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AP�LICATION FOR everett <br />CVNSTRUCTION e <br />e��erett PE RM IT <br />DEPT. OF CO�Vb1UNIiY DEVELOPMFNT SERVICES <br />CITY HALL 259�B7J5 <br />EVERETT, WA9A:01 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLl1MBING PERMIT NO. <br />OAYNfR MnIIADI)HL55 OlY LP YIIOKI <br />FRAAI�(# J�D4' pOsTinA Stl�O 33QDST EUtz�--rr' q8Zo1 ZSz-�o51 <br />ARGIIICCIOR[)LSICNLH M1UIIAOpHl55 ❑1Y ].11' PIIO��[ <br />S/�yr.� <br />GF41HAlCO�iRACION nINIAOURLA ����� lIP PMON[ LICENSE/ <br />$/�rv� E' <br />AILUTAn'IfAICO�YLXAQON M11ML�UDRL55 ❑IY JIP PNO"II. IICCNSIR <br />PWAllll':C CO�tiiRAC10R AfAI: nDDRl55 Clil 21P PhICNE liC[NSE N <br />RA55 OF \I'ONK <br />�EW �ADDITION <br />vnwnn�ou �ov��woucO <br />� I.__�_�__ <br />UfS6�4( 1vORA <br />i��orosio us� or uuuoinc <br />❑ALTFRATION ❑RFPAIN ❑DEMOLITION ❑FENCF ❑SICN ❑GARAGE ❑DU�LDING RELOCATION "� <br />IfGAL 06CNIP110\ O! PF.OVLNf1151b1V� PEIOW OR nlU011OUN COP;F51 <br />WY� �uil $ <br />�oi�_nioc��Zor <i�..�i.�:o�L...�� ��5 <br />� v e r �—l-� <br />InN ADpRF55 <br />r �S'0(o 33 �° sT <br />PWMBING <br />NO. TYPE OF FI%TURE <br />WATER CLOSEi (TOLIFT� <br />BATHTUO <br />LAVATORi' (N'ASM I4ASIN� <br />$HOWF.N <br />KITCHEN $INK 8 OISP. <br />�ISWASMEft <br />LAUNDRY TNAV <br />CLOTHES\VASHlR <br />WATER HUTER <br />URINAL <br />ORINKING FOUNTAIN <br />fIOOR DRAIN <br />VACUUn18REAKERS <br />ftOOF URAtNS—RAINLFADERS <br />SINK �SER\9CE-13AR, ETC) <br />SUB TOTAL <br />tfRMIT <br />TOTAL F[f <br />SIDF YAR� $FiHACN $TBkkT 5[TBACK <br />USE ZONE LO� ANU <br />TYPE OF <br />OCCUPANCVGHOUV <br />NO OF STOFI6 <br />dASU1CNT I71URI <br />APPROVALS <br />1 [NVIRONMCNTAL CHECK LIST <br />2. �UILDWG PUNS <br />7 fB[ MYDRAM <br />4 FIRE PROTECTION SYSTEM <br />5 CNApIkG4.%UVA710NAQfnHINGiGHUl1111NG <br />b. ORAINAGE <br />7.FNVIHONM[NTAL�AIPAC75TATCMhNT <br />fl HLV.iH Ill$TRIC7 <br />SI I <br />kEAR 74ND SIJ IIACK <br />VACANT Slil. <br />❑YLS ❑NO <br />NO O( DWLLIING UNRS <br />M.\% OCC. LOAU <br />fBh 51'RINKLfRS <br />NfQUINFD <br />i'Yf5 ['N(1 <br />I fiEREUY CFRTIFY TI1AT I HAVE READ AND E7(AMINED THIS AP- <br />PLICATION AND KNOW THE $AME TO 6E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDIN�NCES GOVERNING 1 HIS TYPE <br />Of WORK WILI. 6E COMPLIED WITH WHETHfR SPECIFIED HEREIN <br />OR NOT. THE C,RANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUThIORITY TO VIO�ATE OR CANCEL THE PROVISIONS OF <br />�NY OTHER STATE OR LOCAL LAW REGUL�TING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUNk.Of CONTRACTOR OH AU7110RIZlD AGENT DATE <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR COND UNITS—H P fA <br />HfFRICIRA710N UNITS—HP U <br />ItOILINS—IIP EA <br />GASFIP.FDAC L1NIT5—TONNAGf U <br />fONCI D AIR SYSTUIS—li T U. h1 <br />N'ALLhI1NER5—UT.U. At <br />UNI1HfATLRS—17T.0 M <br />[\'nPONAIIV! COOLEHS <br />CLOTH6 DRYLRS • <br />\'I:MILMION FAY <br />RANGFHOOU <br />AIR HANOIINC 11YlT— C F.M. <br />510\'F <br />AtlUl FINIPUCC 8 UIIAWfY <br />FUN CHCCK NUMHCN <br />ll <br />FEFS <br />flUILUWG <br />PWn11fIYG <br />AtFC11ANIGl <br />BY � OAif � p7���k <br />rrrvn�rr <br />TOTAL <br />SUB iOTAI <br />PERMIi <br />TOTAL FEE <br />ffL �S" <br />, <br />VAWATION <br />unc <br />stc 1011al <br />z <br />rcc <br />� <br />s <br />s <br />;HECK FEE <br />ftCC IPT NO <br />�c�BS � <br />iEE <br />VERMIT VALIDATION <br />1YHf N PROPfRLY VALIDATFU IIN THiS SPACE) THI5151'OUR PERMIT <br />