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,„,.:�„9,,,� A�PPLICATION FOR <br /> °""°F .�ONSYRUCTION everetl <br />� everett PERMIT e <br /> DEPT. OF COMMUNITY DEVELOPMENT SERV�CES <br /> ❑TY HALL 259�8745 <br /> EVERETT,WA 9H2O1 �COMBINATION ❑ BUILDING �MECHANICAL ❑PLUMBING PERMIT NO. <br /> � �ONN[g.,( M�/I�lM100N[55 �iO I ❑IY ZIP PNONF <br /> V ONAlS P�2k Nbp/Ct[T E✓tKL�ts�w. �AY �'v�,�p- fFfZp; <br /> AY IRICfOR�!$IL EN MnILApORFSS ULY ZIP PIIONE <br /> �/G[N[0.�l CONiFACiOR b1AIL ADDR[SS UiY 21P PHONC �i�[NSF/ <br /> �� <br /> NlCH�NIUICON�RACIOR MAIIAD�N[55 ULY LIP PHO4f �I[fNSE/ <br /> C�3To,r,rMlts Conp /i33 A1„ /OOTy �i.�rrzt 98/i3 S�3 z.686 �Jv3�e <br /> IIV fl .CO iR�CiOR MAII AOOX[5$ UiY 21P PHONE �ICENSE I <br /> L�SSOf WONA <br /> ❑NFW ❑ADDITION SIALTERATION ❑REP��R ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑OUILDING RELOCATION <br /> \'�l W IION O!1YORN <br /> S <br /> UfSCRIH!wON6 ,/ -� <br /> .tNsr9�c� CooK��-S t�oa � GY <br /> �r^.oeoc�ouse oi owioinc I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> / fi!/R/��Y PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AlL <br /> l[UI pISCNIPilO40f VNOPI0.11�SHO\yN HEION'OF AiT�O110UR C01'I[5) PROVISIONS OF LAWS AND ORDINANCES GOVERIJING THIS TYPE <br /> OF WORK WILL [3E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ior_nioc�_ev OR NOT. THE GRANTING OF A PERMIT DOES NO7' PRESUME TO <br /> GIVE AUTHORITY 10 VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STA7[ OR LOCAL LAW REGULATING CONSTRUCTION <br /> C�g,2,(y3 OR THE PERFORMANCE OF CONSTRUCTION. <br /> ��� I Vl p,N �Q• E✓t SICNAiUNC OF CONTRACTOR ON AUTHORIZED ALENT DATf'Z�����Z.- <br /> � ion.00aiss <br /> x C'vsrnM�F lo B <br /> PLUMBING MECHA ICAL <br /> NO. TYPE GF FIl(TURE FEE N . TYPE Of EQUIPMENT FEE <br /> N'ATER CLOSET�iOLIET� AIR CONU UNITS—FI P F.A <br /> NATHTUO REFRIGEHATION UNITS—MP EA <br /> UVATONY�WASM �AtiIN� I301LER5—M P FA <br /> $HOW[R GAS RRED A.0 UNITS—TONNACE EA <br /> KITCMEN$INK b DISP FONCED AIR SYSTEMS—lI.T.0 M EA <br /> DISWASHEH WALLHfATCRS—fITL. M <br /> LAUNDNI'T7AV UNIT HFATFH$—!7 T U M <br /> Cl07HCi WASH[H [VAPOHATIVE COOLERS <br /> WAiEN HEATCR CLOTM[5 DRYIRS <br /> UNINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOON ONAIN AIR HANOLING UNIT— C F M. <br /> � VACUl1A1UR[ARERS STOVE <br /> ROOF DRAINS—RAINLUD[RS ME UL fIRFPLACE R CHIMNEY <br /> SINK�SiNVICI-17AR.ETC) . <br /> SUBTOTAL SUB TOTAL S <br /> PERMIT 3 PERMIT S <br /> TOTAL FE[ 3 70TAL FEE S <br /> SIDF YARD SCT[IACK STN(ET SCTflACK RUR YAR�5[iffACK PLAN�IICIX NUAI�LR PLAN CMECK FEE <br /> FEE RECFIPTNO. <br /> USE ZONE LOT AREA <br /> VACANT SITE <br /> ❑YES ❑NO fFES VALUA710N FEE <br /> TVPC OF CONST OCNPANCY LHOl/P NO OF DWELIING UNITS <br /> OUIIDING S <br /> SIZE OF ULDG NO.OF STORIES A1A% OCC LOAD <br /> I� <br /> PWMOING <br />� FlBf ZON[ OAS[AtENT OLUBpCMS fIRE SPHINALLNS <br /> HEQl11RLD MkCIIANIUL <br /> f7Y6 ❑NO <br /> APPROVALS 6V DAiE OTMER <br /> 1 ENVINONMENTAL CHECK LIST <br /> PFNALTY U.11 C. <br /> 7 UUIIDING PLAN$ SEC.70$a� . <br /> J FIR[ MYDNANi TOTAL <br /> � FIRE PROT[CTION SYSTEM 7EIIMIT VAIIDATIDN I <br /> � S LNADINGIL%GVATIONd CLEARINClGRU01!ING N'HEN PROPERLY VAIIDATEDIIN TMIS SPACEI THI515 YOUR PERMIT <br /> 6. DRAINAC[ <br /> 7. ENVIRONMENTAL IMPACT STATEMENT <br /> B MEAL(H DISTRICT <br /> APPLICATION�CG 6Y P��NS CHEIXED BY APPR. FOR ISSUANCE OY <br /> 9.1-79 <br />