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fMEr�ryrwn AP.��LICATION FOR <br />""°F C.iNSTRUCTION <br />evereit PERMIT <br />DEPT. OF COMMUNITY OEVELOPMENT SERVICES <br />CITY HALL 259�8715 <br />EVERE7T, WA 98201 �COMBINATION ❑ BUILDING <br />8 <br />❑MECHANICAL ❑PLUMlING PERMIT NO. <br />e <br />everen <br />� <br />Pll!\IPIu(: CONIRACIOF MAII AOONE55 ❑iY ZIP PNONE <br />IICFNSE I <br />QASS Of KORS <br />❑NEW ❑ADDITION ❑nLTER�TION �REPAIR ❑DEMOLITIOv ❑FENCE ❑SIGN ❑GARA�E ❑BUILDING RFl[]CATIf1N <br />.i..,.,..�,'��^D �i <br />OfSCRIPF WORK � <br />�e-%ro�� -.�s,o�ia.1 f ��� �-luy <br />VAOPOSFD USF OI PWIUI�vG �� <br />1[GAl 0[SCRIViIOu O{ PROVlNiY �S'ION'N N[lOW OR AI1eCH fOIIP COPIIS� <br />�m �- m°3-O_Oi' �J / / <br />�BIOCk�Of /I�Pn�iW �O'/A �,� � <br />ioxnooa[ss� �!� � l ��, - <br />Y <br />PIUMlING <br />HO• TY�E OF FIXTURE <br />WATER ClOSET �TOIIET� <br />BATHTUB <br />IAVATORY�WASH BASIN� <br />SMOwER <br />KIT�HFN $INK 6 DISP � <br />DISWASHFR <br />IAUNDRYTRAY <br />CIOTHES wASNER <br />WATFR NEA7ER <br />URINAI <br />DRIMKING FUUNTAIN <br />FLOOR �R�IN <br />VICUUM BREAKERS <br />flOOF Dn'AIN$—RAINLEAOFRS <br />56Vk �SERVICF—BAN, EiC) <br />Sll� TOTAL <br />�fRMIT { <br />TOTAL iEE ! <br />IDE YAND SETBACK STRFFT SCT9ACK RUR YARD SEt <br />LOT AqEA <br />OfCONST IOCCUPANCY <br />OF <br />FINF <br />A►��OVAIt <br />1 ENVIRONMEN7AL CME�K LIST <br />3 BUILDING P�ANS <br />J FIRf HYDRANT <br />�. FIRE P0.0TFCTION SYSTFM <br />5 GPADINGE1lGV�TIONbCIEARINGlG0.UBflING <br />fi DRAINAGF <br />L ENVIRONMENTAI IMPACT SUTEMENT <br />VACANL SITE <br />❑YES ❑NO <br />NO Oi DWFLIINC i <br />MA% OCC IOAD <br />FBE SPRIN�lERS <br />REQUIpED <br />CIVES ❑NO <br />�� DATF <br />E. NEALTH DISTqICT <br />AVPUUTIpV ACC BY PLANS CNECKfO BY APPR fOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED ?HIS AP- <br />PLICATION hND KNOW THE SAME TO BE TRUE AND �ORRF.CT ALL <br />PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COAIPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONiRAC70R OR AU7HORIZED AGFNT DATE <br />MECMANIGL <br />NO. TY�E Of EQUI►MENT <br />AIR COND UNITS—H P. EA <br />REFRIGFRATION UNRS—HP EA <br />BOIlERS—H P EA <br />CAS FIpED AL UNITS—TONNAGE EA <br />FORCEO AIR $YSTEMS-8 iL M <br />WALI HEATERS-8 TL. M <br />UNIT HEATEHS—B T U. M <br />EV�POR�TIVF COOLfRS <br />CLOTNES DRYERS <br />VENTII/ TION FAN <br />RANGFMOOD <br />AIN M�NOLINC UNIT— �.F M. <br />STOVE <br />METAL FIREPLACE 8 CMIMNEY <br />CHECK <br />IEFS <br />FEE <br />{� <br />VLAN �HFCK FEE <br />� NFCFIPT NO. <br />BUILOING y <br />PLUMBING <br />MECMANIGL <br />OTHfR <br />PENARY U.B C. <br />SEC JOAa) <br />10iA1 <br />rF�Mli VALIDATION <br />WMEN PROPERLV VALIDATEO �IN TMIS SPACE) THIS IS YOU0. PERMIT <br />