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r <br /> 1 <br /> t�sEwrpieen APPLiCAT10N FOR <br /> CITYOF CON�S RMi TIOn °"P, <br /> everett <br /> DEP7. OF COMMUNITV DE\':LOPMENT SERVICES <br /> CITY HALL 259-8745 <br /> FVERETT,WA982p1 �COMBINATION �BUILDING ❑MECHANICAL ❑pLUMBING PERMIT NO <br /> � ex n i eoox�ss crtr ;�P r�w�+F n <br /> � � �I 1��� 'C� J a � I I�r� An ���� r'irni-p� � It.�� I .7�d' �S S .� <br /> .1NC f[RORD[SIG !R MUTADORE55 UTY �ZIP PNONF ' <br /> �NfPAICIO/r:1NeC10N MAIIADDfl[SS I CITY 21P iMON[ lIC[„Sl� <br /> .V ii.; � • ��oTv4 SAM� Al�m� , � <br /> n�[Cn�nKnt COuiRnCfOR MAII ADORE55 CIiY /,IP PNORF �IClNS[I � � <br /> 1 <br /> PlU�u91\f,CO41N1C10F MAII�DOR(55 ❑iY ZIP VNONf p[[NS[I <br /> C1�150f N'ORR <br /> ❑NEW ❑ADDITION ❑AITERATION �REPAIR ❑DEMOLIiiON ❑FENCE ❑SICN ❑GARAGE ❑BUILDING REIOCATION <br /> y'1lWilON Oi wORp <br /> �* rUG c� <br /> , �lSCNIBf KORK <br /> )! <br /> � �NI.E <br /> �paorosiousi o�awin c I HEREB CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> / <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �LlG�t D(SCNIP110N Of VROPIAiY�SHONN BlIOW OR AI1A0110 RCOP si PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> wr��eiocK���or � y�: OF WORK WILL UE COMPLIED WITH WHETHER$PECIFIED HEREIN <br /> OR NOT THf. GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVC AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RECUUTING CONSTRUCTION <br /> OR THE PERF.�JRMANCE Of`CONSTRUCTION. <br /> SIGNATU OF pNTRACTOR OR AUTHOBIZED AC[NT S�D�T[ ( <br /> �09 AppRlSS � �q 1I/�� 2 <br /> P 310 — IJYa DkIA ' / � � X • � I ^ 0'J <br /> PWMBING MECHANICAI <br /> NO. TYPE OF FI%7URE FEE NO. TYPE OF FQUIPMfNt FEE <br /> 1YATER ClOTCT�TOLIET� AIR CO4D UMTS—M P EA <br /> PATMTUII pEfRICFRA710NUMT5—NP [A <br /> LAVATORY�WASNBASIN� pOIL[k5—HP EA <br /> SNOWER GAS FIR[D AC UNITS—TOYNAGE EA <br /> KITCHfN51NKADISP fONC[DAINSYSTEMS—17T.0 MEA <br /> OISN'ASNER N'ALLMkATCNS—dTU M <br /> LAUNDHY TRAY UNIT M!ATERS—If T U M <br /> ClO1HL5 WASNIR f VAI'OFATIVE COOLERS <br /> N'Al[R HiATfR �_ GLO7MF5 DRVERS <br /> UCINAL V(NiILA710N fAN <br /> UNINI:ING fOJN1AIN pANGE MOOD <br /> FIOOF DNAIN AIR MANOIING UNIT— CFM <br /> VACUUM ONFAK[RS STOV[ <br /> NOO( []RAINS—RAINLEADfRS MCThI FIR[P�ACE 6 CNIMNEY <br /> SIYK�SE RVICE—BAR,ETC� <br /> I <br />� y SU�TOTAI <br /> SUe TOTAI f <br />' ►EIIMIT f ►F�MIT f <br />'I 70TA1 fF[ ! TOTAL IEE 3 <br /> i SIDE YARO SCiOACK STR[[T 5[TOACK RUR YAHD SfTOAC" PIAN�H[CA NUMtlER P�AN CHLCK FEE <br /> ffE RtCEIPT NO. <br />. USF ZONE LOT ARU y�CANT SRE <br />, �YES CNO �FES VAIUATION fFF <br /> TVPE Of CONS7 OCCUPANCY CROUP NO Of DWELLING UNITS <br /> BUIIDING s �O J <br /> StT.f OF tlLOG NO Of STONI6 MA% OCC IOAO 0 <br /> 1'LUMOI4G <br /> L i1R[ 70N[ BASfMENI IItDNOOn15 flRf SPRINNILNS i <br /> R!QUBED hIEIMANIUI <br /> flY!5 ❑NO <br /> A►P�OVAlS !Y DATE piHfft <br /> 1 [NYIRONMLNiAI CH[IX L15T <br /> PENAlT1' UPC <br /> 7. 17UI1014G PLANS SFC JONa) <br /> J FIN( NYDRANT TOTAI <br /> [„ � HRE PRO7[C710N SYSTEM Ik11M1T VALI�ATION <br /> S CNAUINL�1%CAVATIONB CLIARINGIGRU11flING H'H�N PROP[RLY\'AUOAi[UpN 1MIS SPAC[�TNI$IS YOUR P[RAIIT <br /> 6 ORAINAG[ � <br /> 7 LNVIRONM[NTAL IMPACT STATIMCNT <br /> E NUITH DISTRICT <br /> APPLICATION ACC 9Y PI.AN$CHFCKED OY APPN FOR ISSUANC! tlY <br /> 9.1-73 <br /> � � <br />