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Ar PLICATION FC►R ��«<n <br />G E�'°'"" CONSTRUCTIO�� e <br />everett PERMIZ� <br />DEPT OF COMb7UNITY DEVELOPMENT $ERVICES <br />CITY HALL 259-87L5 <br />EVERETT, WA9B201 ��OMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />O1\HI0. �� NAII �D[1NIN Cil1 1191G � v'Z � Z �z � U y <br />A�LEN /c/�o .b'�'!?1�O4iiP: Eu�itE1Y� 7 <br />nxom�ci oa mvcnpiuM� <br />nuuenuaiss cnr zir vHorv[ <br />S/'ri�- <br />G1A10.�1 fOM1IhdC10R M�II �DDRlSS (IIY ZiP VHONE UClNS! / <br />W(INIJC�I ('O'�iR�C10N M�II AI)DYI55 111T iIP PHOM UCINS! 1 <br />fll'��PI�C 104IN\C10R MM1IL �OORI55 <br />�IIY ]IP PNONI U[EN$[ I <br />i i ��. o� �coxc <br />�NL\\' ❑ADDITION <br />� ui��urn o� Noxr. <br />+ �75. � <br />UIKNiNI \\ON� <br />�6CT �'%m' <br />rquroc�n � t� or xwiuuc <br />❑ALTERATION ❑REPAIR ❑DEAIOLITION RFENCE ❑SIGN ❑GARAGE ❑BUILDING BELOGTION <br />�I_ J <br />IICAI DI5C0.1P110V OI PiOfIRI� 1511UNN flIION ON �liApl �OUN (OMI51 <br />l01 �P�IX��Uf <br />rr�/o � � ; �c� _ c �-s- �_ � � �.. ,— � 8 <br />h��.��� /i C. �c/i�� Sc-.Ac.,�,f'«5 y� <br />iox ,nnx�et <br />9/L L�r'�o �+.ilt , E'vr�sS1� <br />PLUMBING <br />Np. TYPE OF FI1(TURE <br />wAil R CLOSL T IIOLIF 1� <br />I A\'ATORY �K'ASM NASIN� <br />SHO\ti f R <br />�IICHIN SY:A A UIS� <br />D�5\4A5��t R <br />IAU��OR1 iNM� <br />(1OI1115 ��'�SHlR <br />\YAffR NU7fR <br />URINAI <br />DFI4AI4G fOU�'�IAIN <br />IIOON ORAIN <br />VACUUM ORIAKIRS <br />NOOf �RAINS-RAInIUOINS <br />SINK �Sf RVIfI -BAR. I 1C I <br />SIDf 1'ARD <br />US[ ZONf <br />TYPI Of CI <br />SILE Of OL <br />flPl ZON[ <br />TOTAL <br />LO7 ARf A <br />STORIE <br />:K RI!1RY�PDSIi11�CK <br />VAUNi 511! <br />fiY15 CNO <br />ROUP NO Of OWfl11NG UNI75 <br />5 MA% OCC IOAD <br />��������(���5 RfOUIRffUKlIRS <br />A►►tOV�IS <br />1 ENVIRONMENTAI CIIFCK USI <br />7 BUILDING PLANS <br />] fIN[ NYDRANT <br />� fIHEPN07[CTIONSYSTIM <br />5 GNADIN(:IIM(AVA710NACLIARINGIGRUNI4ING <br />6 ONAINAG! <br />7 ENVIRONM[NUL IMPACT $IAIEMENT <br />E HEAUH D67RIlT <br />APPLICATION ACC PY PLANS CNEIXEO BY <br />g449 <br />!Y I DATF <br />APP0. rJft ISSUANCk IIY <br />�^ �/ <br />I fiEREUY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNQW THf SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNiNG THIS TYPE <br />OF \NORK WILL 6E COMPLIED WITH WHETHER SPECIi�IED HEREIN <br />OR NOT THE GRANTING OF A PERMI7 DOES NOT PRiSUME TO <br />GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISiONS OF <br />ANY OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNA7UN1 Of CONiNAC70R OR AUTHORIZED �GENT DATE <br />MECHANIUL <br />TYPE OF l� <br />niuco�o uuns-�+r <br />N(INIGfNA�104 UNI15 <br />pOlUHS-IIP U <br />G�S IIRED AC Uh�15- <br />�pp(�p AIN SISilMS- <br />W �� � HI Al ( RS-0 7 U <br />U�`�li HI ATf RS-II7 U <br />t\'�1'ORAiIV[ COOIfN'. <br />CI O711I5 I)R11 NS <br />VI Ni1U110N UN <br />unNCIHDoo <br />u <br />-MP U <br />TONNAG[EA <br />NiU �' <br />h1 <br />M <br />AIH 11ANDLING UNIi- C F M <br />S1(;�1 <br />ntl 1 Al I IXI PUCf 8 CMIMN[V <br />:�e TOTAI s <br />►ERMIT 7 <br />Toi�liEF f <br />rtnN <br />nunnu+c <br />ri umnwc <br />MfCHAM(Al <br />OTMIN <br />Pf NAITY <br />FEE <br />PLAN CH[lK FE[ <br />F�� RCCFIPT NO <br />V�LU�TION fEE <br />S <br />UIiC <br />SFC ]OHaI <br />TOTAL I I <br />�EIIMIT VAIID�TION <br />WHfN FROP[NLY VALIOA7[DpN TIIIS SPACFI TNIS IS YOUR PEBMIT <br />