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"PPLICATION FO" FYPIPR <br />Lo,Cr or CONSTRUCTION Lekar. <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMFN7 SER"ICES <br />CITY HALL 2594745 <br />EVERETT, WA 9BZ01 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />MAIL ADDIIISS t". ZIP PHoet <br />OWN) It 4 F .-" <br />CITY zip P O I <br />CITY zIP PHONt )ICI NSI P <br />MIEN+NIC CONTRACTOR MAl1 A0O111N -" <br />PHONt LKINSF IF <br />PIHMAING CONTRACTOR <br />MAIL ADDRI55 CITY SIP <br />CLASS Of WORK ,,....,,,,(( <br />❑NEW ❑ADDITION EIALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN []GARAGE BUILDING RELOCATION <br />YAWATION Of WORK <br />1 <br />BUILDING <br />LIGAL 01SCRIPTION OF PROPIRTY (SHOWN RII(W OR ATTACH FOUR COPIES) <br />LOS _ RIOCK _ Or <br />IORA ORI SS <br />PLUMBING <br />NO. TYPE OF FIRi <br />WATIR QOS11 (Lot"T) <br />BATHTUB <br />LAVATORY (WASH RASINI <br />SHOW[ It <br />KITCHIN SINK IPBISI <br />OISWASHIR <br />IAUNORYIRAY <br />CLOTHIS WASHIR <br />WATER HIAIIR <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM RRf AKIRS <br />ROOF DRAINS-RAINI I AO <br />SINK fSFRVICE-BAR ETC) <br />TOTAL III <br />Sf TRACK 11Kfl I SI TIIA(K <br />LOT ARIA <br />BAS[ME <br />AP/ROYALS <br />1 ENVIRONMENTAL CHECK LISI <br />T BUILDING PLANS <br />I FIRE HYDRANT <br />R FIRE PROTECTION SYSTEM <br />S GRADINGIEKCAVATION L CLEARINGIORURRING <br />L DRAINAGE <br />T ENVIRONMENTAL IMPACT STATEMENT <br />S HEALTH DISTRICT <br />APPLICATIONACC BY PLANS CHECKED BY <br />9-0 79 <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 LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVONS OF <br />ANY EOTI EROSTATE OR LOCAL LAW REGULATING CONSTRUCTIONRITY TO VIOLATIE OR CANCEL THE <br />OROR THE PERFORMANCE OF CONSTRUCTION. <br />aLNATUR[ OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />AIR COND UNITS-H P EA <br />o11111CIRATION UNIT5-H P <br />ROVERS -HP fA <br />GAS fIRIUAC UNITS - <br />WALL HEAIERS-B T U <br />UNIT HIATIRS-B 1 U <br />RANG[ <br />MFNT <br />IA <br />IAGI [A <br />M <br />M <br />CF <br />SU7 lO TAI <br />PIRMII <br />S <br />L IOTA) FEI <br />RI AN YARD SI IBACK PLAN CHICK NUMBIR <br />III <br />VACANT SITE FIFS VAL <br />DYES ONO �— <br />VO OF DWELLING UNITS <br />BUILDING <br />AN <br />OCC TOAD <br />PLUMBING <br />IRE SPRINkl1AS <br />IFDUIRED <br />MICNANICAI <br />IVIS ONO <br />BY <br />DATE <br />OTHER <br />FOR ISSUANCI RY <br />S <br />l' N <br />Pf NAI TY 41T in 11+I <br />IOTA) <br />F[E <br />S <br />YI+ry CHECK FEE <br />I RECEIPT NO <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />