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] <br />`I; <br />-APPLICATION FO�t <br />�°�°"� �ONSTRUCT�O�. � <br />everett PERMIT �' � <br />DEPT. OF COMMUNITV DEVELOPMENT SERVICEY <br />CITY HALL 259-8745 <br />EVERETT, WA98101 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNFR M�IIADON[S$ CITY ZIF PHONE <br />.�)� ,El�B�f'E�.-._9�� s� �P� sc� F_ u�:PETl 9lz a.? �.s��sz o <br />ARCHITECT OR OESIGNtR M�II �DDRF55 CITY ZIP PNONE <br />Sn ��'Sf�Di✓ DFsis.c� �-�-1 �� ,7WrKs�,r.� GUG�?f � `c so� <br />GENERAICONTRACIOR M�II�DORF55 ❑iY ZIP PHpNE UCFNSf t <br />��.(J I�.%� <br />n�ICNAniGI tONiReQOX mAit n00rtE5S CIiV LIP PHONE IIfENiE I <br />PWmBI1:GCONLpeCiOR mnILnDDRE55 CIIY ZiP PNONE IICEN5E/ <br />CUSSOf WOR <br />❑N[W ADDITION ❑ALTERATION ❑REPA�R ❑DEMOL�TION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />WlV�iIONOf WOIIK <br />' /eZT._SOU <br />otSCRIN[ w(1RK _ <br />OI fiUIIDIN� <br />IfGM �ESCRIPiIO�v Of VROVEFIY ISMOWN BEIOW OR AiT�CN fOUR COPiE57 <br />ior a/ eiocK_or `-���fi�lfiP{TI%/A/�/) <br />tXG'�PT, F,p.rnrxcy �s <br />� 5 C't THd E� <br />9 �-� siw P� s�... <br />PLUMBING <br />� NO. TYPE OF FIICTURE <br />� WATER CLOSET (TOLIETI <br />BATHTU9 <br />. LAVATORY (WASM BASIN) <br />. ��y� SHOWER <br />' KITCHEN SINK 6 OISP <br />DISWASHER <br />IAUNDRY TRAY <br />CLOTHES WASHFR <br />, WATER MEATER <br />I UNINAL <br />' DRINKING FOUNTAIN <br />FLOOR DPAIN <br />� VACUUM BBEAKFRS <br />� ROOF DRAINS-RAIULEADfRS <br />51HK �SERVICE-BAR, ETCJ <br />SUt 70T1 <br />►ERMIT <br />iOTAIiE <br />SIDE YARO SET9ACK STRFET SETB <br />co�- 26 <br />USf ZONE ` <br />,�,.� \ <br />TYPE OF CONST. <br />�N <br />SIZE OF BL�C <br />Aoo`TN 3�1�S.F <br />Fr r.��o� N J <br />LOT AREA <br />OCCUPANCY CROUP <br />ADDTrJ R,3 <br />NO Of STOR�fS <br />1 <br />FI0.E ZONE —. I BASFMENT I HtURCX; <br />AA[OVAlS <br />1. ENVIeONMENTAL CMEIX LIST <br />7. BUILDING PUNS <br />7 FIRE HYD0.ANT <br />1. FlRE P0.0TECTION SYSiEM <br />� S.GRADINGIE%CAV�710N6CLfARINGIGRU881NG <br />b. DRAINACF <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />E. HEALTH D157RICT <br />APPLICATION �CC BY PLANS CHECKED BY <br />�� <br />41 �79 <br />f� (O <br />REAH YA0.0 SFTBAC'. <br />2c�-P- <br />VACAN. $I <br />❑YES O <br />NO OF DWELLING l <br />I <br />MA% OCC LOAD <br />FIRE $PRINKLfRS <br />NEQUIRED ./ <br />❑YES LRAO <br />�Y DATE <br />I. 17R ISSUANCE BY <br />L �� <br />I HEREBY 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 GOVERNING THIS TYPE <br />9f WORK WILL BE COMPLIED WITH WHETHER SPECIfIED HEREIN <br />QR NOT. THE GRANTINC 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 />{1R THE PERfORMANCE OF CONSTRUCTION. <br />�IGNATURE OF CONiRACTOR OR AUTHOBIZED ACENT DATE <br />�1�� 1.�/��� ��/�L <br />MECHANIGL <br />ninw�u uniu-nr cn <br />REFRIGERATION UNITS-HP. EA <br />BOILERS-HP. EA <br />GAS FIREO A.0 UNITS-TONNAGE EA <br />FppCfD AIR SYSTEMS-B.T.LL N <br />UNIT MEATERS-B T U. M <br />EV�YORATIVE COOLERS <br />RANGEHOOD <br />AIR MANDLINL U�li- <br />METAL FIREPUCE 8 CHIMNEY <br />8y <br />/O 7/ <br />fEFS <br />euaoiNc <br />NwMoiNc <br />MFCHANIGL <br />OTHER <br />PENALTY <br />TOiAI <br />►F�MIT <br />TOTALfFE <br />FFE <br />s� <br />U.B2. <br />SEC. J031a1 <br />fEE <br />� <br />f <br />f <br />PU^I CHECK FEE <br />D 3 IRECE�PT NO. <br />i O L! <br />►ERMIT VAIIDATION <br />WHEN PROPERLY VALIOATEU (IN THIS SPACE) TNIS IS YOUR PERMIT <br />� �'�G� %z ��� y <br />0 <br />� <br />� <br />—'_"_� <br />