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� <br /> ,�.Ew,,�.� A �PLICATION FOR- ���,�„ <br /> °�ry°� ..ONSTRUCTION e <br /> everett PE�M IT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL I59-B745 <br /> EVEREii,w�9ezot �COMBINATION ❑ lUILDING ❑MECHANICAL ❑PLUMlINC PERMITNO. <br /> NFR " M�II�OONlSS CIiY ZIP PHONE <br /> A I O FSIGNER , M�II�DDPE35 CITY 21P PNONF <br /> 1 � � <br /> GFNFR TP�CiO M�II DDRESS CIiY ZIP pNONE �ICFNS[I <br /> MRH�NIU CONiP�CTOR MAII��D0.F55 CIfY (IP PNONf (ICFNSE I <br /> PIUmPIHG CONtR�CtON M�IL AO�RESS CITY ZIP PHONE LICFHSE I <br /> [USS Oi WONK <br /> CJYEW �ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> V�WAiIONOf WORk �OOO <br /> s p <br /> n�sc aRK <br /> f <br /> vxovo sr ur emioinc t . I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> tEWL DFSCMIPTiONOf P iFRTY1SMOWN BFLOW OR�IiACH fOUR COPIl51 PROVISIONS OF UWS AND GRDINANCES GOVERNING THIS TYPE <br /> _ OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi eioca_o� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> o: 0 - 'Z q- s ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. �l,/ (- <br /> SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE���I�7�U � <br /> IOB�DDNF55 � <br /> X <br /> �LUMlING MECHANICAL <br /> NO. TY�E OF FI%TURE FEE NO. T�►F OF EQUI►MENT FEE � <br /> WATER CLOSET ITOLIETI AIR COND UNITS-HP.EA <br /> BATHTUB RFFRIGFR�iION UNITS-M.P.EA <br /> UVATORY�WASH BASINI BOILFRS-M P EA ' <br /> SHOWER LAS FIRED A.C. UNITS-TONNAGE EA <br /> KITCMEN SINK 6 DISP FORCFD AIR SVSTEM$-81.U. M EA <br /> DISWASHER WALLHFATFRS-BlU. M <br /> LAUNDRY TRAY UNIT HEATERS-B T.0 �i <br /> CLOTHES WASMFR EVAPORATIVE COOLFRS <br /> WATFR MEATE0. CLOTHFS DRYERS <br /> UNIN�L VENTIUTION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING U111T— CF.M. <br /> VACUUM BRfAKFRS STOVE <br /> ROOF DRAINS—RAINlEA0ER5 METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.FTC 1 <br /> SU�TOiAI fU�iOTAI � <br /> rEI1Mli f RIIMIT f <br /> 70TAL iFF f iOTAI iEE f ' <br /> SIDF YARD SETBACK SiRFET SETflACK qUR YARD SETB.\CK PLAN[HECK NUMBEN PLAN CHECK FF.E <br /> FEE RECEIP7'NO. <br /> USE ZONE LOT A0.EA y�CANT$liF <br /> �YES ❑NO iFFS VAlUAT10N iFE <br /> TYPE Of CONST OCCUPANCY CROUP NO OF OWELIING UNIT$ <br /> BUILOING f <br /> SIZf Of BIDG NO.OF STORIES M�X OCC LOAO <br /> PLUMHING <br /> FIRE 20NE fiASEMENT NFUh(',JMS RRf SPRINKlfRS <br /> NfQU10.fD MECHANIUL <br /> ❑YES ❑NO <br /> AMIIOVAIS �t D�TF OTHFR <br /> 7 ENVIRONMFNTAL CMECK LISi U.BC <br /> PFNAITY SEC.30N+1 <br /> 2 BUIIUING PlANS <br /> 7 ilRf HYDPANT 70TAt <br /> � FIRf YROiECTION SYSTEM ►fI1Ml7 VALIOATION <br /> 5 GNADINGE%GVATION b CLfARINpLRUBflING wHEN PpOPERIY VALIDATED I�N TMIS SPACE)THIS IS YOUR PERMIT <br /> 6 DRAINACf <br />