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. , <br /> fMEvNpn�n APpL�CATION FO � <br /> CITYOF CJNSTRUCTION <br /> !V!fl1� <br /> everett PERMIT e <br /> DEPT. OF COMMU�IITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8715 <br /> EVERETT, WA 98201 1 <br /> LiCOMBINATION ❑ SUILDING �MECHANICAL ❑pLUMlING PERMIT NO. <br /> �w�//�C�l / M�n�ooNess <br /> 'L' � �T U Ir! � �` % 1"� � 0 _ CIiY ZIP IHONF <br /> �RfNITE[i OR OE51GN[R J r '~ �' �C � ^L��.�CET�' 7'.�I'�U � � �]. J <br /> M�II ADORESS -7 z"4� � � <br /> CITY ZIP `PNONF <br /> LtNfNALCONi0.�C10R M�ILeD�RE55 <br /> ��TY Z1P PNONE <br /> LICENSF� <br /> MECHAHIUI COHTR4CLON M�IL�p011F55 <br /> .�,�� r cnr riv <br /> YNONF ll[ENSE I <br /> PIUMflING[OMp�C70R <br /> MAII�DOqf 5$ ��Jt <br /> ZIP pHONE ll[ENSE� <br /> CUSSOf WORK <br /> Ou�rowor��DDITION ❑ALTERATION ❑REPAIR ❑pEMOLITION ❑FENCE ❑SIGN ❑GARACE ❑BUILDINC RELOCATION <br /> s <br /> �D[S( ORk /� ;'�j�. � 1 ., �Y� <br /> `LL��( o�e�.i` �c �� � <br /> vxovos[n usr ov xmioiHc <br /> � r�� I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEWI:!SCdIPIION 0{PNOFEqTY15HOWH 9FSOW OX niUCN{OUN :OPIl51 PROV SIONS OF LAWS AND ORDINANCES COVERNING?HIS TYPE <br /> 1Oi—B�aK�or . pF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT. THE CR/�NTING OF A PERMIT DOE5 NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � ANY OTHER S7ATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OFCONTRACTOR�iNOql AGEN7 DATF <br /> IOB�ODit55 <br /> � s-�/ -a s w � �i� � � <br /> rtuMeiNc x ""`" d'" /z !Pp <br /> MECHANICA <br /> NO. TYPE Oi fIXTURE FEE <br /> \VATER CLOSET(TOIIFT) N�' TY►E Oi EQUDMENT FEE <br /> BATHTUB AIN COND UNITS–H.P.fA <br /> UVATORY�W�SH 6ASIN� REFRIGEp�TION UNITS–HP. EA . <br /> SHOWEA BOLLERS–H P. EA <br /> KITCHFN SINK d DISP GAS FIRED�.� UNITS–TONNALE EA <br /> DISWASMER �ONCED AIR SYSTEMS-8.T U. M EA <br /> LAUNDRY TRAY WALL HEATERS–B.T.0 M <br /> � CLOTHES WASMER UNIT MEATERS–BS U. M <br /> WATER HEA7ER E���R�T��E COOLERS <br /> URINAL i CLOTMe:OR/ERS <br /> DRINKING FOUNTAIN I �ENTILATION fAN <br /> . fLOOR DRAIN ' RANGE MOpD � <br /> VANUM BRFAKERS Alq MAN�LING UNIT– �.F.M. <br /> ROOF ORAINS–RAINtEADE0.5 STOVE <br /> SINK ISERVICF–BAR,ETC) METAL RqEPi�CE 8 CHIMNFY <br /> SU�iOTAI <br /> rE�MIT � fU�iOik� � � <br /> 70iA1 iEE � ���!��T , � <br /> SItlF YARD SETBACK STRFET SETBACK tpiAl iFC � � <br /> NEAR YAqO SFiBACK PLAN�HEfK NUMBER �' � "+ <br /> PLAN CMFCK fEE ''r : <br /> USE IONF l0T AREA FfE RECEIPT NO. � �'- - <br /> VACANT$ITE . ��'ti�`.-: <br /> ❑YES ❑NO FE[S � VALUATION . �Lat�� <br /> TYPF OF CONST iF[ �hj:�� <br /> OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> . + <br /> SIZE OF BLJi NO.OF STORIES MA%.(KC Lp�D BUILDING y <br /> FIRE ZONF � PWM6ING . <br /> BASFm:'!* 9FDNOpMS flqF SP0.INKLERS <br /> REQUIRED MfCHANIf.AL <br /> OYES ONO <br /> An�OVA13 s: DATE � <br /> OTHFR <br /> L FNVI0.0NMENTAL CHECK LIST � � <br /> 2. BUILDIN�P��NS ' .. P�N��TY U R f �� - � '� <br /> iEi..]0:�1 <br /> 7 flqf MYDRAN7 ?O*A` �.. � <br /> � FIRE PROTECTION SYSTEM �, a�� <br /> SGRADING/E%UVATION6CLEARIN K�MIiVAlIOAiION- ���' <br /> GGF'U9BINL WMEN PROPERLY yAI�DATkii�;!v TMI:�SN.KE;THI_�15 VOUR iFI1M1T <br /> 6. DRAINACE <br /> 7. ENVIRONMENTALIMPACTSTI.iEMENT � <br /> !. NEAITN DIS7RICT � <br /> APPLICATIOk ACC.BV PlANS CHECKED BY AVpR.fOR ISSUANCE BY <br /> 9-1-79 <br />