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ApPLIC�4TION FOR ��«<n <br /> ih�Ewrpmn �ONS�RUCTION e . <br /> cin oF <br /> everett PERMIT <br /> DEPT OF COA7MUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVEREiT,\YA96201 �COM8INATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT N <br /> AUII A�DM(55 ULl' ZIP PMONE <br /> ONN[R r �U�,p,bpg,�l WkY [�FJ_'�r?'" (,1JA� <br /> �Ori.Y1{ wES� IN 1�P-�O/ZS Z1P anonE <br /> M�IL ADDRE55 ��T� <br /> nRc�+ntcroao�s�c�+ie LmPi2E ��v0urrt�..,_ 3c�3 -� �-fZJ <br /> �I�Y�� IAI � -DIM.CaJSio�1S ^ � a..r 11fG� N E�E�GT"�� u�Ai rHo � uccr+sE� <br /> GF V f R�l CONI RACLOR <br /> nUll AD�RF55 �11Y Z�P <br /> s11CH�N�UI CUH1RnCiOR ���IL A�DR65 <br /> ' Citr LIP PHOME IICENSt� <br /> plVNyl\LCON1ftAQOR M�ILAppRt55 <br /> ��-_ iRY ZIP PHO�+[ IICENSE/ <br /> CIA55 O!�cORK <br /> ❑NEW ❑GDDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GARAGE BUILDING RELOGTION <br /> �y�U�110NOf WGRN <br /> � 35a ^ <br /> oiscxixF�waK 1/JCi�' �UQ4— �[G'� � �l�C-F30L! 1l.1�i' • <br /> S►G�.1 R�PAi2 � N t�o�� v F �X�sr - <br /> vuoroseousi or xmioitie I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLiCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> IEL�I DfSCN�ViIOVOf PROPFR1T15110NN BEION'ON�IiACN fO0RC0�1151 OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �p� �_fll0[K��F OR NOT. THF. GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR GNClL THE PROV�SIOWS OF <br /> nNY O i NER,STATE OR LOCAL LAW ReGULATING CONSTftUCTION <br /> OR TI1E 'fORh1ANCE OF CONSTRUCTION. <br /> SICNrCiU [ CO �fAC70R OR AUTH?RIZED AGENT DATE <br /> IOI1nDD0.f55 � � � � � � ������ <br /> �i x � ;«- <br /> �J MECHANIUL <br /> PIUMBING °EE <br /> iYPE OF FIXTURE FE� NO. TYFE OF EQUIPMENT <br /> NO. AIRCONU UVIfS-HP EA <br /> WATFR CLOSR(TOLIET� RFFRIGERATION UNITS-H P EA <br /> E1AtHTU9 yO1LER5--H P Cn <br /> IAyATORti(WASH 6ASIM GAS FlNED AC UNITS-TONNAGE EA <br /> SHOw'FR FORCEU�IRSY57Eh15-�TU MEA <br /> KIICHEN SWK 6 DISP �y��l HEATERS-U T U. �� � <br /> D�SWnSNFR UVIfHCATERS-B7U �� <br /> ��UNORV THnY EVAPORAiIV[ COOLEP.S <br /> CIGfNES NUSHER [�OTHES D0.�EB5 <br /> \vATEN N2ATER �ENTIUTION FAN <br /> UR�NAI RANGE MODD <br /> � pRINKINC FOUNTAIN ' <br /> AIRHANi..'.GU"��T- �FM <br /> FLOOH DRAIN SfOVF <br /> VnCUUh1 H4EnKER) ��ETµFlREPUCE b CHIMNEY <br /> BOOf DRAINS-RAINIUO[RS <br /> SINK ISEftVICE-6AR ETC 1 <br /> SUlTOTAL s <br /> SUB 761A1 PEIlM�7 3 — <br /> PERMIT f TOiALFEF 3 � <br /> TOTAL IEE s PLAN CHEIX FEF <br /> SIOf YARD SUOACK STRCEi SCT���K NCAR Y.\RD SETOACK �LAN CHCCK NUMOER FEE RECEIPT NO <br /> 1 <br /> 107 .\REA yACAN151Tf VAlWT10N FEf <br /> USF ZOV[ FEES <br /> ❑YE' ❑NO <br /> � TYPE Of CONST OCCUYANCY GNOl1P NU OF DWELUNL UNI75 ___ 3 — <br /> BUII O�^H. <br /> S�ZE Of I7lDG NO OF iTOP.�E$ M11A% OCf LO�D <br /> � rwhmi�c <br /> FlRE ZO�E 9�$[MEN7 BLDH00��15 RIEQU RfIDNKLEFS ��E����NIUL <br /> �YF5 ❑NO � <br /> APr�����s ��T DATF OTHER <br /> UBC. <br /> t. ENV:FON.NENTAL CNEIX LI57 PENALTY SEC lUlla) <br /> 2 BNLDING OLANS TOTAL <br /> 7 FI0.f NYDH�NT <br /> �FRMIT VALIDAiION <br /> 4 FlNC YdOTKTION S�ST['-� _ ��HEN PROPERLY VALIO�TED�IN TMIS SPACLI THIS IS YOUR PERMIT <br /> 5 GBAU�NG;I%CAVATIONACLL�RINGILHUOPING � <br /> Ny�^% <br /> ' �) ' �`�'�' � r �a.,. <br /> 6 DRAINAGE <br /> 7 CNVIRONMENTALIMPnCiSTATEMENT � <br /> B HEALTH DISTRICT � <br /> APPLIUiION ACC BY PV.7+5 CNECXFD 07, APPN FCR�SSUANCk P�' <br /> .�,�. , , . ,��' <br /> �� <br /> 9; '9 <br />