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� A. PLICATION FOR"' <br />CO�ISTRUCTiON <br />evereti PERMIT <br />nEPT. OF COMMUhITY DF.VELOPbIENT SERVIC65 <br />CITY H.4LL 259 87d5 <br />EVERETT, WA 9tl201 �i �UMBINATIUN ❑ BUILDING ❑MECHANICAL ❑ PLUMBING PERM! i NO. <br />� <br />ON Df51GrvIN <br />[ONiHAQOR <br />h1I,IS �ODHI55 <br />Afl'UlN155 <br />�G.G.� <br />I'110N[ <br />PHON[ <br />everett <br />e <br />IICENSf N <br />r %�l <br />IICENSC p <br />� <br />I IfINSf x <br />PWAll11NGCONiRAQOR -...-- M1INIAOIJVkA CIII /.II' �nvni - <br />,�,u,usn,v ��ur�;��,v�� %r�� ��7.� `�1�� � -�rxrri �>�'tn� ass�ih/ �-ai-,vP z72cs <br />CU55 O( \YORK <br />L�NEW ❑ADDITION ❑ALTERATION ❑HEPAIR ❑DEM.OLITION ❑FENCE I,>IGN ❑GARAGc ❑BUILDING RELOCATION <br />\'AWATION 0I N'ORA ^ /�y� /'��/�/ � <br />y /�Q� /� C QL� l tiI CVIY✓� <br />•T'Cr i r� c_� Z+�• <br />�fSCRIflE K NK <br />C'�.- �F � <br />raovouo usi or uuimivc I HERE61' CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />_�. � PLICATIOh1 AND KNOW THF. SAME TO BE TRUE AND CORRECT ALL <br />ieenioeseeirrioNorvnoriervis�iowrvxeiowoa+�rnu+rouamrusi PROVISIONSOfLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIfIED HEREIN <br />io1 T_niocK`o� �Y `' OR NOT. THE GRANTING OF A PER�b11T DOES NOl" PRESUME TO <br />^ GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISlONS OF <br />�-'./7Kt75 �r' S.UG` ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TH�PERFORMANCE OF CONSTRUCTION. <br />� ' �F / J � �C � �- �� � ¢ SIf,�UTU E OF CONiRAf.TOR OR UTIIOR2F.D AGENT DA7E <br />/ <br />/ /. % r <br />�:°.s%r -.--.N i� �' //1 .J..�„�„-. .-anor,-� Y �1�/J�i'(�'' ��f�� ��.�%/�i,r/ � `�%%_F���� <br />PLUMBiNG <br />NO. TYPE OF <br />6A7HTU� <br />LAVATORY�WASH BAS <br />SHOWEft <br />KITCHEN SINK 8 OISP. <br />� DISWASHER <br />�AUNORY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEftS <br />ROOF DRAINi-RAINI <br />O SINK(SERVICE-BAR. <br />70TAL FfE <br />SIDE YARD SETDACK STREET SETBACK <br />3� ?O � <br />USE ZONE LOT AREA <br />_� � /' � <br />TYPE OF CONSTTC� OCCUPANCY GROUP <br />CC> � Ar�= �- 3 <br />SIZE OF BLDG. NO. OF STORIES <br />�'il K.5 /c• '� <br />FIRE ZONE PASEMENT I4fDROU <br />3 c� <br />APPqOVALS <br />L ENVIRONM[NTAL CMKK L15T <br />2. BUILDING PUNS <br />7. FIRE HYDRANI <br />4. FBE PROTECTION SYSTEM <br />5 GRADINGI6%CAVATIqNBQfARINGIGRU11111NC <br />6. DRAINAGE <br />L ENVIRONMF`1Tl.L IMPACT $TAiFMkNT <br />B. HEALTH C115TRICT <br />APPLICAT:Oi! ACC. fIY PUNS CHECKfD 0Y <br />V c. <br />�tae <br />TYPE OF EQUIPMENT <br />AIR COND. UNITS-HP. EA <br />RffRIGERATION UNR$-H.P. EA <br />(lOILENS-H.P. fA <br />GA$ FlRED A.C. VNR$-TONNAGE EA <br />FORCFD AB SYSTEM175-[7.T.U. M EA <br />1YALL HI:AIENS-137.LL h1�� <br />UYIT HFATENS-flSL. M <br />FVAI'ONATIVE COOLERS <br />CLOTH6 DRYERS <br />VENTILAiION FAN <br />ftANGEHOOD <br />AIR HANDLING I'VIT- C.F.M. <br />STO\'1: <br />hICTAL FlREPLAIE 6 CHIAINEY <br />�f <br />RE VR YARD SET�ACK PUN C ECK NVMBER <br />� � � �S3 <br />VqGNT SITE FEES <br />�%E$ flNO <br />��0. OP DWELLING UNIT$ <br />SYHIN <br />BY I DATE <br />APPN FON IStiUAN.'f IlY <br />G �� � <br />FEE <br />SUe TUTAL f <br />PERMIT f <br />TOTAL FEE f � <br />PLAN CHECK FEE <br />FEE $,a� RE��� S <br />0 <br />VALUATION iEE <br />euiioiNc � � <br />r�un+iiiNc <br />MECHANICAI. <br />OTIICR <br />1'kNALTY U.I7.C. <br />SEC.lOJ1a1 <br />TOTAL �' <br />PERMIT VALIDATIDN <br />WMCN YROPERLY VAIIDATED �IN THI$ $PACE) THI$ IS YOUR PERMIT <br />