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-'�PPLICATION FO,R eYe <br />th� Evopn�n C O N ST R U CT I O I� <br />CITY OF <br />everett PE RM IT <br />DEPT. OF COMMUNI7Y DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT. WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT N <br />Mnu noox�ss uTr zir reoN[ <br />ow��R e-tt � R S'2ol �s� - rsz__�_ <br />uJ l/iar� �' �q�/oE2T ��lZ I G� S,T � u r� Z�P P���E <br />ARClIILI[100.D[SICrvEN MAllAU0Fl5S <br />���y 21P vNONE llC[NSF I <br />G[NIPALCONiXAC10R MAII�DUR[55 <br />�' �� CItY LIP PHOHE IICENSC 1 <br />n�FCHANIUICOHiRnQOR �uII�DONE55 <br />PIU�IflInGCO�v�R�QOR bull�00RE5$ <br />Cliv LP PHONF UCEHSF I <br />CU4 Of wOPK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOGTION <br />v�meno�+ or woxK _ <br />s <br />uESculxt woae <br />'� /�57f}<L. F/2E o�qcE /nlSf/1 T- 1 n� � X i S T i n�6 ,� iC / I��PG �l c,c <br />vzovosmuse or nunor+e � HEREDY 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 THI$ TYPE <br />LLWI OFSCNIPIION Of PNOP[RiY IS��OWN 9[LOW OR AiIACM IOUR COPIf$1 OF WORK W ILL BE COMPLIED W ITH WHETHER SPECIFIED HERE�N <br />�p� _�PIOIX,��O� OR NOT. THE .r,RANTING OF A PERMI? �OES NOT PRESUME TO <br />ANY O HEROST'ATE OR LOCAL LAW REGULATING CONSTRUOCTION <br />� OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATU0.f OF CONTRnCTOR OR AUTHORIZED AGENT OATE <br />ia�nooaEss �/J �+ 'f` I�UC'✓`C �C., ��'Z-U � X t.Q•�..-",'." �` a l0`20—�� <br />i( %�i � 2. � j�O LF 3— <br />PLUMBING <br />NO. TYPE Of F <br />1vATEk ClOSCT (TOLIET� <br />B�THTUB <br />LAVAiORV (WASH BASI� <br />SHOW [ R <br />KITC�IEN SINK 8 DISP <br />LAUNORI TRAY <br />CLOiHFS�:'�SMFR <br />WA7ER MEATER <br />URINAI <br />OH�NKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM HREAKER$ <br />ROOF nRA�NS—RAIN <br />aNe �cFHVICE—HAR. <br />SI�F YARD S <br />U5: LONE <br />TYYE OF CO <br />SIZC OF HU <br />fIRE ZONE <br />)TAL FFE S <br />ET SCTEIACK H[AR YARD <br />lOT �REA <br />MENT <br />APOROVAlS <br />1 FNVIRONMENTALCMECKLI57 � <br />1 tlUILDING PlA:JS <br />3 FIRF f/YDhnN7 <br />� FIRE PROTECTION $YSTEM <br />5 GHADING/faUVA710N8CLFARINGICRUtlflING <br />6 OHA�NACE <br />_ _. .. .... �..u.fl c1�1�M:h1 <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />AIR COND UNIT$—H P EA <br />REFRICENATION UNITS—H P. EA <br />OOILERS—H P EA <br />WS FIRED AC UNITS—TO"�NACE EA <br />:ORCED AIR S�STEMS-67 U M <br />yy��� HEATERS—OSL M <br />UNITHFAiERS—BTU M <br />VFGNT SIT[ <br />❑YES ❑NO <br />NO OF OWFLLING <br />MAX OCC LOAD <br />er <br />DATE <br />RANCf <br />AIR HA <br />METAL <br />pIAN <br />UNIT— C F M <br />Nli S <br />AL FEE s <br />pUN CMEIX FEE <br />FEE I RECEIPT NO. <br />OUILDING S <br />PLUMOINL <br />MfCNANICAI <br />OTNFR <br />UBC <br />PFNnLiY SEC 707la) <br />TOUI <br />�EIIMIT VALIDATION <br />WMfN PkOPERLY VAIIDATEDI�N THIS SPACE�THI515VOUR PFRMIT <br />