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N�Ewrpmn A�PLICATION FOR,- <br />��TM°F ..ONSTRUCTION <br />everett PE RM IT <br />DEPT OF COMMUNRY DEVELOPMENT SERVICES � <br />CITY HAIL 259�8715 <br />EVERETT, WA9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />lverltl <br />e <br />MtMIlIC10F0[LLM1IR ' M�It/�OORlSS � ' ���� ZIP �� PNON! <br />�� 6L� <br />G[NlR�I[O'�IR�C10o M�II ADDRl55 ❑iY 21P PMON! IICENS[ � <br />MICNANICAI CpNiR�CiOR M�II �ODI1[SS CIIY LIP PNONI IICENSF � <br />PWap1iG CONIXM1CIpR M�II �OOXISS ���� ziP PMON[ IICFHS! 1 <br />CIASSOf WOPK <br />❑NEW ❑ADDI710N �AL7ERATION ❑REPAIR ❑DEMOIITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\'A1 W I IO`� Of NORR <br />4 � � �O <br />Of5CR10L W00.K /J <br />1 �r.s T.QL � /� i 2B .lJ��IB i i1/� is ,�" % <br />raovoaouv or nmmi�+c - <br />lFG1l OFSCNIFIIO� Of P0.0CFRIY (SHONN 611ON' OR �iI�CN IOUII COPIISI <br />lOi_BIOCK Of <br />IOfl ADDNI55 <br />.� <br />►LUMCING <br />HO. TYtE OF FIXTURE FEE <br />WATER CIOSET �TOIIET� <br />BATMTUfl <br />UVATORV (WASN 6ASIN) <br />SHOwFN <br />RIiCHFN SINK 6 DISP <br />DISwASMER <br />UUNDRY TRAY <br />ClO7Hf5 W�SHE0. <br />W�TER HE�TFR <br />UN�MAL <br />DRINNING FOUNiA1N <br />iIOOR DRAIN <br />VANUM BRE�KERS <br />ROOF ORAINS—RAINIFAOFRS <br />SINK �SERVICE —PA0. ETC � <br />SU� 70TA1 <br />►[IIMIT / <br />US[ ZONE <br />SIZF Of BLDG <br />LOT ARFA <br />OCCUPANCY GNOUP <br />NO OF STORIFS <br />B�SEMfNI NII)NOOMS <br />A►MOV�If <br />1 [NVINONMfNT�t CHFCK LIST <br />] 6UILDING PUNS <br />l fIRE MYDRANt <br />� RRF PROTFCTION SYST[M <br />5 GRADINGIIkCAVATION6CLURINGGRUflBINL <br />6 DRAINAGE <br />7 ENVIRONMENT�I IMPACT 57ATEMFNT <br />E HULTN �ISTRICi <br />�PPLIUTION ACC BY PlANS CHFCKfO BY <br />�. c. <br />9.7 79 <br />VAUNT 51T[ <br />❑YIS GNO <br />NO.Of UWfLUNI <br />MA% OCC LOAU <br />�r <br />I NEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOi. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERfORMANCE OF CONSTRUCTION. ,I <br />SIGNAIURF�CONTN�CTOIGORAUTHORIZEDA NT DA�y"�^�r <br />/ � <br />YIUI <br />TY�E OF EQUI�MfNT <br />AIN COND UNITS—H P EA <br />NEFRIGF0.AT�ON UNITS—MP EA <br />BOIL[RS—HP E� <br />CAS FIRED A C UNI75—TONNAGE EA <br />f00.CfDAIq5Y5TFM5—B7U M <br />WALIHFATERS—BTU M <br />UNITMEATERS—BTU M <br />fvAPOP�TIVE COOlFRS <br />CLOTHFS DRYFRS <br />VFNiILA710N iAN <br />RANLfHOOD <br />AIRHANDIINCU IT— CiM <br />SIOVF �_«, � �� <br />MF7AL flp[PUC[ b CMIMNFY <br />fU�TO7Al <br />R�MIT <br />TO1Al ifF <br />1'lAN CN[CK N6'MBER <br />FfE <br />iE[S V�l <br />15 <br />BUILDI4G <br />PIUMAINL <br />RS <br />MECMANIGL <br />D�T[ OTHFR <br />APPR fOR ISSUANCI <br />S <br />RKFIPT NO. <br />PENAITY U6C. <br />$EC loH+l <br />fOTAI <br />►[�MIT VAIIDATION <br />WHfN PROPkRLY VAIIDATED (IN TNIS SPACFI iN15IS YOUR PERMIT <br />iE! <br />