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, - , <br /> .'%i;�:: ' <br /> - ;�.E,�ro,�� A P:�`LI CAT I O N FO R ^--. :%,-r�- ���,�n <br /> °�TM=F � CONSTRUCTION e <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBtNG PERMIT NO. <br /> ON'NIN AIAIIApIlNISSSJI���.y��ir�.y/f1L/�A 21P PNOXE <br /> .J VWrc�.0�✓ +{ / <br /> El/.PU/'O�i(� �EyCT,�f �I/�'4S S.�r� FI�C�c--r�' 9c�7�/ 3.5-3-/i17 <br /> ARCIIIifCTOpOISIGnIR .H Ile00R155 CIIY ZIP PIIONF <br /> GINIR�ICONINACIOP M1UIlA00NIS5 ❑IY ZIP PHOY[ IICFN5F/ <br /> �r��.c,�t��r.r�,r� �o.c�1T S,G� �J' f -�i�f'Hv��C'i�"c� �c�c�r✓�/ 9c�o.f� zJ�=//J7J 1�z75'6a��/� <br /> MICIIANICAI CONIpACiOR At�ll ApUR155 -I�IY LIP PIIONE IICENSE� <br /> PII'a�IIHC('UNiR1[70R M�IIAUDRI55 ❑IY LIV PIIONE llC[NSEI <br /> t I U>O�N ORK ,-,� <br /> ❑NE\Y ❑ADDITION ❑ALTERATION ll:SREPAIR ❑DFMOLIftON ❑FENCE ❑SIGN �JC.4RACE ❑BUILDINGRELOCATION <br /> \�LL��tiOnOf WORR <br /> � �� �Q�. !�/ <br /> U1ICHIIIf\V 1NA . <br /> �1/c-�u C�9u�if.tirr.c-m /�•¢L�f'•�r�/P.�r� E-7- �l,,P.�,,P✓' C'o�i.�r��r <br /> ruorosiooti rr x mtic ' I H[HEUY CERTIFY THAT I HAVE READ AND E%AMINED 7HI5 AP- . <br /> �i��/Gv �/.�/�/Ey',J' PLICATION AND KNOW THE SAME TO BE TRUE AND CORREC?ALL <br /> IfL�l015CRIPIIOYpI PNOPfRIT�5110RNpFlON'OR AIiACN10UNCOPl111 PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TY'E <br /> OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> 1O1 —p1OC"—Oi OR NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFONMANCE OF CONSTRUCTION. <br /> SICNAIUIif OF CONIRACTOR OR AUTMORIZfD AGENi DATE <br /> IUH��ON145 <br /> X � ,!l/ �f:i 6 2¢Bn <br /> PIUMBING MECHANIGL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> N'ATER CLOS[T�TOLIFT� AIH CUND UNRS—H P EA <br /> PATHTUB k[fNIG[RA710N UNIIS—H P U <br /> -- I.A\'ATOHY(K'ASHO�S�N) t10R[RS—HPEA <br /> _— SMOWFH GASFIR[DAC UNITS—TONNACE 'A <br /> KITCHfN S!NA A DISP fOHCED AIN SYSi[n15—N i U M EA <br /> OISWASH[R �YALlHfA7EH5—II7U M <br /> LAUNDXVTNAI' U4IIMIAT[NS—[ITU M <br /> CLOTHF 5\VASMf R ��'�PONAi�VF COOLERS <br /> . WATER NEATEN CIOTNES DRY[HS <br /> URINAL V W IIUTION FAN <br /> DRINKING FOUNTAIN RANLf HOOD - � <br /> FLOON ORAIN AIR MANDLING IINI7— C F M <br /> � VACUUM PREAKEHS SiOVl. <br /> ROOF ORAINS—RAINLF�D[RS M[UL (IREPLACF 8 CMIMNEV <br /> � SINKISFRVICf—BAR.E7C1 , <br /> SU!iOTAI Sll!iOTAI f <br /> ►FIIMIT f ' PFRMIi f <br /> TOTAL iEE S TOTAI Fff f <br /> SI�F YARD SCi11ACK STNF[T$CTOACK R[AR YAND 5[1liACA PIAN CIIfCA NUM1IOCR PUN CHECK FEE <br /> � FfE RKEIPTNO. <br /> USF 7.ON[ LOT AREA VACANi SIIE <br /> ❑Yf5 CNO FFES VALUATION iEE <br /> TYPE OF CONST OCNPAN�YGROUP NO OF DWfLLING VNITS ' � � <br /> 11Nl�ING S <br /> SIZE OF NIOL NO OF STORIE$ MAX OCC IOAD <br /> PIUMI114L � <br /> FIRE ZON[ DASEMFNT IIIbROUMS PBf SPRINKI[RS <br /> REQUIRLD . b1ECMANIUI <br /> f1Vf5 C7N0 <br /> ARIIOVAlS EY DATf piH[R <br /> 1 ENVIRONM[NTAL CHEGK 115T U.9C. <br /> PENnLTY SEC JONaI <br /> 2 BULDING PLANS <br /> ] FIRF HYDRANT TOTAL <br /> 1 FIRE PROTECiION SVSTEM PERMIT VAIIDAiION <br /> WMEN PROPEFLY VALIDATEO pN THIS SPACEI TMIS IS YOUR PERMIi I <br /> 5 GNADINLII%CAVAiIONFCItARINUGRUNIIING <br /> fi DRAINAGF I <br /> 7 ENVIRONMFNTALIMPACISTATEMENT I <br /> E HEAtTN DISTRICT <br /> APPIICATION ACC BY PLAN$CHECKED OY APPN FON ISSUANCE BY <br /> C �� I <br /> 9.1-79 � <br /> 1� <br /> I <br /> J <br />