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A�'PLICATION FOR ��n�J✓����r everetl <br />I,JNSTRUCTIG?N ��n���_ _ � <br />everett PE RM IT �� � <br />DEPT. OF COAtMUNITY DEVELOPMCNT SkRVICES <br />CITY HALL 259�87J5 <br />EVERETT,\YA98201 �COMBIN/Yi'ION ❑BUILDING <br />❑MECHANICAL ❑PLUMBING PERMIT NO. <br />����Nv ��f�. ;��,� y� � ��f��� �1�.� �s9-9r91 �E �,�-��� <br />�lblRRn[TOII sull AUOXL55 ❑IY �[� f P PHONL LICENSE I <br />�tn,.�ivaA[. 9r, �'N A1r« - J�cr ,�� L�rww1 ��+�E✓ �o� 79� - y Y�y <br />rw�.u+wc coNraenoR nuu �ooerss utr zir v�iovc uccNs� � <br />�'(awr� ,�,�i �J31 ,�j�Nu�c �lii� �-S? -1 yyz <br />C1A550i N'ORK <br />�IINEW ❑ADUITION ❑ALT[RATION ❑REPAIR ❑DEMOLITION ❑PENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAIUAtI � Of 1VORKI '� <br />1 ���VO' � ��Z� D�i.lp� <br />DkSCNIPF \VORK . <br />rnovoseo use or nunorvc <br />LtGAL DLS[NfFi104 Of I:tOP[R'Y (SHO\1'N BtION' OX AttACll (OUR C019f5� <br />ioiJ � � BLOCK„%j�or �%/aT i7/4nt�.T�� <br />Nvil.f �-`�14f 1T�R ° �fi�ni� <br />�--�'" L'!-Z4 <br />ioo noosess <br />/�i7� 7iJr rr. <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATER CLOSET �TOLIET) <br />SMOWER <br />KITCHEN SINK 8 DISP. <br />DISWASH[R <br />UUNORY TRAY <br />CLOTHES K'ASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FI OCL UHAIN <br />VAC�UM BREAKERS <br />ROOI OkAINS-RAII:L EADERS <br />SINK 6EFtY10E-NAR ETU <br />SUBTOTAL <br />TOTAL FEf <br />SIDE YARD SETNACK STHkET SE714ACY <br />��U J� <br />USE ZONE LOT ARU <br />3 T� �i�� ,{ G, <br />TYPE OF CONSI�. .� Of,NPA�NjCY GROUF' <br />/a�i�-n.rf� r"• �\ �J <br />SRE OF BLDQ NO. OF STO';If1 <br />ff t Da rq} 2 <br />FIRE ZONE dA5[MkNT I71 URoI <br />3 ✓ � <br />APPROVAlS <br />1. ENVIRONMENTAL CHKK LIST <br />2. �UILDING fLANS <br />7. FIRC HYDR�.NT <br />4. FlRF PROTEQION $YSTCM <br />S. GHAD:NGI[ACnI'ATION R CLLANINCICHUp01NC <br />6. URAINAGE <br />Z ENVIRONMCNUI IMPAQ AATCAtENT <br />A HFALTH CISiRICi <br />-�--- <br />f/Lt <br />'rEE <br />5 � .'3 <br />Nl.��ft YAND Sf II <br />O�o <br />vncnNt si,t� <br />❑YLS �NO <br />NO. OF U�V[II.IN <br />� <br />flRf Sf'NINKLf.Hf <br />RCQUIRlU <br />rn�s o <br />BY DATE <br />I HEREUY CFRTIFY THAT I H�VE READ AND EXAMINED TH15 AP- <br />PLICATION AND KNOW T4E SAME TO 6E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS ANU ORDINANCES GOVERNING �THIS TYPE <br />OF WORY. W�LL 6E COMPLIED WITH WHETHER SPECIFSED HEREIN <br />OR NOT. TI1E GRANTING Of A PERMIT DOES NOT PRESUME 1�0 <br />GIVE AUTHORITY TO VIOLATE OR C.4NCEL THE PROVISIONS Of <br />ANY Ol"HER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR i H[ PERfORM�NCE OF CON TRUCTION. <br />SIGPUTUNE OF [ONTNACTOR OR 7CD AGFNi DAT <br />� �o/bo <br />x <br />NO. TYPE OF EQUIPMENI <br />.41R C04D UtiliS-ILP. EA <br />RIIFRIG[2ATION UNITS-Hl'. EA <br />OOILCRS-H P FA <br />G4S 1 BED A.C. UNITS-TONNAGE EA <br />J roHCEo nia svsTcn,s—n.,.�. ,�+ <br />N'ALL HCA7LR5-137.0 M <br />UNIT IICATfRS—fl i U. ht <br />IVAPORAPI\'E COOLEHS <br />VLNTILATI04 (AN <br />HANGFHOOD <br />AIR IIANULING UNIT— C.F <br />SIOVE <br />MLTAI RRk' 'L[ 6 GIIIMNEY <br />SUB70TAL <br />TOTAL FE[ <br />PIAN CIILCK NU�111kR <br />��y� �« <br />FEES <br />f <br />f <br />rtt <br />No. <br />VALUATION � FEE <br />UUILUINC = ��/L O� a <br />����,,,����� <br />AIFCHANIGI. <br />O7HkN <br />PI N 11.i1• U U l. <br />SEC. 307�a1 <br />TOTAL <br />Pf.NMIT VGLIDA�ION <br />1VHf N 1'NOPERI.Y VAUD�7E1] On TMIS SPACEI THIS IS YOUH PEHMIT <br />i� <br />_� <br />� <br />