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0 <br />A,pPLICATION FOR_ <br />`�°ro"'" .:ONSTRUCTION ' <br />everett PE RM IT <br />DEPT. OF COMMUNITY DEVELOPMENT $ERVICES <br />CITY HALL 25?8745 <br />EVERETT, WA9B201 []�OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />—.�, � <br />eRCI1R[[tORUlSfGN}R ' M1111�0URF55 � CIiY ZIP PHONf <br />�� �� <br />G!H[qAlCOH1RAfi0R MAllA00R[55 [ItY 21P PNONF <br />S�/� <br />M1IfC11AvtUlCON1RACIOR MAILAD�NFSS UiY LIG PHONF <br />❑NEW �DDITION <br />Y�NAIIOJHOI WORK V <br />f <br />�1�. � � ( _ <br />r.r <br />iu�ll ADDR[55 <br />�, <br />evercn <br />� <br />� � <br />UCENSC / <br />UCENSF / <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑rENCE ❑SIGN ❑GARAGk ��BUIL[dING REIOCATION <br />0 <br />IFG�jD6CRIFiIOv Of PROPEFIY ISHOWN 9FlOW OR nIUCN fOUR COPIlSI <br />ior _ eiaa _ o� <br />PLUMBIHG �� <br />NO. TY►E OF FI7 <br />wATER ClOSET IiOLIFTI <br />9ATHTU9 <br />UVATORY IWASH BASIN� <br />DISWASMER <br />UUNDRV TI <br />CLO7MES w <br />WATEH MEA <br />VACUUM BRFAKEFS <br />ROOF DRAINS—RAINLEADFNS <br />$INK ISFRVICE—flAR. ETC � <br />, <br />SU�iOTAI <br />rEI1M1T { <br />TOT�LfEE f <br />YARD SETOACK STREET SLT�ACK 0.EAR YA0.D S <br />'ONE lOT AREA VAUNT $ITE <br />❑YES GNO <br />OFCONST OCCUPANCYCROUP NO.Of OWFL <br />Of 9LDG NO Oi $TOR�E$ MAX OCC lC <br />20NE BASEMENT OIUROOMS RRE SP�INKI <br />AM�OVAlS <br />1 ENVIRONMFNTAL CHCCK 115T <br />7 BUILDING PUNS <br />7 FIRE MYURANT <br />� fIRE PROTECTION SYSTEM <br />5 GRADINLIE%GVATIONBQEARINGIGRU9BING <br />6. ORAINACE <br />7. ENV�FONMENTAL IMPAQ STATEMFNT <br />E. MEALTH OISTRICT <br />�r <br />DATE <br />APPLIUTION ACC BY PU.VS CHECKED BY I APP� R 65UANCE flV <br />l� , <br />41•79 <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BF TRUE AND CURRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPFCIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TU <br />GI\'E AUTHORITY TO �/IOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LA\Y REGULATING CONSTRUCTION <br />OR T E PERFORMANCE OF CONSTRUCTION. ,/ <br />SIG A RE Of CONTR CTp R OR AUTMORIZED ENT DATE y / � <br />� / �I� i <br />� �.� )4Lr[../1"/'�w�� . � _ ' <br />VIGL L�� <br />TY►F 06 EQUI�MENT <br />AIR COND UNITS—M.P. EA <br />REFRILERATIbN UNITS—HP. EA <br />BOILERS—NI' CA <br />GAS FIRfD A C. UNITS—TONNAGE EA <br />FORCFD AIR $YSTCMS—B T U H <br />WALL MFATER$—B.T.0 M <br />UNIT HEAI'ER$—tl T U M <br />EVAFOR�TIVE COOLERS <br />RANGE MOOD <br />AIR HANOIING UNIT— <br />570VE <br />METAL fIRFPUCE 8 CI <br />R <br />TOTAIIEE ■ <br />PUN CMECK FEE <br />iEE I RECFIPT NO. <br />9UILDING 3 <br />PWMflING <br />MECHANIGL <br />OTMER <br />PENALTY UBC. <br />SEC. lOAa) <br />70TAL <br />rE�MIT VALIDAiION <br />WMEN PROPERLY VALIDATED �1N THIS SPACE) THiSIS YOUR PERM�T <br />� <br />- -� 1 <br />