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��.E,,,D�,� 4PPL1%ATION FOR <br />°�^°° CONSTRUCTIOh <br />everett PERMIT <br />DEP7. CF COMMUNITY DEVELOPMENT SERV�CE5 <br />CITY HALL ]59�8745 <br />EVERETT, WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAC ❑PLUMBING PERMIT NO. <br />-,� jic%� - G!/.�.CN�=/C� <br /><<_ � El�c��7"% /'/'f'LL <br />:ir vnoHc <br />everetl <br />e <br />G(NERAICONiR�C10R MnII��CRf55 CIIY ZIP PHON[ IICFN5E1 <br />%rl���r �'iT/i`%t�C.%iG'V �.:/S �':�:`v.ii�% �.i. /l!f"iiC!�i�.�7 iU'V C�G��C���,� <br />MIOUMUI CONIRnCfON MAII AODR[55 UIY 21p PIIONE IICENSF 1 <br />VW MPmG CONiRAQOR <br />GIAIL ApD0.6$ <br />CIIY ZIP <br />I <br />C1A550f NORN <br />❑NEW ❑ADDI710N LJ' ALTERAIION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING REIOGTION <br />l'AW�110N O�f N/U�PN <br />3 \. � vL/L/�. [ � <br />ULSCRIIff NURN <br />1'NOVOSLD U5f Of NUILDIVG <br />DFFi�E �5��'�G'c <br />lLGet OFSCN:PIIOu Of P0.0VEXIY ISHOWrv fl[LON' OR Al1nCM fOUX COVIf 51 <br />lOi _ BIOCk _ Ot <br />��'t_� %�i7Tf.�'/-/E/' <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />WnTEN CLOStT ITOLIFTI <br />LAVATORY(WASM OASIN� <br />DIS\YASMFR <br />UUNDNY TNAY <br />CLOIH(SIVASHFR <br />WA7ER MkATEN <br />UNINAI <br />fLOOH D0.AIN <br />VACWM NNFAKENS <br />NOOf DNAINS—RAINLiAOERS <br />aur�crv��irr_u�o orri <br />��SE ZONt <br />C� <br />TYPE OF CON! <br />�'�Nk <br />SUB TOTAL <br />PERMIT f <br />STRCFT SCTtIi <br />� <br />LOT AREA <br />UCCUPANCY� <br />�tA/4U'j' 1 <br />SZ <br />NO OF STOP <br />I <br />FlNC ZONE � � OASEMENT � illURUU <br />AFPlOVAlS <br />1 ENVIRONMLNTAI CHECK LIST <br />2 9UIlOING PLANS <br />3 FIFE MYDHAN7 <br />a FIRE P�Oi[CTION SYSTEM <br />5 GHADIM1GI!%CM'ATIONbClfA0.1NCIGNUtlHWG <br />6 DRAINACE <br />Z ENVIqONM[NTALIMPACTSTATEMENT <br />B MFALTM DISTRICT <br />APPLICATIOn ACC. OY PLANS CNfCKED BY <br />�'G I {;�n� <br />9-t i9 <br />�� <br />FEE <br />SfTOACK <br />VAUNi $IIE <br />❑YFS y'CO <br />NO OF DN'kLLINL UNIiS <br />MA% OCC LOAO <br />EY � �ATE <br />APPR. FOR ISSUANCE tlY <br />L. G� <br />I IiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNATl1RE OF CONTRAC iOR OR AUiHORIZED ACENT DATE <br />� <br />X ,�ii, �.'�/ /.`:.�%i/^i <br />MECMANICAL <br />NO. TYPE OF EQUIPMENT <br />AIRCONO UNI75—HP EA <br />REFRiLERATION UNITS—HP EA <br />NOII(RS—MP EA <br />GAS FlNED AC UNIT$—TONNAGEFA <br />FORCFDAIRSVST[MS—OTU N <br />UNIi MFATkR$—O I U M <br />f\'APORATIVE COOlERS <br />RANG[HOOD <br />AIR HANOLINL UNIT— <br />STOVE <br />METAL FlRCPUCE 8 CH <br />PUN CHCCK NUMUER <br />���/3s-�_ <br />FEES <br />IIUILOING <br />riunn+inc <br />MlCHANIUL <br />OTHCR <br />PENALTY <br />�G^'c'CJ l�i" <br />SU6TOTAL 3 <br />PERMIT S <br />TOTAL iEE S <br />PI.AN CMECK FEE <br />fFE RECEIPT NO <br />� 9� Go��/� <br />VAWATION iEE <br />S�. . _' _ !Y'J � <br />UfIC <br />Sf C. l0lfal <br />TOTAI I I <br />PE0.MIT VAIIDATION <br />WHEN PROPERLY VALIDAT[D IIN THIS SPACf� TMIS IS YOUR PERMIT <br />"!� <br />