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� r <br />4PPl.ICATlON �FQQ ����' � ������n <br />Ihe Ev�rD�N� `"'�' C O(V ST R U C� i O h � <br />CITY OF <br />everett PERn�eT � <br />DEPT. OF COMMUNITY DEVELOPMiNT SERVICES <br />CI1Y NAIL 259-8745 <br />EVERETT, WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNFN � [ITY ZIP PHONF <br />�(�. n1nI1n0�F5��� �_�/��`/�J' ���...-`J �CS <br />4 1 /y�/ 1 YC 1^ s S �l J�� <br />� !i�'r G - <br />ARCMITFCTOROESILN�R MAILAD�RF55 ryl��) ZIP YMONE <br />3� 2�Z �� �.c� <br />. vwnN[ IICFNSE / <br />GIN[R�ICONiNACiOR MAILe0DRE55 "" "� <br />;�A55 DI N'ORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI110N ❑FENCE <br />y��U�11UN OF WORN <br />S G1O�L11n <br />l <br />O[SCMIBF vORK _'. wC�� � I �u J� � i `/ .�� C <br />/ _1 <br />J �_ <br />raorosto ust or oonoi�c <br />L[ Wl 0(SC0.1P110N Gi PROPFFiV ISHOw'H BEIOW OR A1 UCN fOU0. COPILSI <br />lOi _ BIOCK �_ Oi <br />IOH �OORESS � � �� % / <br />(L <br />PLUMBING <br />Np, TYPE OF FIX7URE <br />wATFR CIOSET (TOIIETI <br />SHOWEft <br />KIiCNEN SINK 8 DISP <br />p15W�SN[R <br />LAUNDRV iRAY <br />CLOIMCS wASNER <br />W,1TER HEATER <br />URINAL <br />ppINKINC fOUNTAIN <br />GLOOR DBAIN <br />VACWhI NR[AKfRS <br />ROOf DRAINS–RAINLFAD <br />;InK �iERVICC–BAR, ETC 1 <br />UE �ARD <br />CONST <br />ZONE <br />SUETOTAL <br />�EIIMIT <br />TOTALFFE <br />STREFT SETP�CK <br />LOT A0.FA <br />OCCUPANCY LR� <br />�— <br />MtROVAtS <br />1 ENVIRONMENiAI CHECK L157 <br />1 BUILDINC PUN$ <br />) FIRE MYONAN7 <br />♦ FIRF PROTFCTION SV57FM <br />5 GRAOINC,!L%GVATIONBCIfARINCICR tlBIN <br />6 DRAINAG <br />� UQ V C�-u-t''� <br />�S <br />FU0. YAftD 5 <br />�/ACANT SITF <br />❑YES ❑NO <br />M.A% <br />�Y <br />DATE <br />❑GARAGE ❑BUII�ING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND tXAMlntu in�� nr- <br />PLICATION AND KNOW THE $AME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL PE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRAN?ING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOC�1L LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCC OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHONIZED AGFNT OATE <br />� .� ����_ 9 /z—�� <br />MECHANIGL <br />NO. 1YPE OF EQUIPMENT <br />AIR COND UNITS–H P U <br />P.EFRIGERATION UNITS–HP EA <br />90LLER5–MP EA <br />GASFIREDAC UNITS-70NNAGEEA <br />FORCEDAIRSYAEMS–tl.TU M <br />WALIMEATERS–�T.0 M <br />UNIT MFAIERS–e T U M <br />EVAPORATIVE COOLERS <br />CLOTHfS DRVfRS <br />VFN7ILATION FAN <br />RANGEMOOD <br />AIR HANOLING UNIT– C.F.M <br />STOVE <br />u[T�I CIR[PIACE S CHIMNEV <br />CII[IX NUMUEC <br />SUlTOTAL <br />�FIlM1T f <br />TOTALFEE s <br />PUN CHECK FEt <br />FEE RKEIPT NO. <br />VAWATION fFE <br />ctr <br />9UILDING f ZE�• <br />YLUMOINC <br />MECM�NIUL <br />OTMFR <br />U.BC <br />PFNAISY SEC lOJfa� <br />TOTAI <br />�EIIMIT VALIOATION <br />WHEN P0.0PERlY VAIIUATE�(�N TMIS $PAiF) iH151S YOUR PEHMIT <br />� � 7-�� ��� <br />� _I.1�'_��';, /' <br />� <br />0 <br />� <br />