASIN� '� i� D 6011ER5–N P U i <br /> � � SHOWFR GASfIRI�ACUNITS–TONNAG[ EA <br /> KITCHEN SINK 6 DISP. �/ O FONCLD AIR SYSTEMS-9 i U. M EA i <br /> � r� DISW�SHFR WALLHLUE0.5–flTL A1 � <br /> � � LAUNORY TRAY UNI7 HFATf RS–fl T U. M � <br /> . CLOTNES WASHEN -+ 0 FVAPONATIVF COOLfRS <br /> r <br /> WATER MEATER "� d O CLOINES DRYkRS i <br /> - URINAI VfNilU710N FAN , ' <br /> DFINKI VG FOUNTAIN RANGC IIOOD ' <br /> F170R DRAIN AIR HANDLIVG UNIT– C.FAI <br /> VI�NI M 9RE�KERS STOV! <br /> R�iOF 1)RAINS–RAINLE�OfRS MIUL FlNEPUCE A CHIMNEV <br /> SPJK(SERVtCE–BAR.ETC) <br /> () <br /> ` i <br /> jfU�i07A1 C f� SU!TOTAI f I� <br /> �F�MIT f ►F�MIi f I <br /> 1 <br /> � TOTAI ifF f •� 70TAL FEE f <br /> } $IOE YARD S ETBACK SiREET SETBACK REAR YARD 5 TBAIX PLNN CH[CK NUMA[R PUN CHECK FEE <br /> > — � fEE �� RKEIPT NO. � <br /> USf ZONE LOT AREA VACANT SITC �� � � ��� � � � <br /> . �YFS ❑NO fEES VAIUATION FFE � <br /> � <br /> TYPE OF CO'IST. OCCUPANCY GNOUP NO OF DwEIUNG UNITS � <br /> 3C �.� R-3 � �,������� S 3� vo i <br /> � SIZE OF BlD:. NO.OF STORIES h/A%.OCC LOAD <br /> . Z PlUA1BING i 0� I <br /> FlNE ZONE BASEMfNT HkDRCOM� FlR[ SPRINKLENS � <br /> 3 HCQUBCD MtOi�NIUL �� <br /> OYfS f]NO <br /> AFrROVAIS /Y D�TF OTNER i <br /> 1. fNVIRONIt[NULCHFCKUST PINALTY U.(1C. ' <br /> scc wxri � o U <br /> 2. RUILDING PLAVS <br /> TOTAL I <br /> �. 1 FlRE HVUf AN7 <br /> � FlRE PR01 SCTION SVSiEM RRMIT VALIDATION <br /> N MI N PNOPFRIV VALIDATfD�1N TNIS SPACE�THI515 YOUN PERMIT <br /> 5.GRAUINL!I(CAJA710N A CLI ANINGIf1RUI1NING <br /> 6 DRAINAGI <br /> A ENVIFONr11.N-AI.IMPAC756lTIMEN7 � <br /> B HEALTN D STRIC7 <br /> APPLIUL 7N.\CC.OY PLANS CM[CKfU f•V APPR IOR ISSUANCI IIY <br /> Vi � <br /> 9-1J9 <br />