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fA�EvnprNn APPLICATI�fe! FOR <br />cin oF a•• �� � M TT I O N eV� <br />everett <br />D E f T. O F C O M n t U N I T Y D E V E L O P M E N T S E R V I C E S <br />❑TY HALL 259�8745 <br />EVERET7, WA98201 ��O�HBI�IA.TION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ONYfR MAq AUU41'.: FNOHE <br />�` �� �''�� � �-��7 ����. r�L• N,�`����;/,� = qg��o �5y-S/� <br />ARO�RlCI OX �[SICVFX AIAII AO�R[R ❑IY� ZIP VHGN( <br />—______ _.__—'_ <br />6IN[R�lCO41ReC10X Mql A�OBLSS^ ❑IV PHON[ <br />.... .. _ _"_ _ ZIP IICFNSF 1 <br />.._._ ..__ ._ <br />n. —____ . . .._ <br />��IIHnMCMCONiRACipq MAILADOPISS CIIY CIP VHONE IICFN5L1 <br />._ _ _ - -..T�c���_+c� <br />PIV\IpIhLCONtRAC10R MnIIAD�R65 �lir ZIV PNONf �I[FNS[I <br />__. _ . _ . . . _ �___i� <br />U �SS Of KORK <br />❑NEW ❑ADDRION ❑ALTERATION .�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAR�CE ❑BUILDING RELOGTION <br />�+wnnnv or noxx <br />x s 5'00. � <br />A Utt'q101 �4'ONN <br />h�'e�/ace 'Q� W.i�dow. <br />PN<�r�y}oUS1 or qWlppl G <br />k IieN�a/ <br />lfGl /UI/S�CXIPIIOVOf pqOPlR1Y�SN`ON�t+qflOW pX �lIeCII I <br />im.iv moa�or �y//G� <br />7�'o EVere 7�1� <br />i, � — <br />iox nooaiss <br />�1ieYP71; ��. p, <br />PLUMBING <br />NQ. TYPE OF il%7URE <br />\VATFR ClOSET �iOLiET� <br />II�iMiUB <br />I.AVATORY pVASM tl�51N� <br />SNOwER <br />NIICMEN SINK 6 �ISP <br />OISWASMEN <br />UUNDRY iNAY <br />CIOiHFS N'�SMER <br />�VMEH HfAT[N <br />URINAI <br />ORINKING FOUNTAIN <br />lLOOR DRAIN <br />VACUVM 9RFAKERS <br />HOOi �RAIHS—RAINLEADERS <br />__ � SINK�SFNVICE-9AH,EiC� <br />' <br />_ SUB TOiAI <br />PERMIT { <br />TOTAL FEE f <br />SIOE YARD SROACK SiRFFT SCTpACK R[ <br />U`�E ZO'�E lOi AREA <br />iYPE OL CONSi OCCUPANI <br />S2E Of OLUG NO OF Sii <br />FIRE ZONE BASFMENT <br />VACAN7 SIIE <br />❑YES CNO <br />iOUP NO OF D1VFl <br />5 MA% OCC LC <br />II UNOOn15 iIRE SYRI9KL <br />FEQUIREO <br />AP�IIOVAlS <br />1 fNVINONM[NiAI CHECK 1157 <br />1 BUILDING PUNS <br />J fINE MYDBANi <br />d FIRF PHOTECTION SYSTfM <br />5 GftA01NCf%CAVATIONbCIfARINGGBU9NING <br />6 DRAINAGf <br />7 fNVIRONMENTALIMVACTSiATEMENT <br />B MFAITM DISiRICT <br />er <br />APPI ICATION ACC 9Y YUNS CHFCKED BY I APPR {OR <br />9.1-; 9 <br />I HEREBY CERTIFY TH.4T I HAVE READ AND EXAMINED THIS AP- <br />i'LICATION AND KNOW THE $AMk TO BE TRUE AND CORRECT ALL <br />� PROVISIONS OF LAWS AND ORDINANCFS GOVERNING THIS TYPE <br />�K OF N'ORK WILL BE COMPLIED WITH WhIETHER SPCCIfI[D HEREIN <br />OR NOT. THE GkANTING OF A f•ERMIT DOES NOT PRESUME TO <br />GIVE AUTHORIiY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STA7E OR LOCAL LAW REGULATING CONSTRUC710N <br />OR THE PERFpRMAt�CE OF CONSTRUCTION. <br />SIGN�TUR(^[SF C'iRACTOR 02 AU Oft17(D"A NT DATE <br />IC�(�_bo�V � ��/G/�� <br />TBACN � PI�N <br />DA/E <br />PY <br />T7PE OF EQUIPMENT <br />AIH COND Uv115—H P EA <br />REfRICEflA710N UNIiS—M I' EA <br />BOIlERS—H� fA <br />GASFIRFD AC UNRS—TUYNAGEEA <br />IORC[D AIN SYSTEMS-9 i U N <br />WALI MEAiENS—� t U M <br />UNIiHkAifHS-9TU M <br />EVAPORAiIVE CDOLEHS <br />qANGEHOOD <br />STOVf <br />METAI F <br />3 <br />IFEE I HKEIPT NO. <br />iEEi VAlUAT10N IEE <br />OUILDInG 3 <br />PlU61BING <br />MFCHANIUI <br />OtHFR <br />PENALiY UBC <br />SEC JO)�a� <br />TOTAI <br />�EIIMIT VALIDATION <br />W M!N PROPERIY VAIIDl.ifO �IN rM15 SPACE) THIS IS YOUR PFNMIT <br />