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� <br />,�,Ewro,,,� •'�P��LICATION FO�, ���,�„ <br />����F C(7►NSTRUCTIO�, e <br />everett PERMIT <br />UEPT OF COMMUNITY DEVELOPMENT SERVICES <br />UTY HALL 259�8745 <br />EVERETT, W,19B201 ❑COMBINATION ❑ BUILDING ❑MECHANiCAL ❑PLUMBING PERMIT NO. <br />OWNI0. MAII AUDNISS ��1Y ZIP PHONF <br />�.' �%7 Cl.y�,-iai -��j67-/9�!� `i{' �c�E-`r+�'lZ- %��20 / ,.25:.2- /.5"e�c <br />�NCHIIfCTONf)ISICt�fR (J MAllA0URF55 � UIT ZI� P110N[ <br />L[N[NAL COVINAClON M11All n000.[55 ULY ZIP PMON[ lIC[NSF � <br />NI[HANIUI CO4iR�CtUR MAII ��DN65 CIIY LIP VNONE IICENS[ / <br />PIU��OrvG [UM1TAACIOR M��l AOOR6S Oh LP FNONE LIC[NSf � <br />CU55 01 N�O0.S <br />❑NEW ❑ADOITION <br />\'RIUAllO\ /O�� \1n� <br />3 � V V ...� -. <br />UISC0.1tl! W00.K <br />, � ,/ Gf % <br />va osm usF or qwiu �c <br />,�:� /�. � <br />1[CAl pFSCRIPilO� Of oAf� IXiY � <br />l01 �PIOCt�Of <br />� <br />lox noo�Nfir,ts � <br />, �`I P l�./ / <br />pLUMBING <br />NO. TYPE <br />WnTER ClOSIT IT( <br />UVAiORY <br />KITCMEN SINK 8 DISP <br />DISWASMCR <br />UUNONY TNAY <br />ClO7M[S WASNER <br />❑ALTERATION I,ryREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />C/1 <br />UNINAI <br />pRINKINC LOUNTAIN <br />i IOOR DRAIN <br />VACUUM flRFAKERS <br />HOOf ORAIN$—NAINLEADFRS <br />SINK (SENVICE—BAR. EtC 1 <br />SIDE YARD 5[ <br />USF ZONf <br />TVPf (1( [ON' <br />SILC OF BL�G <br />^�� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE ShME TO 6E TRUE AND CORRECT ALL <br />OX �II�CH fOUR COVIfS) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />- OF WORK WILL OE COMPLIED WITH WHETHER SPECiFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTNACTOR OR AUTY.OHIZED AGFNT DATE <br />/ <br />�EIIMIT S <br />TOTAL iEE S <br />i[ET 5CT[{��K RLAR YAR� 5 <br />T ARFA yAUNi SRF <br />❑YES ❑NO <br />CUPANCY GROUP FO Of DWEL <br />) Of STORI6 MA% OCC L< <br />SEMENi 11tONOOMS fIRF SPNINKI <br />0.EOUIRf D <br />A►►IIOVALS <br />1 fNVIRONMENTAL CNFCK LIST <br />1 BUIID'NG PlANS <br />7 FIRE MYDRANT <br />� fIRE PROTfCTION $YSTEM <br />5 GRADINGIf%UVATIONBCIkARINGICRUBBINL <br />6 DRNNAGf <br />7. ENVIRONMENT�L IMPACT STATEMEN7 <br />E MEALTM DISTRICT <br />�r <br />DATE <br />APPLIUTION ACC. BY PUN$ CHECKED BY I APPfl fOR ISSUANCE 9Y <br />9-t 79 <br />MECHANIUL <br />TYPE Of EQU <br />�Niis—Hv [n <br />HEFRIGERATION W� � <br />f101Lfd5—MP EA <br />GAS FIRED A C UNRS- <br />fORCFD AIN SYSTEM$- <br />WALL HfATERS-0 TL <br />UNIi HEATFRS--171 U <br />)NNAGFEA <br />TU MEA <br />M <br />Cl07Hf5 DRVFRS <br />V[NTINTION FAN <br />RANG[HOOD <br />AIR HANULING UNIT— C F M <br />S70VE <br />M[TAl FIRCPUC[ 8 CMIMNEY <br />SUlTOTAL <br />►EMMIT <br />TOTAL FEE <br />PLAN [H[CK NUMtif0. <br />FFE <br />fEE <br />�s <br />PLAN CMECK FEE <br />I RFCEIFT NO. <br />VAlUAT10N <br />BUIIDIN� % / <br />PWMBINC <br />MfCHANIUL <br />OTHER <br />PENAITY UBC. <br />SEC JOHa) <br />TOTAL 7 <br />►ERMIT VALIDATION <br />Wt1EN PHOPENLY VAlIOATED IIN THIS SPACE) THIS IS YOUR PLRMIT <br />