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1 <br /> — --, , <br /> p,PPLICATION FOP <br /> ��°ro`"^ CONSTRUCTION `�e � <br /> everett PERMIT <br /> � DEPT.OF COMMUNITY DEVELOPMENT SERVICES � <br /> CITY HALL 259-8745 <br /> EVERETT,WA98201 �COMBINATIGN ❑ BUILDING ❑MECHANICAL ❑PLUMBtNG PERMIT NO. <br /> OWNER M�II AD�NE55 CITY 21P PNONE � <br /> ����/A/h ��cbnr�so�✓ � {9+�.�ost' f �eRElT q8�vo' 3� f�- �l `1�� � <br /> �RCMIiFCT OR DFSIf,HfR MnIL e00RF55 CIIY ZIP PHONE <br /> Dw�ve �i ' � � ' I <br /> C[NIRAICONiqACiON �MRAOC�iiS CITY ZIF PNONE IICENSE� <br /> � <br /> MFCH�NIULGONiRACiON MAILAOONf55 CIiY 21G PHONE IICENSfI <br /> PIUtitBWGtON1pA[IOR M�ttA0D0.FS5 CItY ZIF PHONE UCENSEI , <br /> C1A55 Oi wONK �� <br /> ❑NEW ❑ADDITION ❑ALTERATION I�REPAtR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> V�W�TIONOf WgJIK <br /> s �oo. <br /> �FSCRINE WORK <br /> i's..t l�oo f- D.rJ <br /> P::OPOSFOUSFOI HUIIDING I HEREBY CERTIFY THAT I HAVE RE,\D AND EXAMINED THIS AP• � <br /> PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL � <br /> ucni o[sceivno OF f'ROPIRIY�SNOWN BEIOW ON ALiACH IOU0.COPIlS� PROVISIONS OF LAWS AND ORDINANCES COVERNING THI$TYPE <br /> ►�'�Y'���� Su,.V�v y -S td c {.,q�J� �F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN � <br /> � ior_eiocK�or — OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> '� GIVE AUTHORITY TO VIOLATE OR CANCEL TF1E PROVISION$ OF <br /> � o� /h T k . o k UeR - T sas et �6 ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION ' <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> Y�GOrJ tc( � . 1( .(�,L. Xo.R�c� SIfNATURE OF CON7RACTOR OR AUTMORIZEU hGENT DATE <br /> ioe�ooaEss � <br /> 3y► . x � , <br /> PWMBING MECHANICAL I <br /> NO. TY�E OF FI%TURE FEE NO. TYPE Of EQUIPMENT iEE i <br /> � WATER CLOSET QOLIEi� AIR COND UNITS-M P. EA � <br /> BATMTUB REFRIGERATION UNITS-H.P.FA � <br /> UVATORY�WASH BASIN) BORERS-HP EA <br /> SHOWER GAS fIRED A.C.UNITS-TONNAGE EA <br /> KITCHEN SINK b DISP fORCfD AIF SYSiEMS-8 T.U. M EA <br /> DISWASHER WALLMEATERS-BT.U. M <br /> UUNDRV TRAY UNR MEATERS-d T U. M <br /> CIOTHES WASHER EVAPOnATIVE COOlERS <br /> WATER MEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> ORINKI4G GOUNTAIN RANGF HOOD ' <br /> FIOOR DRAIN AIR HA4DUNG UNIT- C.F M. <br /> VACUUM BRFAKERS STOVF <br /> ROOF DRAINS-RAINLEAOFR$ METAL i1REPLACE 6 CMIMNEY <br /> $INK�SERVICE-BAR.ETC) <br /> SU�iO�AL SU�TOiAI f <br /> ►ERMIT 3 rFRMIT f <br /> TOTAL iFF S � 70iA1 fEF f <br /> SIDE YARD SFTBACK STRFFT SETBACK RCAN YAND SETBACK YLAY CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPi NO. <br /> USF ZONE LOi AqEA y�[�NT SITE <br /> ❑YES ❑NO iFES � VAWA710N fFE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.Of DWEILNG UNITS <br /> 9U�lDING 3 <br /> � SIZE OF BLDG NO Of STORIES MA% OCC LOAD . <br /> PIUMBING <br /> FIRE ZONF B�SEMENT HkDROOMS FIRf SPRINKLERS <br /> REQUBEO MECHANIUL <br /> ! ❑YFS �NO <br /> � A�►�OVAlS /Y O�TE OTHFR <br /> 1. ENVIRONMENTAL CMECK 115T UB C. <br /> PFNALTY SK.IOHa) <br /> 2. BUILDING PUNS <br /> 7. FIRE MVD0.ANT TO7Al <br /> t FI0.E P0.0TECIION SYSTEM /ERMIi VA�IDATION <br /> WI1EN PROPERIY VALI�ATED(IN TMIS SPACEI THIS IS YOUR PERM�T <br /> 5 GRAOINGf%CAVATION6ClEANINGICRU901NG � <br /> 6. DRAINACE <br /> 7. ENVIRONMENTALIMPACTSTATEMENT <br /> E. HEAITH DISTNICT <br /> APPLICATION ACC.BY PLANS CHfCKED BY APPR.iON ISSUANCE BY <br /> 9�1•79 <br />