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rEa"� A�.�NSTRUCTION <br /> e <br /> everett PERMIT � <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8715 <br /> EVERETT WA98201 ��OMBINATION ❑ BUILDING , MECHANICAL ❑PLUMlING PERMIT NO. _ <br /> OWNFR M nODXF55 CIT 21P <br /> �T�P!-��/-� �. �cov�� �7 a-�h S �, S.i�1. �V��,I,vA�, 98� 3 <br /> '� MAllA0DRF55 CITY 21P �NOMF iyLr'^)�r 3 S <br /> ARCHITFQ OR 061GNFR G--�v <br /> GENERM CONIR�CTON MAII�DORF55 CITY ZIP PHONE lIC[NSE/ <br /> MfCH�NIUICONTPAROR MAllA0DRE55 CITV 21P iMONE IICEN$EI <br /> VWrAfl:HGCONTN�CTOR M�ILAOOF65 <br /> CITY 21P PMONf IICENiE I <br /> C1�550f WO <br /> ❑NEW �DOITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN C�GARAGE BUILDINGRELOCATION <br /> VMWtiONOf WORK <br /> S <br /> �OE xiBE W00.K 1 ��,,r <br /> �n l,�o �r_,v,��c.� „� <br /> PXOPUStUUSF Oi BWIUING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IEWt OFSINIPiIOH Of PROPFRIY�SHOWH 6ElOW ON eTMIM fOUR COPIf51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN <br /> ioi __eioca__ov OR NOT. THE CRANTING OF A PERMIT DOES NOT PRESUME i0 <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 /> SIGNATURE OF CONTNACTOR OR AUTHORI2ED AGFNT DATE <br /> IOR�OONE55 � �� � ' l ���� ' v U <br /> W � <br /> MECHANICAL <br /> PLUMBING <br /> NO. TY►E OF FIXTURE <br /> FEE NO. TY�E OF FQUI►MENT FEE <br /> WATER CLOSET(TOLIETI AIR COND.UNITS—H.P.EA <br /> REFRICERATION UNITS—M.P.E� <br /> BATHTUB <br /> ' BOILERS—HP FA <br /> UVATO0.Y(W�SH BA9N) <br /> GAS FIRED AC UNITS—tONN�GE EA <br /> SHOWER <br /> FORCED AI0.SYSTEMS—B.T.U. M EA <br /> KI7CMEN SINK 6 DISP <br /> WALL HkA1ER5—BS.U. M <br /> OISWASMFR <br /> UNITMEATENS—BSU. M <br /> UUNORV TRAY <br /> EV�PORATIVE COOIERS <br /> CLOTHES W�SMFR ��OTHFS DRYERS <br /> WATER HEATFF <br /> VENTILATION FAN <br /> URINAL <br /> DRINKiNC fUUNTAIN RANLE HOOD <br /> AIR H�NDLING UNIT— CF.M. <br /> FLOOR OHAIN STOVE <br /> VACUUM 6REAKERS <br /> ROOF DRAINS—RAINLE�DERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�SfNVICE—BAR,ETC 1 <br /> SU�iOiAl f <br /> SU!iOTAI ►ERMIi f <br /> rf11M1T s 3 <br /> iOTAIfFE ! iOT�IFEF <br /> PLAN CMECK FEE <br /> SIDF YAND SETBACK S7RfFT SETPACK RCAR VA7t0 SETO�CN PLAN CHCCK NUMtlER FEE RFCEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FFES VAIU�TION FF[ <br /> ❑YES ❑NO <br /> TVPf OF CONST OCCUPANCV GROUP NO OF DWELLING UNITS <br /> 9UILDING s <br /> SRE OF BLDC NO OF STORIES MA% OCC LOAD <br /> I'LUMIIING <br /> FIRf ZONE BASEMENi 11kONOOMS REQU RF'D��fRS MECHANIUL � <br /> ❑YFS r!NO <br /> A�►�OVAIf �Y DATE 01HE0. <br /> � !NVIRONMENTALCMECKl15T U.BC. <br /> PENAITY $EC 70)Id) <br /> 2 BUIIDING PLANS TOTAI <br /> 7 FIpF MYD0.ANT <br /> ►fRMIT VALIDATION <br /> � FIRE PROTECTION SYSTEM µMfN PHOPERIY VAl DATE�Ilr:1H15 SPACEI THIS IS YOUR PFRMIT <br /> S GRAOINGifXUVATIONdCIEARINGIGRUtl91NG <br /> 6 DRAINAGE <br /> 7 ENVIRONMENTAI�MPACT SIATEMENT <br /> s MEALTH DISTRICT <br /> APPLIUTION ACC BY PLANS CMEIXED BY AVPR FOR fSSWN(! BY <br /> V (,i'• <br /> 9.1 79 <br />