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.<<. <br /> , _._ . � <br /> fMErwyrNn APPLICATION FOR �,�,� <br /> ��ry�F CONSTRUCTIO� , e <br /> everett PE RM IT <br /> DEPT. OF COMMUNITV DEVELOPMENT$ERVICES <br /> CITY HALL 259-8715 <br /> EVERETT,WA98201 �COMBINATION � BUILDING ❑MECHANICAL ❑PLi1MBING PERMI7 NO. <br /> �9FKRvl��4 �4���� /al3c�5 �4�t' SC= �-(iL-12kr'� 9z9�'Y 3Ps�3- 3 4 �G <br /> ��RCMIIFQORDESIGNF0. MerteDURtSS CITY ZIF PHONE <br /> � k�al,le..,.a Cn n���,�-t — 3 53-7 0 8 S'-� <br /> LFME0.ALCOntReC100. �.UIIACONF55 Y ZIP PHONf IICENTEI <br /> MFCNdNIUI CONIR�CiOR MAIL e00RF5S CIIY LIP PHONE IICFNSE I <br /> . 1'IU.HPihGCONiRAC10R M�IIADOR[SS U1Y ZIP FHONE IICEN5f/ <br /> CIn55Oi WONN <br /> ❑NEW �ADDITION ❑ALTERATION LIREPAIR ❑DEMOIITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VAIUAilONO{WORR ' <br /> f � I ��OO� ✓ <br /> �tSCNitlf wONK <br /> ,� dd �r, �,� o Gp��p� �--- . <br /> vaoroz�ous�oi xmioinc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> � �t I�L'� /?� `"''`�I PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IFWI UISCR�ftION Of YNOPEPfI($NONN BELOW OR�1T�CH iOURCJPlf51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPIJED WITH WHETHEP SPECIFIED HEREIN <br /> ior_L�__neeE�P1Y'}' or ' �'`� OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br /> GIVf AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> S— 7 S � E 1 4� ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br /> OR i HE PERFORMANCE OF CONSTRUCTION. <br /> SIGN/�TUR OF CONTRACT00.OR AUTHORIZED AGENT DATF <br /> iux nooaiss s �/ - �.3 <br /> oi3o v�, S.0 ��EReTt v� � L �'"�' y� 7" <br /> PLUMBING MECIiANICAI <br /> NO. TY►E Of ilI(TUIIE FEE NG. TY�E OF EQUI►MENT fEE <br /> WATERCLOSETITOLIET� ��RCOND UNITS—HP EA <br /> B�7M1U8 RFFRICERATION UNITS—HP.EA <br /> tAVATONY�WASH BASIN� B411ER5—NP EA <br /> � SHOwFR GASFIRFDACUNITS—TONNACEEA <br /> KITCHEN SINK b DISP FOHCfD�IB SYSiEMS-8 TL. M EA <br /> . DISW�SNER WALLHEATfRS—B.T.U. M <br /> UUN�RY TRAY UNIT HEATENS—B T U. M <br /> CIOTMES WASHER EVAPOR�TIVE COOLfRS <br /> WATFR HEATFR CLOTHES DRYERS <br /> ' URINAL VENTILATION FAN <br />� ' DRINKING FOUNiAIN RANGf NOOD <br /> F1000.OPAIN �IR HANDLING UNIt— C F M <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS—RAINIFADFRS - MFTAI fBFPUCE 6 CHIMNEY <br /> SINK ISF0.VICE—BAR.ETC 1 <br />� SU�TO7Al SU�iOTAI f <br />� rE11MIT f RRMIi f <br /> TOTALfEF f 70iAlfEf f <br /> S�DE 1AR0 SFT9ACN STRfFT SCTAACN R[AR YARD SETBACK f'UN CHECK NUMBfR PLAN CHFCK FEE <br /> �� ' ��� ��� �✓ II F�7 FEE � j RECEIPTNO.,Q <br /> I� USE ZONE J� LOT ABF� y�[AN�$IIE �/ �� / <br /> �YES /QNO IEFS VALUATION FEE <br /> TYPE Of CONST OLCIIPANCY GNOUP NO OF OWELLING UNIT$ <br />� i��Y�J pov'N M — <br /> BUIID�NC f��.� � 'S� <br /> S�ZF OF BLOG NO Of STORIFS MA% OCC LOAD <br /> a Ll � � O � � PLUMtlING <br /> fIRE ZONC BASFMEN7 NkUROOMS FIRE SP0.INKLERS <br /> • RFQUIREp � MECNANICAL <br /> � '—' — — ❑YFS LA6 <br /> AM�OVALS �Y DAiE UTHFR <br /> 1. ENVIRONMENTAL CMECK lIST PFNALTY U.BC. <br /> SEC.bNal <br /> 2 BUIIDING PlANS /� � '}� <br /> 7 FIRF MYDNANT i�T�� TT �v <br /> � fIRE PROTFCTION SVSTEM rElMIT V�lI0Al10N <br /> ' WHEN PqOPFRLY VALIDATED ON THIS SPACE)TNIS IS YOUR iERMIT <br /> 5 GRADINGIE%UVATIONBCLfARINGGRUBBING � <br /> 6 DR�INAGE � �--7 � <br /> 7. ENYIRONMFNT�L IMPACT STAIEMfNT � ` �� �u€ �� <br /> !. MFALTH D�STRICT G"I l�T !r � <br /> pco--1..� <br /> APPLiC�T10N ACC.BY PtANS CHECKfD BY APPR.fOR ISSUANCE BY <br /> -��' �(.� a-!-�nri1, C- ' C. <br /> 41�79 <br /> l _ <br />