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""E"'°"'° :,ONSTRU�TION rYe <br /> ctrr oF / <br /> everett P��MIT � <br /> DFP7. Of COMMUNITY UEVELOPM:NT SERVICES <br /> CITY HAiL 259�67<5 �� <br /> EVEHETT,WA9B201 ��OMBINATION ❑ BUILpING ❑MECHANlCAL ❑PLUMBING PERMIT NO. � <br /> ONr:[R ' MAII f.DDN65 /� r C'Y 21F PNOYF d <br /> - � �Cr��-i �� l��� � �-OD� C�O��"Y FVPve�']- `��1.0 / YS7- - 7�/-a'! <br /> �lCM�1lClOX061C�lR �� M�It�DOR[55 :�tY • ZIP INOHE <br /> Cfti1RAlC�'�iMQ04 M�II�UDRfSS CITY Z�Y PHONE UC[NSLI <br /> ���[q�u�(Al CO�.iq�CLOR M�II�DORl55 ❑1Y lIP PNON! IICENSf/ <br /> Mu'��qrvL(ONINAQOR M�RAOD4l55 CI1Y ZIV PMOY[ �IClNS[1 <br /> CUJSOf WOMK <br /> ❑NEW ❑ADDITION ❑ALTERAT�ON WREPAIR ❑DbNOLITION ❑FENCE ❑$IGN ❑GARAGE ❑BUILDING REIOCATION <br /> velU�llOv Oi w04K <br /> + '/,�o "— <br /> ��SCN191 WOMK <br /> �=sh�'N �� s�Nr�, r Re� <br /> PFOVOS[DUSf OI PURDirvG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> � PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IfG�I DlSCRIFLIOM OI PROPIBtY ISMOKN B[lOW ON�TGCN fOU1 COPII51 PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIE�WITH WHETHER SPECIFIED HEREIN <br /> ioi_eixcr,or OR NOT. THE GRANTINC Of A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITI' TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE Of CONTRACTOR OR AUTHORIZCD ACENT DATE ' <br /> IOB/.DONi� � Q � � �J�a�� � <br /> O ac <br /> PLUMlIHG MECMANICAL <br /> NO. TY►E OF FIiiURE FEE NO. TtPE OF EQVI►MENT FEE � <br /> WA7fRCLOSLTITOlIEi1 �IRCOND UNI15-HV EA � � <br /> BA7MTUB R[IRIL[0.ATIONUNITS-MP U <br /> LAVATORYIWASN BASIN� AO�L(RS-HP U <br /> $HON'LR WS IIN[O AC UNITS-TONNM1Gf FA <br /> KITCN[N SINK 6 UISP �ORC[D AiB SYST[MS-8 T U M EA <br /> UISWASMER �YALLNUlE0.S-fl7U M <br /> UUN�RY TRAY UNIi MU7l0.5-B T U M <br /> ClO7NlS WASHE0. LVAPOF�T�V� COOLERS <br /> N'A1f F HUT[N CLO7Mf 5 ORYtRS <br /> URINAI V!'�IIUTION FAk <br /> ONINKINC FOVNTAIN RANC[ NOOD <br /> fLJOR OR�IN AI..4ANULING UNIi- C F M <br /> VAC�UM HRtAKINS S10VF <br /> 0.00F DR�INS-RAINtFADFRS MFTAL fIRlPUCC 6 C111MN[Y <br /> SINK(5[RVIC!-tlAN,lTC 1 <br /> SU�TOT�I SU�TOTAI � <br /> �EIIMIT f �[�MIT 1 <br /> TOTAII[E f tOTAIfFE f <br /> SID[ YAND 5[iBACK 57RF[i SLIOACR R[A0.YAND Sf10ACK PUN CMCCK NUMBE0. PLAN Crl[CK FEE <br /> FfE 0.ECCIPiNC. <br /> USE ZON( lOT ARf� VAUNT SITE <br /> OYES GNO iE6 V�LUATION IE[ <br /> TYPF OF CONST OCCCi�NCYGROUP Nq OF OWEIIINL UNITS <br />�� eui�oiNc ' /y sa <br /> 1 SIZE OF BIDG NO OF STORIES ni�% OCC IOAD <br /> C PLUMBING <br /> FlRE 204E BASEMENT flfUROOMS REQU pt'DKLlRS M[CHANIUL <br /> ❑Yf 5 I��NO <br /> A►�IIOVALS �Y O�TF OTNFR <br />�� t [NV�RONMENUI CN[CK lIST PfNAITY U 9C. <br /> scc wx.� <br /> : eunoiNc ruNs <br />� ] RRE NYORANT tOTAL /!rC � <br /> � FIRE PRO7LCTION SYSTEM lFIIMII V�LIDATION <br /> WNLN VROPERLY VALIDATfD�IN iM15 SFACEI THI515 YDUA P[RMIT <br /> 5 GHAUIhf,:�%qyAilON6CLURINWLRUOflING <br /> I 6 DRAINACf <br /> 7. ENVIRONMFNTALIMPACTSIMEMFNT <br /> E NFAIiH UISiqICI <br /> APPlIUT10N ACC BY PUNS CMECKfD BY APPR iOR ISSUANCF BY <br />�''. <br /> 9.7-;9 <br />