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�U <br /> ��a�^ �;ONSTR^iTT10N <br /> everett PER � <br /> DEPT.OF COMAIUNITY DEVELOPMENT SENVICES <br /> CITYHALLZ59-B745 ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> EVERETT.WA992a� ❑COMBINATION ❑ BUILDING Z�„ pNONE <br /> CIiY <br /> MAII� NFS$ 7'� <br /> OWNER '� � ��� "I� � i'. <br /> "^ / �� � =�P PNONf <br /> CITY <br /> Q- L M���ADURFSS -- <br /> AIIClIITECT OM OE514NFR �ICFNSE t <br /> Z�P PNONE <br /> CITV q <br /> MAl1�ODRF551 %. • n. 'FC.. SGG���G' JrN�. S�. �'•�' � <br /> GEN R�ICONIPACTON � �� t� � pNONE IICEN5E1 <br /> UiY DP <br /> � � MAII�000.65 <br /> CMANIUICGHTNAQOR PHONE IICEN5E1 <br /> CIiY ZIP <br /> M�It ADDRE55 <br /> PIUMBING CONTR�CTOM <br /> uessorwoAK • REp��g ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINGRELOCATION <br /> ❑NEW ❑ADDITION ❑��TERATION <br /> yMU�110NOf WOFR <br /> S S%� - <br /> DESCXI9[WORK �t �/ I / N� . � :)'J��r �.L[%� • _� • <br /> ! �/ � 1" .— /6L1174�- <br /> �-�y I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINEU THIS AP- <br /> PROPOSIO USF OI BU�l01NG pLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> LEGAlDE5C0.1PilOHOlP0.0PERiY�SMOWNflEIOWOR��T��MFOUNCOPIt51 pFWORKWILLBECOMPLIEDWITHWHETHEFtSPECIFIEDHEREIN <br /> OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUMC TO <br /> io��eiocK�oF GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER S7�TE OR LOCAL LAW REGULATING CONSTRUCTION <br /> �p� � 9'_ � ClR THE PERFORMANCE OF CONSTRUC7���J. <br /> SIGNATUNE OF CONTRACTOR OR AUTHONIZED�GENT DATE <br /> � � <br /> f'/' X , LL�, •.tG'v�—' <br /> _ �/7d' <br /> �pp�ODRE55 <br /> �%c.-, �s%� ��� - Fl L�-�`.' <br /> CHANIGL FEE <br /> PLUMBING FEE � NO. TY►E OF EQUIPMENT <br /> NO. TY►E OF FI%7URE ��k COND UNITS—H P.EA <br /> W�TEP.ClOSET ITOLIET) REFRIGERATION UNITS—MP.EA . <br /> BATHTUB BO�LERS—H P.EA <br /> IAVATORV lW�SN BAS�NI GAS FIRED A.0 UNITS—TONNAGE EM EA <br /> SHOWER FORCED AIR SYiTEh15—B.T U. <br /> KITCHEN SINK 8 DISP WALL MEATERS—BSL. M <br /> DISW�SMER UNITHEATERS—BTU. M <br /> LAUNDRY THAY F\'APORATIVF COOLERS <br /> [LOTNES w�SMER CLOTHES CRYERS <br /> µATEF HEATE0. VENTIlA710N FAN <br /> URINAL RANGE MOOD <br /> DRINKING FOUNT��N AIR HANDLING UNIT— C.F M <br /> FLOOR ORAIN STOVE <br /> VACUUM BRUKERS METAI FlkEPUCE 6 CHIMNEY <br /> HOOF Oft��NS—RAINLE�DERS <br /> SINK lSFRVKE—BAR.ETU <br /> SU�TOTAL s <br /> �f11M1T S <br /> SU/TOiAI y <br /> ►ERMIT f �O7AlFEE <br /> TOTALfEE s PLAN CMECKFEE <br /> $7HEET$CTOACK <br /> q[AH VAR�SET6ACK PLAM1 CHCCK NUMtlER FEE RECEIPT NO. <br /> SIDF YARD SE f 9ACK <br /> USE ZONE ��T�RE� ❑ESNTONO iEFS <br /> VALUATION �FE <br /> p�[UPANCY GROU7 NO OF D•VELIING UNITS <br /> TYPF OF CONST s <br /> BUIIDING <br /> NO.OF STORIES MAX OQ IOAD <br /> SIZE OF BLDG pLUMBING <br /> FIRFZONE BASEMENT Hfl)ROUMS REQUREIpKLERS ��f�HANIUL <br /> ❑YFS ❑NO <br /> �r Dl1TF OTHER <br /> MfROV�LS UB C. <br /> 1. ENVIHONMENTAI CHECK LIST <br /> PENALTY SEC.7U7(al <br /> 7 BUIIDING PL�NS TOiAI <br /> ) FIRE HYDRANT �E�M�7 WUDA710N i <br /> 1 FIRf PROTECTION SYSTFM WHEN PROPERLY VAIIDATED I�N THIS SPACE)TMIS�5 YOUR PERMI <br /> 5 G0.ADINGIEXCAV.TION S CLFARINGLRUBNING . <br /> ��' <br /> 6. DRAINAGE I <br /> L ENVIRONMFNTAL IIdPACT STAiEMENi <br /> E HEALTH D�SiRICT �ppg.FOR155U�NCE BY <br /> �ppLIUTION ACC.BY PLANS CMECKEO BY <br /> g.1.79 <br /> I <br /> I <br />