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�1�'PLICATION FOR <br /> everett `'�NPERM,TTION e � � <br /> DEPT. OF COMMUNITY DEVEIOPMENT SERViCES � � <br /> CITY HALL:59�8715 � <br /> EVERETt,w�9eiat ��OMlINATION ❑ SUIIDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br /> owHu — ;� Mnn.o ans � ar� nr reo�+[ <br /> �� F',a {�{� Q= �1�ti�2i �,���� �''lCc.-tcf�! � <br /> ��cnrt�c o�oisicr+i■ M•n�oo�riss � arr zv rNowt <br /> GINIR� COhI CIOR / M�IlAp011155 / CIiY ZIP YHONI ll�[NSf� <br /> �;' ) <br /> i�� �'��`�����C-c c t>,�f7/1 �t"7�.� � /,f i �c'.�-�t-L� `•':)'2 � '1 .7—'S�C��� '� (l <br /> MIM1MUl CONiqeC100. MMl e0�11l55 ❑LY LIV YHONL l�C [� <br /> PIUNflrvf,CON1RACi4R Mell ADORlSS ❑IT 21P PI'9wF UC[NS[� <br /> CUSS Of NORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SiGN ❑GARAGE ❑BUILDING RFLOCATION <br /> Y�W�110V O(WORF <br /> ' ld C(�� <br /> DISCNIflI WORIt � � j . <br /> / <br /> .) `1`� �C� J C •�l� / _ <br /> rxarouo us�oi n imwc V I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> �a: ; -��`.-�2��Gc-�1 ' PLICAiION AND KNOW THt SAME TO 9E TRUE AND CORRECT ALL <br /> imu otsaivuo�or veor rvuHowr xno OR e11ACN 10 �covrtA PROVISION$OF LAW$ AND ONOINANCES GOVERNINC THIS TYPE <br /> �' - OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io,_�� �eixx���or `� pR NOT. 7HE GRANTING OF A PERR�IT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF � <br /> ANY OTHER STATE OR LOGL UW RECUTATINC l'ONSTRUCTION <br /> OR iHE PERFORMANCE OF CONSTRUCTION. <br /> SILNATURE Of C�NJR�CT OR�UTMORIZFO AGFNT D�TE <br /> / '' <br /> IORn00RF55 � � ��,ti . . � - / I ; <br /> X' ;, <br /> , � ' <br /> _. .. .._.-•.•nv�en+e._.._....,.__... _._.._._...�.._. ..... .. ALyANiCAt , _-_ _ . _ - ..,r...--.-..� —. ► <br /> NO. TY►E OF il%TURE FEE NO. TY�E OF FQUI�MENi_ FEE <br /> WAiER CLOSfT�TOU!T� AIR CONO UNITS—H V.FA <br /> ' � � � - •�� ������ '���'- �• ' ' ' � ' Rk 1GFRATION UNITS—H P.FA <br /> �AVATORVIWASHBASIN� BOIlERS—MP fA <br /> $HOWFR GAS iIR[O AC UNIT$—iONN�GE E� <br /> KITCMEN SINK 6 DISP fORCED AIN SYSTEMS—B T U M EA <br /> DISWASNER WAIL HFATfRS—B 1 U M <br /> UUNDRYTRAY UNITf'i�7EN5—BTU M <br /> ClO7HE5 W�SNER EVAPONATIVF COG.FRS <br /> WA7[R MEA7fR ClO7NE5 DHYERS <br /> U0.1NAl V[N11LAT!pN FAN <br /> ORINNING fOUN7AIN RANCF HOOD <br /> (IOOR DRAIN AIN H�NDIING UNIT— C i M <br /> VACUUM BRf�KERS S7UV[ <br /> ROOF DNAINS—R�INLFADERS NCTALlIREPUCf 6 CHIMNEY <br /> SINK ISERVICE-9�R.ETC 1 <br /> SU�TOTAI fU�TOTAI � <br /> rE�Mli ! /f�Mli { <br /> TOTAI iE[ 1 70TA1 FEE 1 <br /> SID! V�RU Sf T11ACK STR[[T 5[1f1AiK RGR YARO SF70ACN PUN CHLCA NVMAER PLAN CHECK FfE <br /> fLE NKFIPT NO. <br /> USE ZONE LOi AREA VAUNT 517[ <br /> ❑Y6 CNO FlFS VAlU�l10N IE[ <br /> TYPI OF CONST OCCUPANCY GROU� NU OI DWfIIING UNIiS <br /> 9UILDING s <br /> SIZE OF OL�G NO Of STORI[5 MA% OCC lOAO <br /> 4'WMf11NG <br /> fB[ ).ONF OAS[MENI IiIUNOOMS RtQUIRf1DKLfPS M[CMANIGI <br /> f]Yl5 f'.�NO <br /> �►MOV�LS �� DATF OTN[R <br /> 1 WVIRONMFN1AlCN[CRl15T plNAUY UBC <br /> SFC )OAaI <br /> 2 OUIIDINC PUNS <br /> TOTAL <br /> J IIR[ H�ORAYT <br /> � HN[ PROILCTION SYSTEM �ERMIT VAIID�iION <br /> WMfN PROPlRLY VALIDMED IIN iM15 SPAC[I TNIS IS YOUR PLNMIT <br /> t f,RADING�ISCA\'A7'ONbQfARINGILBU9flING <br /> 6 DRAINACf <br /> 7 [NVIftONM[NUl IMPACT ST�IEMENT <br /> e ��uin�oisTeici <br /> APPlIC�710N ACC BY VUNS CH[CKlO BY APPN fOR ISSUANCE flY <br /> 9.1 ;9 <br />