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M�Ewrprnn APpLICATION FO�R <br />CITYOF C.�NSTRUCYION <br />ev�erett PE RM 1'� <br />DFP1'. OF COMMUNITY DEVELOPMENT $ERVICES <br />CITY HALL 259-87<5 <br />EVEEETT, WA9B201 []COMBINATION ❑ BUILDING ❑MKHANICAL ❑PLUMBING PERMIT Nt�. <br />ownJ�'� m�n euu ss — <br />y � •/ ✓/'�. 1 . , _ . . . .. � � �� <br />N <br />y <br />MAII <br />M11L <br />/ <br />Yl:ONf <br />everett <br />� <br />plVnlqWLCONIRAQON MAIIADDRl55 UIY 21P PIION! IICENSEI <br />CUSSOf WORk <br />❑NEW ❑ADDITION ❑ALi[RATION ❑REPAIR �TDEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br />\'�lUAiIOY Of N'O0.N <br />f <br />DISC �III NORK I�% / <br />?�' ��..�/ r1 �i.v9�! �Na���v /C[�//Ct.��Lr ' <br />lfG�.l�O'f /Sf.�N'IPiION O! rpOP[0.iY �SNONN <br />iT lO1J//)Y BIOCay�OF _ <br />�- <br />ioxeoouus <br />k /2/�- ,�/1T <br />NO. I TY�E OF FI%TURE <br />BATNTUB <br />LAV�TORY�WASH BA <br />$HOWEN <br />KIiCHEN $INK d� DISP <br />DISW�SHER <br />LAUNDRYTRA:' <br />ClO1ME5 wASMER <br />WATFR MEA7ER <br />URINAL <br />OflINKINC fOUNTAI� <br />FIOOR DRAIN <br />VACUVM BRFAKENS <br />ROOf DRAINS-0.AIN <br />ETC 1 <br />SU�TO7At <br />YARD $f 79ACK <br />OR Ai nCH {OUR COPIF51 � <br />J <br />�.�" �/C4"/�F�/ <br />USE ZONE l07 AREA <br />iYPI' Of CONST OCCUPANCY C30UP <br />i7RE ZONf I BASilIFNT I HIOR <br />A/t�OVAIf <br />1 EN\'IRONMENTAL CHECK LIST <br />2 NUILOING PUNS <br />7 RRF HY�RANT <br />� FIHE PROIFCTION SYSTEM <br />5 GRADINCIFkUV�\TION6ClURINC1L0.U9flINL <br />6 DRAINAGF <br />7. EI.VIRONMENTAL IMPACT STATEMFNT <br />! HEAITH DISTRICT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES CUVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVC AUTHCRITY TO VIOLATE OR CANCEL THE PRqVISIONS OF <br />ANl' OTHER STATE OR LOUL LAW REGULATWG CONSTRUCTION <br />C; THE PERFORMANCE NST CTION. <br />SIGNAI�IRL'OF'6QNip pR OR AUTHORIZ AGENi DATF <br />FEE NO. TY�F OF EQUIIMENT <br />AIR COND UNITS–M P EA <br />REi0.1GERATIONUNITS–H7 E/. <br />BOILER$–HP EA <br />CAS FIRED AC UNITS–TONNAGE FA <br />FORCFD MR SYSiFMS–B.T U M CA <br />WALL HEATE0.5-81 U M <br />VNITMFATFRS–BTU M <br />�{ <br />RfAN YARD Sf 7BACK <br />VACAkT SITE <br />❑YES ❑`10 <br />MA% OCC LOAD <br />�t I DAPf <br />APPLICATION ACC BY PLANS CMECKED BY I,1APR FOR ISSUANCF BY <br />CLOTHFS DRYkRS <br />VENTIIATION FAN <br />RANGEHOOD <br />AIR H�M1UIING UNIT– C F <br />SiOVE <br />METAL FlREPUCF 8 CHIMNEV <br />PIAN CHECK h,/MtlE0. <br />IF[f <br />lU�TOTAL <br />►EIIMIT <br />TOTAL FEF <br />ffE <br />FEE <br />� <br />s <br />f <br />PLAN CHFCK FEE <br />I RECEIPT NO. <br />BUILDING s <br />PLUMBING <br />MFCMANIGL <br />OTHFIt <br />PENALTY U9 C. <br />SEf l07(+I <br />TOTAI <br />MRMIT VALIUAiIQN <br />WH[N PROPtRIY VAUOniFD IIN TMIS SPACF) THIS IS VOUR PERMR <br />