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M�Earymn AP�_`LICATION FOR <br />��r�F CONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNItY DEVCIOPMENT SERVICES <br />CITY HALL 259-8745 � <br />EVERETT. WA9B201 ��OMBINATION ❑ BUILDiNG ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />O1Y <br />I .a <br />21P <br />I4l'NPHCIUNiN1C100. M�II�OpNL55 CItT ZIP •iONf IICEN5E1 <br />t'1 U� Of N'ONR <br />❑NEW ❑ADDITION ❑ALTERATION �RFPAtR ❑DEMOLITION ❑FENCF. ❑SIGN ❑CARAGE ❑BUILDING RELOCATION <br />\4114110NOf WONK <br />1 � � <br />orxwimr+c <br />IfGM [1lKRIPIION Of PqOPFNIY �SHOWN flIION' OP e1U01 fOUX WPIl51 <br />t01 PIOCK_Of <br />�����' - C Z-�-S _ <br />PI.UMBING <br />NO. TY►E OF FI%TURE <br />BATMTUB <br />LAVATORY�WASH NASIN) <br />SHOWER <br />KITCHEN $INK 8 DISP <br />�ISWASME0. <br />LAU�1DRv TRAY <br />CIOTHfS wASMER <br />WAiER MEATFR <br />URINAL <br />DRINKINC FOUNTAIN <br />F1000. �NAIN <br />V�CUUM BRf�KERS <br />ROI.° ORAINS—NAIN�FAD <br />SIHK ISERVICf —BAR. F TC 1 <br />VARO S[T9ACK <br />USE ZONF <br />TVPE Of C� <br />SIZE Of 9L <br />FIRE <br />SU� TOTAL <br />►FIIMIT <br />TOTAI iEf <br />STRFFT SRflACK <br />LOT A0.FA <br />OCCUPANCYCkOUP <br />BASFME <br />A/►ROVAIT <br />1 E�+VIRONMFNTAL CHfCK L15T <br />2 BUILDINL PLANS <br />7 FINF HVCIRANT <br />� fIRF P0.0TECTION SYSTEM <br />S GRADWG4%CAVATION6QkAflWGICRUHflINC <br />6 DRAINAGF <br />7 ENVIRONMfNTAIIMPACi$TATEMFNT <br />B HF�LTH OISTFICT <br />FEE <br />f <br />I HEREBYCERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLIG\TIOY AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROViSIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF W02K N ILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THF GR.4NTI�JG OI' A PERMIT UOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION$ OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR ThIE PERfOR CE OF C STRUCTION. <br />SICNn NE F TRA iOR JR ORIZED ACENT DATE <br />X <br />' —V � <br />MECHANICA <br />NO. TYPE OF EQUIPMENT FfE <br />AIN COND UNIiS—H P EA <br />REFRIGERATIONUNITS—MP EA <br />HOIlERS—MP EA <br />WS fBEO �C UNrtS-10NNAGE EA <br />fORCFD AIH SYSTEMS—R T U M EA <br />K'All MEATERS—BiU M <br />VNIi NEATER$—B i U M <br />f VAPORATIVE COOLERS <br />CLOTHkS DRVERS <br />Vf NTILAiION FAN <br />RANG[ HOO� ' <br />AIF HANOLINC UNIT— C f M <br />SIOVF <br />Mf TAL FIRFPLACE 8 CHIMNEY _ _ <br />RUR YAR� SEtBACK PLAN <br />VAUNT SIIF <br />i]YES CNO ' <br />JO OF DWkl1.INC G�'Ii5 <br />FIRF SPRINKlFN1 <br />atGuiRto <br />nrEs nr+o <br />er DAiF <br />SUBTOTAL <br />�ERMI7 <br />TOTALFFE <br />I fEE <br />iFES <br />s <br />RECEIPT NO. <br />OUILDINC % Z Q2� r .' <br />NWMflINC <br />MECHANICAL <br />OTMfN <br />PF NAL 7 V U.B C <br />SEC 30J�a� <br />iOTAL <br />_ —'� <br />�FlMli VALIDATION <br />WIIEN PROPERLY VALIDATED (IN THI$ SPACF) iH15 IS YOUIt PERMIT <br />