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A�'?LICATIO�J FOR <br />CONSTRUC'�ION <br />ever�tt PE RM IT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-0745 <br />EVERETT, WA 98201 �COMBINATION <br />MAII <br />❑ BUILDING ❑MECHANICAL <br />i�PLIIMBING PERMiT NO. <br />l.IP OHONt <br />� � ._� . A •.�. <br />everetl <br />e <br />�....�no�ivnueon,n�n N�IIAUUX155 UiY ZIP YIIONL <br />J/Ni�R6�SiC.Vy�.=zlc-n;5� li'a°l��Ac'ksci/ /-/i.��Ri'Tl �/,�20i �7.5J-'37�2'-� <br />G[NENAlCON1RACLON hINLI.DONE55 ❑IY ]IP Pk10NE �ItF�SFM <br />� �� y7 <br />7 i!f-' _FT SraNf7 Yk' . fYF.�77/ES- ra�'. ' rA/ Si ,!// b' (!JR<'i'c � ✓G'/-�, E-TS- n1 /rPF_ <br />n1IC1�NIGL CONiRnQOH � MAII ACOR65 CII1' � U� 1'HONC LICENSC Y <br />_�_.'i��0 �' Pi-A<K �ic: ' ' _flFi.,�iT /-��vrnr-Tr `T890/ 2•���Zti-9/ f/n3/R <br />Ptunlnin�ccoNrNA[tOR JON[55 :J:1' 21r rHonE u[ENSFx <br />`h�!>R/A1.SC)A! i7c�nx�Av�lu�� : !j�.i�rn,+n,:�ar I?,a ..� F:-ur-� `j���._�i:�:5=/„i�7/ RO����/•�v�=; �z�'2 <br />�LASS OF \VONK � <br />NEW ❑ADDITION ❑ALTERAfION ❑REPAIR ❑CEMOLITIGN ❑FENCE ❑SIGN L�GARACE ❑BUILDINGRELOCATION <br />VAlUAi104 01 \4'OHK �/ �/� <br />f ��rcp�g�- / ZOW • �J <br />nEscRinc�vouK <br />L:oNSTRuc7iol/ oF � aiyY/ EX <br />rqovcSED u5[ OF Pu1LUlrvc <br />�C,i/�Y_-"�I�eE % "<,' FAh'.x5j <br />IEWL OFSCRIP110N Of PROPERTY �SIIOH'ti p[LO\5' OX AiiACH /OLR COPI[5� <br />ior � e�ocK _ or SE;�HClRS'i -. 7'RTE <br />IOfl <br />PLUMBING <br />N� <br />I <br />TYPE UF FIXTURE <br />WATER CLOSFT �1OLIE <br />9A' StiUO <br />1AVATORY[WASH NA� <br />SF,GwER <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTftAY <br />R HEATER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINI <br />$INK (SERVICE-BAR, I <br />SIDE YARP SETHACK <br />> � <br />USE Z04E <br />�'� <br />fYPE OF CONST. <br />��cra F11iiME <br />size or oioe. <br />HG x.� � <br />FIRE ZONE <br />3 <br />SUB <br />TOTAL fFF <br />STREET SEi�P <br />l0T AREA <br />7J�0 z5 <br />OCCUPANCY GROUf <br />R-3 <br />NO. OF STORIES <br />2 <br />f1ASEMENT BI.DH <br />o y <br />�rvpov�u <br />'I. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PI.AN$ <br />}. FlHE HYDRANT <br />4 FlHF PROTEC �ION $YS7EM <br />5. GR:�.^.:NGIf XG\VhTI�iN A CLLARINGIGNUIIIIING <br />6 DRAINAGE <br />7. ENVIRONMENTAL :.1aPAQ S7AIEMENT <br />- �� �"'4 <br />`i&'2c• 3 <br />I HEREBY CeRIIFY 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 Tl'PE <br />OF WORK WILL BE COMF'LIED WITH WHETHER SPECIFIED HFREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHpRITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUIJE OF CONTRACTOR OR AUTHOf{IZEO AGENT OATE <br />FEE IVO. TYPE OF EQUIPMENT <br />O� AIR COND. UNITS-M.P. FA <br />b0 RFFRIGERAT:ON UYITS-H.P. EA <br />OO NOILERS-H.P. fA <br />OO GAS FlkEU A.0 UNITS-TONNAGk fA <br />OO FORCEO AIR $YST[MS-B.1.U. M EA <br />(>� WALL HEATERS-fI.TL. M <br />UNII HEATERS-GT.U. M <br />�f <br />RUN VARD SETI7ACK <br />�� � <br />�V CANT $RE <br />Y[5 ❑NO <br />v0. OP DWiSLlhit; UNI15 <br />'Z_ <br />Nnx. occ �.oni.� <br />FIRC iPRINKLEftS <br />BY � ')qTE <br />8 HEALTM DISTRI.',T I I <br />�V`PIILnIIU� �. II� PI �Vt CHI�.�l7 UY .V'I'n i�)4 d1l.,.V i HP <br />CLOTHES DNYENS <br />RANGEHOOD <br />AIR HANDLING UNIT— C.F.M. <br />STO\'E <br />AIETAL FIREPLACF ft CHIMNEY <br />PERMIT <br />TOTAL, <br />ri.,��� a�ccK Nun,nek T <br />v��a s� <br />HUIIDlNG <br />1'LUh•.'�`—_ <br />AIFCIIANIUI. <br />OTH[R <br />PENnLTY <br />70TAL <br />FEE ��� <br />VALUATION <br />5 <br />UB.0 <br />SEC. 303�a� <br />i <br />FEF <br />� <br />f <br />f � <br />�HE��:. FEC <br />RE:EI�N�� <br />� :6'c <br />� FEE <br />2 31 <br />d-O -- <br />2C0 O� <br />� 9'7 L9 C) <br />PENMIT VALIDATION <br />WMkN PHOYERLY VqLIDAT[D (IN THIS SPACE) THIS IS YOUR PERMIT <br />