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v <br /> , <br /> APPLICATION FOR <br /> �E�""""' �ONSTRUCTION e <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HAIL 259d7�5 <br /> EVERETT,WA9E201 ��OMlINATION BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> p� n M��I�Of�NfSS CItY �/ 21� PNOHE -q <br /> �J/aCK Gf��GSTLGL()1-� /�/�t..J�"J/�OI� �Ylell 25 / -�'��S`L � <br /> �IICNIIICiOI1DF51CNIP M�Il1pDMf55 CRY ZIP PNON[ <br /> G1N10.�1CDM0.�QOM M II�DDRlTS CCY ZIP PMONE v�.y��CFN � <br /> �y w'Li .Z. � <br /> /�py� ��, LG �A�/ SfF .,�;'�S ,Q�. sL1Rky�S�l�I.G� 15��.3G�i <br /> n�ICnnrviUl pr+Icnt10F �+MInUDaSS C�fr L�P MpH[ ll[FrSF� <br /> � PIUMq�vGCONiR�CtOR MAlIeDbN65 ❑lY ZIP PHONF UCEMSFI <br /> C1�550f NpAR <br /> ❑NEW ❑ADDITION ALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOCATION <br /> \'�WAt104Of WOPK <br /> � ������ � <br /> DHGIflI WOIIK <br /> � '"— GJ (.JldJbo 5 <br /> rqorostousi or nunowc 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMMED THI$ AP- <br /> PLICATION AND KNOW THE SAME i0 BE TRUE AND CORRfCT ALL <br /> ur l D(SCNIiIIOVOI PRO�IRiY�SNONN PIION OR�it�(M fOUR COI'1[51 PROVISIONS OF UWS AND ORDINANCES GOVERNINC THIS TYPE <br /> 1t� � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> «��w�aK�2a' OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER$TATE OR LOCAL LAW RECULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAtUNE OF CONTRACTOR OR AUTH00.1Z,E�D AGFNT 9ATE <br /> ionnooxtss � Z�/ �j�7� <br /> '_' X / (� <br /> �IUMlING MECHANIUL <br /> NO. TY►E OF fl%TURE FfE HO. TY►E Of fQUI►MFNT FEE <br /> WA7[RCIOSETITOIIETI AIRCOND UNITS—MP EA <br /> F.AiN1UB RfiRIGFFATIDN UNITS—NP EA ' <br /> UVATORY(W�SM P�SIN� BOIL[RS—N P FA <br /> SHOWIR GASFlhFOAC UNIiS—TONNAG[ FA <br /> KITCHEN SINK 8 DISP lORCEU AB SYSTEMS—B T U Id EA <br /> DISWASMFR 1YALLNkATERS—BT.0 M <br /> UUNDRYTPAY UNITHUTfRi—PTU M <br /> CLO7HFS WASN[N EVAPOR�71V! COOI[RS <br /> WATEN MfATfR ClOTN15 DRYFNS <br /> VRINAL V[NTIIATION fAN <br /> �RINKING FOUNTAIN RANGL NUOD <br /> iLOOR nRA1N AIR HANDLING UNIT— �f M <br /> VACUVM BREAKlRS S70VE <br /> ROOf DRAINS—RAWLUDFNS M[T�l FIRFPLAC[b CHIMNEV <br /> SINY,(SERVICE—B�R,t lC 1 <br /> SU�TOTAL fU�70TAL � <br /> R�MIT � RRMI7 { <br /> TOT�Ii[E f TOi�IFEF � <br /> SIDF YARD 5[70ACK STR[ET 5[iflACA ^.EAR YARD SRBACK PUN CH[CK NUM6[R PIAN CHECK iEF <br /> il! NEC[IPTNO. <br /> USf ZONL l0T ANU y��ANI SITf <br /> �YES GNO iEFS VAlUAT10N iFE <br /> TVPE Of CONSI OCNPANCY GNOUP NO Of OWfLLING UNI75 <br /> flUILDINL S <br /> SI2F Of 9LDG. NO.OF STORIES MAN OCC.LO�O <br /> PWMBING <br /> RRE ZONL BASFMEN7 flIDNOOMS fIRE SPRINKL[RS <br /> RFQUIRFD MECXANIUL <br /> ❑Vf5 ❑NO <br /> AM�OVAlS �1' D�TE OTHlR <br /> 1 [NVIRONMFNTAI CXECK LIST U.BC. <br /> VEN�LTY $EC RIN+1 • <br /> 3 BUILDING PUN$ <br /> 7 fIR[ HYDMANT 70TAL <br /> � {IRE PR6fECTION SYSTEM RRMIT V�IID�TION <br /> ' S GRADINGI%UV�TION6ClURINGCRUBPINL N'NEN PROPERLY VALIDATfD11N TMIS SP�CFI TM1515 YOUR PEFMIT <br /> 6 ORAINAGE <br /> 7. ENVIRONMENUt IMPACT STATEMENT <br /> !. HE�.TM OISTRICT <br /> �PPLIUTION�CC.BV PUNS CMECKED BY �iVN F01f ITSWNCE BY <br /> 41�79 <br />