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,' <br />C <br />A�PPLICATION FOR <br />CTME�ro� .;ONSTRUCTI4N <br />everett �ERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2598745 <br />EVERETT, WA9B201 �COM81NA7fON ❑ BUILDING ❑MECHAN�GAL ❑PLUMBING PERMIT NO. <br />v� <br />��� <br />e <br />V/� .�C^� VI 7� L li�i'I�vy^"-' "1, ur YMOnt UCENSEI <br />S / <br />MFCNANIUL [ONiRACiON MAII AUDPFSS CITY LIF pMpNf �ICENSE / <br />PIUhtNInGCOrvt0.�ROR m�ILA00PF55 CIiY ZIP pHON! UCENSEI <br />C,�1�,/55 Oi WORR � <br />L✓JNE1V ❑ADDITION ❑ALTERAPON ❑REPAIR ❑DEMULITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAW/A7T'IONO�f. �WO./R)K p�� <br />. S / �(J(/(/.VV <br />OLSCRIBF W00.K <br />PqOP05t0 USt Oi PURDirvG <br />IEGAC06C0.iPilON Of PROV[RLY I <br />wi _ xiocK _ or <br />IOtl nDORk55 <br />� I HEREBY CERTIFY THAT I HAVE READ AND EhAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />BFIOW OP AITnCN fOUN COFIE51 PROVISIONS OF LAWS AND ORDINANCE$ GOVEPNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER COECIFIED HEREIN <br />OR NOT. 7HE GRANTING OF A PERMIT DOES !+OT 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 COM1STRUCTION. <br />f �' '7t4� SIGNATIeF Of CONTRACTOB OR AUTHONIZED ACENT DATE �/83 <br />PlUM81NG " <br />NO. TYPE OF FIXTURE <br />IAVATORY(WASM BA <br />SHOWER <br />KITCHEN SINK 8 DISP <br />UUNDRV TRAV <br />CLOTMES WASHER <br />WATER HEATER <br />ORINKINC FOUNTAIN <br />VACUUM BRfAKERS <br />ROOF DRAINS-HAINLEADERS <br />SINK 6FRVIlE-BAq. fTU <br />SUst07Al <br />USE ZONE � LOT AREA <br />� N �� <br />SIZE OF BLOC. NO. OF 5T00.1F5 <br />"1���, s.F 2 <br />fIRE ZONE BASEMENT Nk�N00 <br />AHlOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING Pl�NS <br />J FIRE MYDRANT <br />1. FIRE PROTECTION SYSTEM <br />5 GRADIhGIE%UVATIONBCLE�RINCIGRUBBING <br />fi. DRAIN�CE <br />L ENVIRONMENTAlIM9ACi5TA7EMENT <br />!. HEALTH OISTRICT <br />APPLIUTION ACC. BV PLANS CHECKED BV <br />L . c � ;�tc�; ��r�1 <br />4,.,, <br />iEE � NO. I TYPE OF <br />HEiNILEBATION UNITS-H.P. EA <br />WS FlREU A.0 UNITS-TONNAGE EA <br />fORCED AIR SYSTEM$-B.TL. M EA <br />wALL MEATERS-B.TL. M <br />UNIT HEATERS-B.T.U. M ��' �l � <br />EVAPOR�TIVE COOlERS <br />RANGE MOOD <br />AIHMANDLINGUNIT- CFM. <br />METAL RBEPUCE 8 CMIMNEY <br />SU�TOTAL i <br />►ERMIT f <br />f TOTALfEE s V <br />REAN VARD SETAACK PLAN CHECK NUMBER PUN CHFCK FEE <br />83�r��J-D FEE�A, ,� RECEtPTNO. <br />f!r �� � <br />vAUNT SITE fEES VAWATION fEF <br />❑YES ❑NO <br />NO OF OWFLLING UNITS <br />dUIIDING S•7�Mr.,. <br />MA% OCC IOAD �'���� <br />2 � PLUMtlING � D a <br />FINE SPRINKLFRS <br />REQUIRE�D� MECNANICAL <br />❑YES V�'NO <br />�Y DAiF OTHFR <br />PENALTY U.BC. <br />SEf. JONaI • <br />10TAL p p / <br />,�OtJ <br />►ERAIR VALIDATION <br />WHEN P0.0PERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT <br />�z40Q -f'O tSr-�u 1 �t C-i �—iZa.i lT <br />APPR. fOR ISSUANCE BY `��u`a�' h� -�C�O P�C./ � <br />L . G. M'�l � SEU�QL <br />