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APPLICATION FOP Pe <br /> IAP EK/IOmR CONSTRUCTION <br /> CITY OF <br /> PERMIT <br /> everett <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES MECHANICAL PLUMBING PERMIT NO. <br /> CITY HALL 259-B7A5 BUILDING )II IHDNI <br /> 71P HOW <br /> EVERETi,WA9R201 ❑COMBINATION on 3=9 <br /> MM1 A')DMI15 LAI L VCf�_ <br /> OWNtR <br /> ��bMl�/� I• C ✓ CITY <br /> \ISS LICINSI 1 <br /> ARCHtI1C10R DISIf.MR ZIP INOnI <br /> 5 HY <br /> MALI ADORI YS )ICF NSI) <br /> G'N'RM CONIRR/TOR LII IHONI <br /> (I I1 Y <br /> MAIL ADORISS IICL111 0 <br /> MICHANI(AI CON ACTOR ZII PHO NI <br /> CIIY <br /> MAIL ADDRISS <br /> PI L'MRI•N'.CUNIRA IO\ <br /> ILAss OI WORK OREPAIR <br /> ❑DE MOIITION ❑FENCE OSIGN ❑GARAGE OBUILDING RELOCATION <br /> ❑NEW ADDITION ❑ALTERATION <br /> YMU UION OI WORR <br /> S <br /> DHC RIM WORK <br /> NED <br /> ppON,510 l!SI(ll PNIpINL <br /> I HEREBY CERTIFY THAT I HAVE READ AND PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECIT ALL <br /> /'���/ OQ�� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> L 160 DISOIOIIOw OI VROPIRIY SHOWN RIION OR AIIA(11 FOURCOPIIS) OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT THE G CANTING OF A PERMIT DOES NOT PRESUME TO <br /> Rto(A X01 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> LUI ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SICNATUR I CONT FOR OR AUTHORIZED AGENT DATE <br /> ,,,A CR %% / 'SSS 1 e V Er ^ <br /> Com_ Vh 1V MECHANIC L FEE <br /> PLUMISING NO TYPE OF EQUIPMENT <br /> Fit <br /> TYPE OF FIXTURE AIR COND UH11S-11 P JA <br /> NO. Full F RATIONUNIIS-HP FA <br /> WATER ClOSIi li011F 11 BOILF11i JA <br /> TAIHTUB EA <br /> VATORY(WASH BASIN) GAS FIR A R SISTI S-'ONNAGI <br /> LAMEA <br /> IORCID AIR YSiF MS-B T U <br /> SHOWN <br /> KI'CHIN SINK 6 DISP WAIL A Il T U M <br /> UNI' HIAItR$-fl1U M <br /> 1 0ISWISHER <br /> IyAPORAi1Vf COCIII AS <br /> I ULHDRY TRAY CIOTHIS DRYIRS <br /> 1 CLOTHIS WASHIR <br /> VINIIIATION IAN <br /> 1 I WAIIR HIATIR RANGE HOOD <br /> .10 <br /> 1 URINAL <br /> PRINKING FOUNTAIN AIR HANDLING UNIT- C <br /> FM <br /> STOVE <br /> F 1000.DRAIN <br /> 1 VACUUM 0RFAKIRS MF7M IIRIPUCI 6 CIIIMNFY <br /> RCIOI URAINS-RAINLIACHRS <br /> SINK <br /> OF v BAR I TCI <br /> SU/TOTAL / <br /> ►ERMII / <br /> SUS TOTAL s � 701Al FEF <br /> PFRMII s PIAN CMfCK F!! <br /> TOTAL IFI PIAN CHECK NUMBIK RECEIPT NO <br /> STREET SIIPACK RIAR YARD SIIBACK IFI <br /> ' I 51pl YARp St TRACK VAlW71pN f!! <br /> 1 Ells <br /> lot ARU VACANT 5111 <br /> U51 2DNl �;Y15 ❑PIU <br /> OCCUPANCY GROUP NO OI UWFl11NG L'NIIS 7 <br /> IYYI 01 CONST BUILDING <br /> NO OF STORRS MAX OCC )OAU <br /> SIZE UI PIDG <br /> PLUMBING <br /> BAST MFNI III InOX)MS IRI IEQU IRIDNWITS MICHANIC`AL <br /> Fill ZONE ',)YTS CNO <br /> /Y DATE O1HIR <br /> AflROVAIS U fl C <br /> PI NAIIy SLC SBRKI <br /> 1 INVIRONMENTAL CHECK LIST 5 <br /> } BU IIpMC PUNS <br /> 701A1 <br /> 7 )IRF HYDRANT PERM IT VALIDATION <br /> WFEIN PROP)RkY VAIIDAIID LIN iN15 SPACE THIS IS YOUR PERMIT <br /> R DRF PROT(CIIONSYSIFM <br /> S GRADINGII K(AVIATION S C LI A0.INGIGRUBBIN6 <br /> 6 DRAINAGE <br /> INVIRONM[NTAL IMPACT STATEMENT <br /> E HFAIIII DISI RIC) APpp IOR ISSUANO BY <br /> 11'L IA•,' <br /> 11' rI• :"HICK)IY PY <br />