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� <br />A"PLICATION F06t ���,�n <br />'°`E"'°`"° �,ONSTRUCTION <br />cin oF � <br />everett PERMIT <br />�EPT. OF COMMUNITY DEVELOPMENT SERVICES <br />C�TY HALL 259�8745 <br />EVERET�, WA98201 �]COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER M�Il�00kET5 Cliv ZIC PNONE <br />�H <br />Gc�titirFs S�� �in �(cC•`( l`� E�erzerr `7'�2�-� �S�Z-�c:1Z <br />•vrurtr�t nv nracura ' MAIL eDDRFSS CIIY 21Y PMONF <br />GINFPALCOti1NACi00. M�IIADDRES$ CIiY 21P PMONE IICFN5f1 <br />MFCHAhICA�tOMVACiOR MAII nU0RF55 UIY LIV PHOHE IICFNSE I <br />riu4mi�A/c/N R�QOR hull nDDR[55 �itY ZIV PNONE UCENSF I <br />, %// ` <br />CUSSOF WORK <br />QNEW ❑ADDITION ❑ALLERATION ❑REPAIR ❑DEMOLITION ❑fENCE ❑SIGN ❑GARAGE ❑dUILDINC REIOCATION <br />VAWAIION Oi KOXK <br />S <br />OISCRI6E WOax <br />/NSTAL� l�/2E� S7'A�lfJl.c! � �.�.Y; <br />rxoaosm usf ov nuuoi+c <br />lFLnl D!$CXIP110V Oi P0.0PINiY 15110WY OflOx' OR AIIACM fOUP COPIlSI <br />�[��� c <br />l01/.� ��;_BIOCK.�if.�� ��� <br />n <br />IOB nOD0.E55 <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATER CIO+FT (IOLIET� <br />nnTniuo <br />UVATORY ( W ASN NAS�N� <br />SI�OWFR <br />KITCHfN SINK 6 DISP <br />DISWASHFR <br />UUNDRY TRAY <br />CLOiHES M'�SHEF _ <br />N'AiER HFATER <br />UNINAI <br />DRINKINC fOUNTAIN <br />FIOOR ORAIN <br />VACUUM BREAKER$ <br />NOOF DRAIN$—RAINLEA�ERS <br />$INK (SFRVICE—E1AR. RC 1 <br />Sl�f VARO S[il <br />U5I ZONE <br />TYPE OF CONST <br />SIZE OP BLDG <br />fIRE ZONE <br />SUBTOTAL <br />�EIIMIT f _� <br />TOTAL F[E f <br />STRE[T SE71iACK HLAR YARD <br />LOT AREA <br />OCCLII'ANCY CROUP <br />NO OiSTORIES <br />BASEMENT BtUR <br />APPROVAlS <br />1 � NVIRONMENTAL CMKA 115T <br />2 BUIIDING PUNS <br />J FIRF MYDRAN7 <br />< FIRE PROTFCTION SYSTEM <br />5 LRI�DINGFXUVATIUNbCLUftINUGRU9PINL <br />b DRAII.AGf <br />:��'c�t'E /N l3r�SEMEN7� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LA'�YS AND ORDINANCES GOVERNING THI$ TYPE <br />OF WORK WILL BE COh1PLIED WITH WHETHER SPECIfIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLA?F. OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHOP.12'D ALFNT OATE <br />X �1 ;� C�: �<c:�,__�( <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMEN� <br />AIN COND UNITS—M P. EA <br />REFRIGfR�TION UNITS—M P. EA <br />BOILfRS—HP EA <br />GAS FIRfO A C UNITS—TONNAGE EA <br />FORCE� AIR SYSTEMS-9 T U M EA <br />WALtHfATFRS—BTU M <br />UNITHFATERS—BTU M <br />EVAPOkATNFCOOLERS <br />VACANi SITE <br />❑YES ❑NO <br />NO OF DWELLING L <br />MAX OCC IOAD <br />FIRE SPRINKlERS <br />RfQUBEO <br />�]YFS f'.NO <br />EY DATE <br />CLOTHFS DRYfRS <br />VFNiILATIOv ��N <br />RANGEHOOD <br />eIR HANfII ING UNIT— C F M <br />FBEPLACE 8 <br />PLAN CHECA <br />IERMIT <br />iOTALFEE <br />FEE <br />FEk <br />� <br />f <br />f <br />CNECK FEE <br />RECEIPT NO. <br />ifL <br />BUILOING s <br />PLUMBING <br />MECHANIUL <br />OTHER <br />PENALTY UBC <br />SEC 1011a� <br />TOTAL <br />�[RMIT VALID.\iION <br />WHkN PpO�EFIV VAIIDATED I�N TMIS SP��f) TMIS IS VOUR PENMIT <br />