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fMEr�rpn�n APR�LICATION �'G1R <br />��r°F C.�NSTRUCTION <br />everett PE RI�I IT <br />nEPi OFMMMUNITV�OFVElC1PMF.NTSFNVICES --_ ._. .. _.. .__....__ ._.--_.__ <br />CITY H�LL 259�8715 <br />EVERETi, WA 98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMSING PERMIT NO. <br />OW�N[P MAII�ODNf55 CIfY ZIP PMONE <br />L/SrE �'n.ro� �9/si_/9{� F{.'�e/r� <br />aR o� <br />PlV�1NInGCONifl�C10R MAIIAD�R[55 UIT ZIF PNONF UCFNSEI <br />❑ ASS Of N'ORI( <br />❑NEW ❑ADDITION ❑ALTiNAT�ON �HEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOGTiON <br />\'QU�iIONp{WLRK O^' <br />' � .�i0 D � <br />Uf$CR19E WORK � � <br />,�"e-lrc+dY- — /f�-s.�q�c-/ r /l o�� I`-/'+� <br />veow�sio us� or aunoivc <br />LEr�� OFSCPICTIOa O{ PqOP[R1Y ISIIDW H BE lOw OR Ail�Cll fOUN COPII51 <br />.»_�1 me3-p_�.� /�c�,.0 I 'O <br />iot �rn PIOCK�Of � Os-IA � <br />IOP.n00N[SS� ��y ��. ,�,y <br />rwMeiNc <br />NO. TY►E OF i�%TURE FEE <br />WATER CIOSFI ITOLIFT� <br />BATHIUB <br />UVATORV �WASH BASIN� <br />SMOWfR <br />KITCNEN SINK 6 DISP <br />DISWASHF0. <br />UUNDRV TRAV <br />ClO7HE5 WASHFR <br />wATFR HFATER <br />URINAL <br />ORINKING FOUNTAIN <br />FIOOR DRAIN <br />_— VACUUM BRFAKERS <br />NOOF OBAIN$—RAINIFAOFRS <br />SINK (SERVICE—BAR, f TC 1 <br />SU�70TA1 <br />►FRMII f <br />USE 7.ONE <br />TYPE OF CONST <br />lOT AREA <br />OCCUPANCYGROUP <br />BASEMENT � HlDROOMS <br />Mf�OVAIS <br />1 ENVIRONMENTAL iHfCK 115T <br />1. BUILOING PUNS <br />) FIRE MYDRANT <br />1. fIRE PROTECTION SVSTEM <br />5 GRAOINGf%UVATIpN6CLFARINGICRUBflING <br />6 DRAIk GE <br />1.ENVIRONMENTALIMPACiSTATEMFNT <br />6 MkAITH DIS�MIC' <br />BY � PLANS CMEIX[D BY <br />9�1-79 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING UF A PERMIT DOE$ NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY G�IiER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURE OF CONTRACTOR OR AU7HORI2ED ACEYi DATE <br />VACANi $ITF <br />OVES ❑NO <br />NO OF DWFILING UNRS <br />�Y � DAiF <br />iOF <br />MECHANICAL V <br />NO. T1'►E OF <br />NFFRIGERATION UNI75—HP. fA <br />WS FIRFD A.0 UNITS—TONNAI <br />fORCCO AIR SYSTEMS—B.T.0 <br />WALIHEATERS—Bi.0 M <br />UNIiHEAiERS—BiU. M <br />CLOTMFS DRVFNS <br />VENTILATION iA� <br />RANCEHOOD <br />AIR NANDUNG UNIT— CF.M. <br />STOVE <br />MFTAL FIRFPUCE 8 C111MNFY <br />PUN CMECK NUMBER <br />BWIDING <br />PWMBING <br />MECMANIUL <br />OiHER <br />PFNALTY <br />TOTAI <br />PLAN CnECK FFE <br />FEE I RECEIPT NO. <br />VAlUA710N 1 FFF <br />S <br />U.ef. <br />SEC IUN+I <br />TOTAL I I <br />►EIIMIT VALIDA710N <br />WM[N PROPERLY VALIDATED (IN TMIS SPACEIIHIS IS YOUR PERMIT <br />