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. 1 <br /> ' <br /> � <br /> APPLICATIC)N FOR e��.�n <br /> M�Er�rpm^ � �NSTRUCTlON � <br /> CITY OF <br /> ev�rett PE aM eT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8745 <br /> EVERETT. WA90201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT N , <br /> Mnll e0�N155 CIiY ZII' PNONE <br /> o,���a / > /� f5 — <br /> 'V' •L/ / / / � �✓ � P� ZIP PNONf <br /> ApCMI i R�ESIGM1fN � MMI�ODN[55 ���Y <br />' GfN[R�LCONiqAfiOR <br /> MAII ADDX6S CIiY ZIP PNOHE IICFt�SE 1 <br /> 5 �. �a✓n� ��11��� �w6N S'�✓zts _ 3�-3GA3 — <br /> ,/ // '/ IICEnSE I <br /> A1tCHANIGI(OM1i f;i]n � MnIlAD00.E55 ���� CIP ��3 'V��J•ll.��/(•M�(V g'�Z � <br /> PlL!NIII\GCOYi0.ACi00. M�IIAD�XfSS <br /> Cliv ZIP PMONF UCEPSE� <br /> ClnSS Oi�1'OP[ <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOChTION <br /> VAWAIIONOfN'ONK �!' <br /> � /-�A UO -: <br /> OLSf0.i�F K PN <br /> e�S��e/�o�� � .°, ��d<<r <br /> P0.0POSfOUSF O� 9UilUIr�C i HEREBY CERTIFY THAT I HAVE READ AND EXAMINEL' THIS AP- <br /> PLICAT�ON AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IFGAI OE5C0.iPtIO�Of P0.0P[PfY15MONNdElOw00.AlinCHfO�NCOP1I51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> � / OF WORK WILL BE COMPLIED WITH WHETHER SVECIFIED HEREIN <br /> ioi(�_niocK� �O or ����—lk-� ' — � '`�� OR NJT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOfAL LAW REGULATING CONSTRUCTION <br /> OR THE PERfORMANCE OF CONSTRUCTION. <br /> � � ` / ,�(� SICNATURF OF CONTRACTOR OR AUTMORIZED AGENT DATE <br /> ION�DORF55 v � <br /> n � <br /> MECHANICAL <br /> PWMBING <br /> NO. TYPE OF FIXTURE <br /> FFE NO. TY�E OF EQUI►MENT FEE <br /> N'ATER CLOSET(tOIIfD Alft COND UNITS—HP. EA <br /> kEFRIGE0.ATION UNITS—H P EA <br /> BAIMTUB <br /> OOILE0.5—HP EA <br /> LAWiORY(WASM flAS�N) <br /> GAS FlRFO AC UNITS—TONNAGF EA <br /> SHOwER <br /> FURCED AIR SYSTEMS—B T U. M EA <br /> KRCHEN SINK 8 D�SP yy��� HEATERS—OS U M <br /> DISwASMER <br /> UrvITMfATEftS—BTU. M <br /> , IAI'�NpRYTP'.Y <br /> FVAPORATIVE COOLEFS <br /> � CLVIHES WASHEk CLOTHES GRYERS <br /> WATER HEnTER <br /> VFNiILATION FAN <br /> � URINnL <br /> ORINKING fOUNTAIN RANCE HOO� <br /> 1 FLOOR ORAIN STOVE NOLING UNIT— C.F M. <br /> � VACUUM BftEAKERS � <br />� ROOi DRnINS—HAINLEADERS METAL FIREPUCE 6 GWMNEY <br /> SINK 6ERVICE—BAft.EiC� <br /> fUt70TAL s <br /> SU/TOTAI <br /> �flMIT ! �ERMIT f �� <br /> 3 TOTAI FfF s <br /> TO7Al FEE <br /> PLAN CMECK FEE <br /> SIOF YARD 5[TOACK STHFET SCTOACK R[AR YAND SCTBACK PLAN CM[CK NUMBLR FEE RFCEIPT NO. <br /> � <br /> � USF ZONE LOT AREA VACANT SITE FEES VALUATION FFE '� <br /> ❑YES CNO <br /> 1 TYPE OF CONST OCCUPANCY GftOUP NO OF DWEILING UNITS <br /> OUILDING S <br /> .SIZE OF BIDG NO OF STORIFS MA% OCC LOAO <br /> � PWMPING <br /> fIRE ZONE 9ASEMENT HFUROOMS REQU RE10KLFR5 MECMA"+ICAI. <br /> OYES ❑NO <br /> ARMOVAIS �1' OA7E OIMFR <br /> 1 ENVIRUNMENTAI CHECK LIST pCNAITY U.BC. <br /> SEC.Y1Jfa) � <br /> 2 9UIlDING PLANS TOTAI � <br /> 7 FIRF NYDHANT . <br /> � FlRF PROTFCTION SYSiEM TEIIMIT VAlIDA710H ' <br /> WNEN PROPERLY VAIIDATED IIN THIS SPACE)TMIS IS YOUft PERMIT <br /> 5 GRADINGIf%CAVA710NbQEARINLIGRUBNING ' <br /> 6 DRAINAGE <br /> 7. ENVIRONMfNTAI IMPACT ST�TEMENT <br /> E HEALTH DISTRICT <br /> APPl1UTION ACC BY PUNS CHECKE�BY APPR FOR ISSUANCE 6Y <br /> r„ <br />