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APPLICATION FOR everelt <br /> everett �NP RM TTION � e <br /> D[PT Of COMMUNIIY DEVfLOPMENT SFRVICES <br /> CITY HALL 259�8745 <br /> evl.aeii,�vnvelot CCOMBINATION �BUILDING ❑MECNANICAL ❑PLUMBING PERMIT NO. <br /> ONVIN ANII �UUNI55 UII 11Y 1'll0�l <br /> F,t�Er� i�r�,c'i/f�v /C^/7 �'�ci�Y F� -f/1�7r �i��c> o�s.�l-k��� <br /> escwnctonmiv,nia nuneooaus atr nr rr�o�+� <br /> ci.ie�t co�ie�noa� mnu �noxiss . atr zir rr�oH[ uccvst� <br /> Fv v�cD('S i�'C' '�6�C�G lv![�C6'ff,c/ t���/ !'.ir�Fri 9�zo 3 �s 3 -7i4�/ <br /> MICIIAMC�I COM110.A("10R M111.�IlOR155 �T� lIP PIIGNf LIC(HSf M <br /> ,c,�-��a�,--ni F✓- r�P- F�� 3oi Pr/. <br /> 1`WMBING COtiIR�CtOP M�•l�n0R�15 (l1Y ZIP PNOYf IIC[NSI N <br /> (1A55OI wORR <br /> ❑NEW ❑ADDITION ❑ALTERATION �RfFA�R ❑UEMOLI110N ❑FENCE ❑SIGN ❑GARAGE ❑DUILDING RELOCATION <br /> VAIU�llO��!NONA <br /> f �L/�L� CU � � <br /> oisraini N'OPA /NSTA�L `,f'�NT A-� U/i.vob�� .. j�NFki�3 Uti/� / <br /> u�"cc� C'c.�'E�c�cce ��� 2',r�• - �- a.�� � L�__r //l G <br /> raor�s,r���s�or ovitoivc � /� I H[REOY CERTIFY THAT I HAVE EAD AND [%i1MIN[D THIS AP- <br /> /l�e.-«i�..e.-teeL( PLICATION AND KNOW THE SAME TO UE TRUE AND COftRECT ALL <br /> i.iuioncuiriovorrur�r�nirn��owr+xuowoaettecr�rovemrns� PROVISIONSOFLAWSANDORDINANCESGOVf:RNINGTHISTYPE <br /> yalb. �Z � OF WORK N1LL OE COMPLI[D WITH WHETHER SPECIR6D HEREIN <br /> io�,��nioa_or OR NOL THE GRANTING OP A PERMIT DOES NOT PRESUME TO <br /> °7 9 GIVE AUT�IORITY TO VIOLATE OR CANC[L THE PROVISIONS OF <br /> L o C - ✓ . L . ANY OTH[R STATE OR LOCAL LAK'R[GULATING CONSTRUCTION <br /> OR THF PERFORMANCE OF CONSTRUfTION. <br /> SIGNA7J Of C047HACTOR OR AUTNOR4.LD AC[NT DATk <br /> i <br /> �Oq Af)DNI55 � � / ' / <br /> ,�7 (�/l �/ X L7 .l � / �.�c~n� C�'— �"/—L� <br /> PLUMBING MECHANICAL <br /> NO. 7YPE OF FIXTURE ![E NO. TYPE OF EQUIPMENT FEE <br /> VVA7LRClqSLi(IOLILiI ABt�O'.'D IIVITS—HP fA <br /> OA7H1Ufi HLINIGIHAIIONUNIiS—HP LA <br /> UVnIORY(\VASH �ASINI Hnll I RS—H f' I� <br /> SHON'(R Gn51INl�nC LiN175—IONNAGE�n _ <br /> I:IiO1LY51NKbUISP FORIIUAIR5PS11M5—IIiU MIA <br /> OISN'ASHIR VA'ALI HIAlfNS—OlU M <br /> IAUNDftY TN�Y UNR Nf nl l NS—Il T U n1 <br /> CLOTIII S N'ASNi H IA'APON�IIVL COOLf RS <br /> WAi(N NIMCR ❑OINI51)RYfNS <br /> URIN/.1 \9 h711A710N MN <br /> DkINY.INt:iOUNTAIN RANLI IIUOD <br /> fLOOH URAIN AIB HAYDI ING UNR— C I M <br /> V 4CUUh1 qNI A4!RS Sr����L <br /> ROOI UdAINS—RAIh11 ADI N5 M11f 1Al I INI i'IACI R�HIMNLI' <br /> SINK 6L RVICf—�AR, 1 T(:1 <br /> SUBiOTAL SUB TOTAL 3 <br /> P[RMIi S p[RMtt S <br /> lO7AL IE[ 1. TOUL 1[[ S <br /> SIUfYARUS[iAACK S1ftILT5l.It7ACK R:ARYARU5110ACK PIANCHiCKNUMf1(B PIAYCH[CKV[[ <br /> Ill RLCLIPT NO <br /> US[ZONC LO7 ARLA VACANT 517[ <br /> ❑Yl5 ❑NO «<5 VALUATION IFE <br /> 71'PL 0((OtiST OCNPANCV GROUP NO Of UK9l11NG UKI1S <br /> IIUIIUINL f �[ OU <br /> SIZL Ot 11LUG NO.Of 570NIL5 M11nX OCC LOnU <br /> PIUMBING <br /> iIRE. 10N1 NASfMLNT BIUROOMS IIHI }PNINAIIHS <br /> RIUUIHIU M[CHAMUL <br /> i-1y15 f'HO <br /> APPqOVALS BY DAT[ OTHlR <br /> 1 LNVINONMLYInIOqCAl15t PLNnll1 UUC. <br /> si.c.7n7Ia1 <br /> 7 OUIIUING PLANS • <br /> l flRf H1'�NANT 70iAL `�L 6d <br /> / I BL I'RUT(C T ION 51'S71 M Pf RMIT VALIDATION <br /> W'HLN i'ROPIRLY VAIIDAIlq I�N THIS SPAC[1 TMI5151'OUR PEkMIT <br /> 5 GRAUING'I kCAVAIIU,Y R U T ARING!GBUfIIiING <br /> 6 URnINnf,F <br /> ] (N�'IFONAIINULIMP�CTSTA7IMLNT <br /> 8 W AUH DISTRICT <br /> �PPL(.ATION�C:(_ OY PlANS CHICKI U fiY APPR ION ISSUANCt Nt <br />