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- ` �1 <br /> . �► <br /> MsEwrprron APPLICATION FOF'� <br /> ��TMOF ,CON ERM TTION `"e <br /> everett ' <br /> . DEPT.OF COMMUNITV DEVELpPMENT SERVICES <br /> CITY HAII 259-8745 <br /> EVERETT,WA99201 ❑COMBINATION ❑ BUILDINC ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> , ' OWNfX MAII�DDN(55 CIIY :.�Ip VMONE <br /> �a�vEtqc. TC-[FOHoue Ce, es -r.ve .1,6tnrwFsr ,77b�ox /003 E��£it lU,� 9BZCK ZSR Q � <br /> CI RFCt O O(S G [M L DOXF55 CIIY .'IP VHOVF <br /> $RMC <br /> CEN[q�l[On1ReC10P MqIIADDXf55 CIIY 'I.IY PHONE <br /> lICErvSE I <br /> ltlr�r..s Cen.srn..ene.� r�.b,deir Ss*l7/ �SE�Mxe lu.r 9B/Ss' 7'f3y4u kl/[ue•j77C <br /> M[CHANUI COMR�CIpR hNll npDNf$$ CIIY LIp pNONf <br /> LICFNS!I <br /> : 1'WM01\f,fOMVQiGd eulleODq[55 CIfY IIP PNpnF � <br /> ❑CFNS[I <br /> C1155 Of NUR[ <br /> ❑NEW ❑ADDITION �LTERATION ❑REPAIR ❑DEMOLIiION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> YqlU�llOu/Oi NO`NN` <br /> � bi�JJ � <br /> OISCNIBF KOXR <br /> 7E�/Aur Ji+foRnusurAuTs <br /> reovosio ust or emioiHc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMiNED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CC'RRECT ALL <br /> IEL�lOiSC�iPilONOlVROV[XiY15NOWN0ElON'ORAIi�CNlOURCOW[51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> ioi_aiocK__or OF WORK WILL �E COMPLIED WITH WHETHFR SPECIFIED HEREIN <br /> OR �OT. THE GRANTING OF A PERAIIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL 1'HE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br /> OR THE PERFORMANCE OF COM1STRUCTION. <br /> SIGNATURE Of CONiNACTOR Ok AUTHORIZED AG•_NT DATE <br /> 106 e00N65 <br /> 53/ �'U �PEEn✓ C(l,y. X -/-83 <br /> PWMBING CHANIUL ' <br /> NO. TYPE OF FI%T'JRE FEE NO. TYPE OF Ef}UIPMENT FEE <br /> WA7kN CLOStT�T011Ell Alq�OND UNI75—H P.EA <br /> BATHTUfl REfRIGERATION U�I15— <br /> HP EA <br /> LAVATONY�WASM B�SIN� OOIlENS—MP EA <br /> SHOWCR GASFlREDAC UNITS—TONNACEEA <br /> �. KRCMEN$INK b OISP IORCFD AIH SYSTEMS—tl TL. M EA <br /> � DISWASHFR 1VALL HUTLNS-0 iL h1 <br /> , LAUNDHYIftAY UNI�MUTfHS—pTU. M <br /> CLOTM6 WASNER [VAPONA7IVE COOIERi <br /> , WA7ER NUTER CLOTHfS DRYCRS <br /> i URINAL VfNIILATION FAN <br /> � ORINKINCFOUNIAIN RANGEf100D <br /> � f100R DPAIN AIN MANOLING UNIT— C.FM. <br /> VACUUM flREAKEN$ $TOVf <br /> ; FOOF DNAINS—RAINLEAD[R$ MFTAt FlqfPUC[6 CHIMNEY <br /> ' SINK�SERVICE—BARETC� <br /> �. SU!TOTAL SUC TOTAL S <br /> , � IE4M1T f PEIIMIT y <br /> TOTAIf[F S iOTALiEE S <br /> SIOf YARO SCTIfACK STHFFT SRpACK ftUR YARD$ETOACd PLnN U CCB NUM110[R �' p��ry�qEE pT NQ <br /> �3 �63�, �EE 3 ` <br /> USE ZONF �OT ARU y�[�NT SIT[ `�S�� <br /> OYES ❑NO FEES VAWA710N {EE <br /> T'/P[Of COhST OCCUPANCY GROUP NO OF OWLLI INL UNItS <br /> ' BUIL�ING S <br /> � SIZE OF tll�G NO.Of STORIfS MA% OCC.LpAO <br /> 1'lUMI11NC <br /> FIRE 20NE OASEMENT U(1)HOOMS FIRE SPpINKLLRS <br /> NEOUINFO MECHANIUL � <br /> f]YkS ❑NO <br /> AqlOVAlS !Y DATE pT���p � <br /> L ENVIflONMENTAL CHECK IIST <br /> 2. BUILOINL PLAN$ PENALTY SEC 70J�a) � <br /> ) FIR[NYOpANf TOTAI <br /> �. FlNE P80TfCT10N SYSTEM ►EIIMIT VAUUAiION <br /> SGRAOINLIf%CAVATIONBCLNRINGCRUtlHINL M'HFNPROPENLYVALIDATE�pNTHI55PACE1TMI515Y0URVERMIT , <br /> 6 �RAINAGE <br /> 7. fNVIRONMFNTALIMPACTSTATFMENT <br /> !. NEALTM DISTRICT <br /> APPLICATION ACC.9Y PUNS CHEIXEO BY APPB.fOR ISSUANCf HY <br /> 9-1�79 <br />