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� <br /> �heEverpreen APPLICATION FOR everett <br /> "n°F � CONSTRUCTIOI�- <br /> everett PERMIT e <br /> D[PT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8745 ,,-,� <br /> EVERETT,WA9B201 ��OA181NATION BUILDING ❑MECHANICRL L'�fPLUMBING PERMITNO. <br /> � <br /> tR MAI noou�ss <br /> / � /� � CIiY LP PHOUF <br /> .�0 h N J i O r/� � a /C g /A u i"A-,i7 ,_$'-i a/ .Cuc.i-��%c �-� 4-:�,, ����,5_— `/J 3 D <br /> ARCIIIIFQORD[SILslR bult pRF55 CIiY II prypvE <br /> G[N[RetCONtq�Ci00. MAIL�ODNESS �UiY ZIP CNONE IICENSf/ <br /> C;.� T-� /�S f7 CD //JJ �C/ �Ud �� J-2 A I`/�c �o�/J:s �JT 1 �7�J�YU, <br /> MfCMAhIULCON1R�CiON MML�D�PfSS ❑iY /.IP PMOYf IICENSE� <br /> PILNpI\GCONiR�CiOR MAllA00ftF55 UiY pIP PHONF UCENSCI <br /> �P sT 7- r°L�-„=�., ��/ ti7;�, <br /> [USS Of wORK ,-,� <br /> ❑NEW ❑AD�ITION �ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GAR�,GE ❑BUILDING RELOCATION <br /> VAIWIIONOfN'ORK � <br /> `��yn C� <br /> \ S ���0 <br /> OISCPIIIf NDTRR- (� , <br /> /.4f/.� L � �ori..i �r✓ J /N �� <br /> reorosmus� or nmiurt:c I HERE�Y CERTIFY THAT I HAVE READ AND E%AMINED THI$ AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LfC�L DlSCRiPilOvO(PROPlR1Y�5HON'�:PFIOW OR eii�Ul10UX COPI[51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �or��'?xiocr:�or � � ���� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � ���v i.i �.�.i � S� vU . ) ANY OTHER STATE OR LOCAL LAW REGULATWG CONSTRUCTION <br /> �n OR THE PERFORMANCE OF CONSTRUCTION. <br /> Y'/� SIGNATUHE OF CONiRACTOR OR AUTMORIZED AGENT DATE <br /> _'L <br /> ion�noHesz L � �� <br /> . � 'ZO �=bC r — � .[ � ULv �' X � � _ <br /> PLUMBING MECHANICAL <br /> NO. TYCE Of FIXTURE FEE Nl). TYPE OF EQUIPMENT FEE <br /> N'AIERCLWET�TOLIETI AINCOND VNITS—H.P FA <br /> ltAT4TU0 H[FRICERATION UNITS—H P. EA <br /> LAVATORY(WASH OASIN� OOILFN$—H P CA <br /> SHOWCR GASFBEDAC UNITS—TONNAGEEA <br /> KITCMkN$INK 6 DISP FORCED AIN SYSTEMS—OS U M EA <br /> DISWASMEft WAIL HkATERi—U T.U. M <br /> LAUNDRV TRAY UNIT HFATERS—e T U. M <br /> ROTHES�vASNCR [VAPOR�TIVF COOLfRS <br /> WAiER HEnTEN CLOTHES DRYERS <br /> URINAL VFN7ILATION FAN <br /> OHINKINGfOUNTAIN NANGE HOOD <br /> f LOON DNAIN I,IR MANDLING UNIT— C F M. <br /> VACUUA1yREAK(RS STOVI <br /> ROOF ORAINS—RAWLEAD[RS METAL FIREPLACE d CHIMNEV <br /> SINK IS[RVICE—OAR ETC� pD <br /> .v O D <br /> SUB IOTAL SUBTOTAL f <br /> PfRM1T 3 PfRM1T { <br /> TOTAL IfE S TOTAL ifE 3 <br /> SIOF YANO SCT�ACK STRECT SCTOACK RUR YARD SLTOACK PUN CMCCK NVA113ER YUN CMECK FEF <br /> FEE RECEIPTNO. <br /> USE ZONf l0T ARCA y�[�NT SITE <br /> ❑VES ❑NO FEES VAlUAT10N iFE <br /> 1YPE OF CONST OCCUPANIY GROUP NO OF OWELIIt�G UNITS <br /> 512E OF ULDG NO.OF STORIES htnd OCC.LOAD OUILDING S DOO �6 � <br /> 19LMpING D D <br /> FlNE ZON[ BAS[MENT IILUNOOMS FlN[ SPRINKLCRS <br /> N[QUIHED MfCHANIUL <br /> ❑Yf5 ❑NO <br /> AVPNOVAlS EY DAiE OTHFR <br /> 1 FNVIRONMCNTAL CHCCK LIST U O.C. <br /> PENALTY SEC. 70)(a) <br /> 2. [ILILDING PlANS • <br /> 3 FIHF HYORANT TOiAL � �/ � <br /> T <br /> < ilNf PRO7fCTIDN SYAFM PFRMIT VAIIDATION <br /> WMEN PftOPERIY VAtIDATED(IN iN15 SPACE)TMIS IS YOUR PERMIT <br /> 5 CRADINGL%CAVATIONBCLEARING/LRUBNING <br /> b DRAINAGE <br /> 7. ENVIRONMENTALIMPACTS7ATEMENT <br /> B. NfALTH DRTRICT <br /> APPLICATION ACC BY PLANS CHECKFD 6Y APPR.FOR ISSUANCF NY <br /> 91�:9 <br />