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PPLICATION FOR ���,�„ <br /> ��r�"'"^ �CONSTRUCTION� � <br /> everett PERMIT <br /> D[PT. OF COMMUNIiY DEVELOPMENT SERVICES <br /> CITY HALI 259�8715 <br /> [veaeTr,wnvazoi ��pM81NAT10N �BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNI■ �II�UUX6S IIY P n VIIONF S9.— ��/ <br /> ,�7�n��l ac� ��r��7� �^9�� ��d'�'��lU, S�ur,o�lctx.Y /�t v 3,�� <br /> �FCHIi1Ct0 OISICNIR MAIL�DD�fSS CIIY ZIP PHO E <br /> GIHfR 1FnC� II M�Il�DD0.[SS Cli 21P PHDNI PC[rvSl/ <br /> � �� i S')�t Sa�`� • ��S'U �• 5���� l�'T��� <br /> �R[NnWUICOMMCtOR M�IIADDR[SS CIIY LIP PHO t IICI Sl� <br /> PIVMRInLCON1MC10R MAIIAD�Rl55 CIIY 21P PIION( llC[NS!/ <br /> CUSSOf WORK <br /> ❑NEW ❑ADDITION �TERATION ❑REPAIR ❑DEMOLITION ❑FENCF ❑SIGN ❑GARAGE ❑BUILDING RELOCAiION <br /> V�WAlIONA01 WlONx . <br /> f <br /> `•V ry <br /> OfSG�B[WORR <br /> ��tA e ' c 2" Qr ! � �I c l a ., <br /> r�oros�ous�or nmiui. - � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE� THIS AP- <br /> �Aa����.� �� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ucni mstei IONOf V0.0Pl�R�S��OW6 [lOW 11ACII iWRCOPl61 PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE � <br /> / La/11 fr) OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN I <br /> �o��ac j�or�tl�'��� ` OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF I <br /> ��, � ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMAN F CONSTRUCTION. <br /> � ! ^ 5�� A �p f T O R AUTMORIZED ACFNT DATE <br /> 0 L � ! <br /> IOP�00R[SS v �� <br /> I� <br /> PIUMEING MECHANICAL <br /> NO. TYPF OF FI%iURE <br /> FEE NO. TYPE Of EQUIPMENT FEE <br /> WATER ClOSET�1OLIFlI AIR CONO UNITS—N P,EA <br /> BATNfUA NEFNILFRATION UNI75—H.P.F� <br /> LAVA70RY fWASN BASIN) BOR[R$—H P EA <br /> SHOw[R <br /> CAS FlRED A C.UNIiS—iONNACE EA <br /> KIiCNEN SINK 6 DISP IDRCED AIR SY51EM5—B.i U. M EA <br /> WALL NEATE25—B.i.U. M �, <br /> DISW�SHE0. � <br /> UUNDBY TRAY UNIT HFATfRS—B.T.U. M . <br /> FVAPORATIVE COOLERS <br /> CIOIHES W�SH[R CLOIHES DRYFRS <br /> WATl0.NEATER <br /> UH�NAI Vl NTIlA710N FAN <br /> bRINNING fOUNUIN RANGE IIOOD <br />� (IOOR DR��N AIR NANDLING UNIT— C F M <br /> VACUUId BNEAKIRS $70VE <br /> ROOF DRAINS—RAINIEADE0.5 MCTAL FIREPLACE 6 C1iIMNFY <br /> SINK�SFNV�C(—BAR,ETC 1 <br /> fU�TO7Al s <br /> Sll!TOTAL <br /> �f�M1T f ►EUMIT S <br /> TOT�IIFF f i07AliFF � <br /> PIAN Cl/FCK FEE <br /> SIDf 1'�0.D•.ElOACK SiAE[T 5[i(IACK RCAR YARD SCTOACK PLAN CII[CK NUMOER FEE R[CEIPT NO. <br /> USf ZONE ��i�RE� VACANT SITE � fEES � VAIUATION ��E <br /> OY[$ ❑NO <br /> IYPL Of CONST. OCCUPAN�Y GNOUP NO.OF DWfILING UNIIS <br /> 6UILDING t <br /> $IZ[Oi BLOG NO.OF SiORIES MA%.OCC IOAD <br /> PWMOING <br /> FIP.[ZON[ II�S[MENT UIUROOMS R[QUB['DKlfRS �,�ECHANICAL <br /> ❑YF$ ❑NO <br /> A��ROVAlS /Y DA7F OIHER <br /> L ENVIRONMLNTAI CII[CK 1151 pENAL7Y UDC. <br /> SEC.JOJ�a� <br /> 7. OUILDING PUNS <br /> TOTAL <br /> ] RR[ f1YDRANT <br /> 4. FIRf PeOT[CiION SY51lM �FRMIT VAlIOA710N <br /> WIIEN PROPERLY VALIOATED�1N iM15 SPACF)TIi15 IS YOU0.fERMIT <br /> S GHA�INGIf%CAVATIONACIfAHINGIGRU11111NG , <br /> 6. DNA�NAGE . <br /> 7. ENVIRONAIFNTAI IMPACi$TA1FMfNT <br /> E NFAITH D151RICT <br /> APPIICAIION ACC.BY PLANS CHECKfD BY APPR.FOR ISSUANCF BY <br /> g.t•79 <br />