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, <br /> APf � .ICATION FOR e�e,e„ <br /> everett CONPERM,TTION e <br /> DI P1 OF COMMUNITI' DEVELOPMLNT 5[RVICC$ <br /> CITY NALL 259�8745 <br /> tvtR[ti, �v�vazot �COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ONNIR M�IL�UONIA5 (Il1 /I� 1'Hpil <br /> '�{3�� Coc.�sY N1��cs�ti�3�� �u��E�r���.J <br /> ARCIIIIICIORD�SILS�p M1qILAODRI55 (11\ )IP P110ti1 <br /> SI�fJf'�i� TNG f272 5'�AT�. 5T �ATz1�5i)t � Q�.Z70 659- 2zno <br /> GlhtRnLCO`�IR�(IOK M�II�ODR155—� (RY <br /> ZIP PN04t IICIN51 Y <br /> 516iNA�E.TtJG ,� �. �• '� 2.Z3-OhSl-cN-II <br /> �nuuviutmn�ixnaop r.uit�ooatss crtr �ir rnost 237J& ����"+sr� <br /> r�oMnivcmr�rannoe mniieoox�ss cm� <br /> ZIP I'1105! IICINSf Y <br /> CU55 Of lvapk <br /> �N«ti' ❑ADDITION ❑ALTFRATION ❑RCPAIR ❑DEMOLITION ❑fEhCC �SIGN ❑GAHAGE ❑BV�LDINGRELOUTION <br /> \'�WM1IIONOfN'ONK . <br /> ' _ IS<�8,="' I <br /> Dl5[RiNI 14'aRA <br /> T � L '� q � Rc,�1N Iti'K�I.INT 51� ' No t u h� � <br /> reorosioua oi nunoi�c I H[RERY CERTI •� THAT I HAVE REAC AND LXAM�NFD THIS AP- <br /> Yn�G � C!-1 C� PLICAiION AND KNOW THE SAME TO 13[ TRUk AND CORRCCT ALL � <br /> LLGAL:JIS(NiPtIOVOf PROPfRTY�SHOwn P110W ORAi�I,CNfOURCOM(5J PROVISIONS OF LAWS AND ORDINANCES GOVERNIhG THIS TYPE <br /> Of WORY. WILL BE COMPLIED WITH WHETHER SPECIR[D HEREIN <br /> iot_fli°�K_o� OR NOL THE GRANTING OF A PCRMIT DO[5 NOT PRESUME TO <br /> A���.� GIVE AUTNORITY TO VIOLAIE OR CANCCL TH[ PROVISIONS O� <br /> —L'111C�NE� ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIGN <br /> OR 7HE PERFORMANCE OF C 4iTtUCTION. <br /> SIGNATUHI.Of CONTRACIOR UTIj(1NI7.�AG[Ni DATE � <br /> IOP nppRtSS v <br /> X ' ��- - -- . /l' ' �'D <br /> PLUMBING M[CHA AL <br /> NO. TYPE OF IIXTUR[ FCE NO. ` TYPE OF EQUIPMENT FEE <br /> WA7(RCL05f71701I1T1 nlNtOVD U'.175—MP FA <br /> nnnnun NIfHIf,INAlIp\UNITS—HP L� <br /> IAA'MORSfW'SHIUSINI 11O111R1—HP CA <br /> SMON'IR GASIIHIDAC U'�RS—lOti4qGEEA <br /> KI7Q{�N SINK b DISP fORC1U AIN}1�STLMS—[I T U M EA � <br /> f]ISK'ASHI B AYAl l HI Al l NS-11 7 U M i <br /> LAU4�N1'1BAY �iRI1111A1IH5—BTU M � <br /> CI.OTH6 AM1'ASHI R 1A'APf)HAl IVl (001 I RS � <br /> N'Alf R IIUTI N ❑OI I11 S URH NS <br /> URINAL \'I h1IlAIlOti I AN <br /> DHINKI4G lOUNi.11N RANGI Iif10U � <br /> fLOOR ORAIN �IR IIAN�L WG UNIT— C F M �� <br /> \'ACUUM HRf AKI kS SIO19 � <br /> ROOf �HAINS—R��NII.ADfNS Mf7AI IINLPL4Cf ACHIMNlY <br /> SINK(SfHVICt—f1AR [iU � <br /> -1 <br /> SUB TOTAL SUB TOTAL f <br /> PERMIT 3 PLRMIT S ', <br /> TOIALf[C 3 TGTAII[[ S � <br /> SIDFYARDSfT11ACK S7kkITSfIf1ACK RU0.UR�SlIMCY, PUNIHfCKNUMfiIR P!1NCNECKfLC <br /> fLL NLCIJPiNO. <br /> US[ZO4E I.01 AHIA \'A(AN7 SIII <br /> ❑Y[5 f7Nn «<5 VALUATION !EF � <br /> 1YPL Of CONST. OCNPANCY GROUP NO.OI DWLLIINC UNRS <br /> SIZ[OF BLDG NO.OF STORIFS MAX OCC LOAD �UIIUING S O� <br /> PWMOWG � <br /> fIH1.ZONE OAS[MCNT UIUNnq11S IINIS�'NINKLIHS � <br /> ftLQUIRfD MIC;IANIUL <br /> �'�.115 f�NO <br /> I <br /> AVPROVALS BY DATE p7HlR <br /> 1. ENVIRONMENTAL UiLCK LIST ^� <br /> PI NALTY U 0 C. <br /> 7 OUILDING PUNS SCC. 3071a) <br /> 3 flRt HYDHAYT TOTAL O�/ I <br /> � I IRL 1'RO7lC110N SV57f M PFRMIT\'AIIDATION I <br /> 5 GRAUING'1 ACA�'MION 8 CLI AFINGiCRUf1111Nf, WHLN PHOPI ftLY VAlIDA7LU pN iM6 SPACI�THIS IS tiOUR PlRMIT <br /> y ) <br /> 6 DRAINAGk �C� �L`�� ��� ���� � <br /> 7. [NVIFONMLNTAL IMI'ACT STATLM[NT l <br /> B IIL\l1H OISiRICi <br /> APPLIUTION ACC 11Y C tCK(D�Y APPR IOR 63UANCf OY <br /> . ��' �s�2 <br /> .�,.,-:� <br />