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_ � <br /> �PPLICATION FC'4 <br /> Ne Eroryroe^ C O N ST R U C T 1 O h everelt <br /> arr oc <br /> everett PE RM IT <br /> O[PT OF COMMUNITY D[�'ELOPMCNT SERVICES <br /> CITY HALI. 259�8745 <br /> ev,�:erT.wnvezot �]�OMBINATION ❑ BUILDING ❑MECHANItAL ❑PLUMBING PERMIT NO. <br /> M��lA�4� s�v.�s aao�SsB�Ay �i�Err• q�-��i a�-6��i <br /> npClllil(iO0.01SILnFN M�IInUUR15'i CIIY ].IV PIION[ <br /> GInIXM CO�iRn(IqR Al�lt�UUFl55 UlY ZIP VMO'+[ UQM1SF� <br /> /,�/iL'� s�6N�• ,5✓�,tF shr�c- ,S�+,sre� ss}a,�. �371`f t <br /> ��IUU�rtAI(Oti1N�fiOq AI�II�D�NI55 CIIY LIP pNOYE UCINSF� �1 <br /> PIC�IPI�GlO'.iX�C1UR M�II�DDRf)5 ❑iY ZIV PNOYL lIC[NSl1 <br /> tL�SS�)1 NOXN ��{ <br /> �f,�'NV ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEA70LITION ❑FENCE L'�151GN ❑CARAGF ❑BUILUING RELOUTION <br /> \ALL�IIOti OI NOXK�� <br /> , a.�� <br /> U�l•y�"Da�.s.� �2 ow�v l3c/s/�vE�s /,�. tts� , I <br /> ruuros�ucsi ur xunm�.r. I HEREBY CERTIFY THAT I HAVE RFAD AND EXAMINED THIS AP- <br /> PLICATION AND KN01N iHE SAME TO 6E TRUE AND CORR[CT ALL <br /> ucni otscxirtwNot r¢ortatvu�owr�auow oa e;ucN ioun corits� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK W�LL UE COMPLIED WITH WHETHER SPECIFI@D HEREIN <br /> ioi _���oca�or OR NOT THf. GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITI' TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTNUCTION <br /> l� � OR THE PCRFONMANCE OF CONSTRUCTION. <br /> �{-f�E . SIGNATUR[OF CON7RACiOR OR AUTMORIZLD AG[NT DATE <br /> ..i. .�•- /� ��" / y/�/ <br /> IOPeI>I)Xt15 y (/ /��{'✓�r ��// / WT� � � ///O_O ^ <br /> A �� 1 <br /> PIUMBING MECHANIGL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WAIf X CLOSLI IIOLIEII AIN('OND L'kI1S-M P !A <br /> I4�7N7UB flIFXIf,fNA710tiUN175-MP U <br /> UV'ATOftYpVA5H17A51N� 1101L(RS-HP fA � <br /> SIION[R W 5 f IHf U A C UNITS-IONNAG[ EA <br /> I:I1CMf Y SIRA A OISP FORCI O AIR$15TFM$-0 T U M CA <br /> DISN'ASRIN N�ALI MUllRS-OTU M � <br /> UUti00.1 TNAY Util7 NfA7kRS-Ol U M <br /> CLOiM61VA5H(N IA'APUHAiIA'F COOLkRS <br /> \�'A71R MfATfH CIOTHtS DNYt0.1 , <br /> UNIN�I \'t N71U110N FAN <br /> OHIM1AING fOUN7AIN NANGf 1100[7 <br /> {LpOR pNAIN AIB HAM1ULING UNIT- C f A1 <br /> \'ACl:U�1 PREAALRS S70\'I <br /> qp01 URAi45-RAINLEADfRS �1FTAl fIRFPLACk b CHIM1INEV <br /> SInK ISFRVICf-f1Ak.ETC 1 <br /> SUB IOTAL SUB TOT�L 3 <br /> P[MMIT f P[RMIT <br /> TOT�I lEE S TOTAL([E S <br /> SIDf 1'1RD S1711.1CK S7HI[T$[TOACK RUR VARU St70ACA PLAN CH[CA NUAt0E8 PL�N CHLIA f!E <br /> FtE fltCEiPT NO. <br /> US[ ZOFk LOT AREA y�UNi Sllt <br /> ❑YES CNO f[[S VAlU�T10N fEF <br /> TYf[O� COl:57 OCNPAN�Y GROUP NO Of UW[ILING UNI75 <br /> uwioivc s <br /> SIZ[ OF NLUG NO OF STORICS MA% OCC IOAD <br /> f'LUM1101kG .._, <br /> FIR[ ZOY[ I 9ASFMENI I1LUkOUmS IBt SPRINAlERS <br /> RfGUINfU MICMAKIUL <br /> nrrs nNo <br /> APPIIOVALS eY D�Tf p711fH <br /> 1 [NVIft04MENTAL CMECK LIST U OC <br /> P�N���Y SfC 30J(al <br /> z ouuoiNc ri�Ns <br /> ) fIRI MYDRANT iOTAI <br /> � FlNE PROI[C71qN SYST[M PLRMIT VAIIDATION ' <br /> • \VHLN I'ROPERIY WIIDATEU IIN 1H15 SPACE�THI$IS YOUR PEHM1IIT '� <br /> 5 GNAUING:IxUVA710NbCLIARINGiLRUBNING <br /> 6 pRAIN�Cf <br /> 7 ENViHONMEN7AL IMPAQ S7AT[MENT <br /> E HEALTH DISiRICi <br /> �PPLIGTION ACC BY PLANS CHECKED BY APPR fON ISSU�NCI H� <br /> �`�'�,/ <br /> � ,.. <br /> �, _�� . . <br />