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r <br /> �MEwrprwn AP�LICATION FOR --� ���,�„ <br /> CITYOF CvNSTRUCTION <br /> everett PE RM IT e <br /> DEP7 OF COMMUNITY DEVELOPMENT SERV�I'ES <br /> CRY HALL Z59�8745 <br /> EVERETT, WA98201 �COMBIN/�TION ❑ BUILDING ❑MECHANICAL ❑PLUMBINC PERMIT NQ. <br /> n 1f� �) MAII�OpXfSS CIiY ZIP VHONE <br /> 7 <br /> �` � �U(£itnSO(L% f�S�L�Cj.r �'�V ��/ .,�.✓liG���i.» .l l.�[ ���'"IG• 7� 7 �- � 1 <br /> ARCHRfC10NDlSIGNlR M�II�pDRF)5 � CILY IP PNONE <br /> I / <br /> \� `��/ <br /> GFNEN�lCO^v1R�CtOR mMIAUDRf55 OtY /II' PHONE tK[MSEI <br /> J L'/•� <br /> MFCHnMUICpHiP�C10R M�IInD�RF51 CIIY tIP PHONF tICENSFI <br /> P�VVI1WGlONiNACiOR MMl10URF51 OIY ZIP VNONE LICENSE/ <br /> (l14 Of NONN <br /> ❑NEW ❑ADDI110N ❑ALTFRATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VAIUAfIOVOf NORN <br /> , <br /> ��� �� <br /> otsyme{w ti <br /> � ' %:S ood c�c• •�� <br /> - �� � <br /> vuovostous�oi xunuwc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE THIS AP- <br /> PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br /> lIWlO[SCRIVIIO40iPROP(Rrt�SNOWM1PFION'nRAii�C111pUNCOFIISI PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> Of WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi �,niocn_or OR NOT. 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. <br /> ��� SIGNATUkF OF [tpft OR�A '/t10RIZED AGENT DATE <br /> IUN AUUNI tiS � <br /> � � C� <br /> PLUMBING MECHANICAL <br /> � NO. TY�E Of fl%TURE FFE NO. TY►E OF EQUI�MENT FEE <br /> WATERCLOSET�TOLIETI AIRCOND UNITS—MP EA <br /> BATMTUB REFRIGERATION UNITS—M P EA <br /> UVATORY�WASH BASIN� BOILERS—H P EA <br /> SMOWER GASRREOAC UNRS—TONNAGEFA <br /> KITCNFN SINK b DISP �ORCFD AIR$YSTEMS—B 1 U M EA <br /> OISWASMEF N'ALLHEATERS—BTU M <br /> UUNDRYTRAY UNIiMEAT[RS-9TU M <br /> CIOiMES WASHER FVAPORATIVF COOlERS <br /> WA7ER MEATEft CIOTMFS DRYERS <br /> URINAL VfNTIIATIOV FAN <br /> DRINKING fOUNTAIN NANCF HOOD <br /> FLOOR DR�IN AIN MANOLING UNR— C F M <br /> VACUUM BNEAKERS S10VE <br /> ROOF DRAINS—RAINLEADERS MEUI f IREPLACF 8 CHIMNFv <br /> SINK�SERVICF—BAR,ETC 1 <br /> ' SU�iOTAL fU�TOUL f <br /> tF11M1T { �FlMIT f <br /> TOTAt ffF f TOTAI FFf 7 <br /> SIDF VARD SFTflACK $TBFFT 5[TflACK RUR YARO SFTBACK PUN CM[CK NUMtlER PUN CHECK fEE <br /> fEF 0.ECEIPTNO. <br /> USE ZONE LOT ARfA y�CANi SITf <br /> ❑Yf5 ❑NO iFFS VALUAiION iFE <br /> TYPf Of CONST OCCUPANCY LROUP NO OF DWFLLING UNITS <br /> eunoiNc s��GOd �u. Q Od <br /> SIZE OF PLDG Np pf STONIES MA% OCC LOAD <br /> PWMflING <br /> RRf ZONE BASEMFN7 HtONOUMS iBF 57RINKlF0.5 <br /> RFQVINED MFCMANIUL <br /> f]Y[5 ❑NO <br /> A►►IIOVALS �Y DATF OTMER <br /> 1 ENVIRONMENTAICMECKl15T UBC <br /> PkN��TY SEC JOI�a� <br /> 7 BUIl01NG PUNS ] <br /> 7 FIPF MYDRANI T�t�� Q V <br /> 1 flHf PROTECTION SVSTEM /FIIMIT VALIDA710N <br /> WliFN PNOPERIY VALIDATFO(IN iM15$PACE)THIS IS YOUR PERMIT <br /> 5 GNADINGf%CAV�TIONBCLFARINLILRUtlNINC <br /> 6 ORAINALE J <br /> 7. fNVIRONMfNTALIMPACTSTATFMENI <br /> E MFAITH DISTRICT <br /> APPIIUTION ACC.BY PLANS CMECKED BY APPA fOR ISSUANCE BY <br /> 91-7° <br /> t <br />