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fA�Ev�rprNn �����^ U� I f o' . everen <br /> pT/OF � <br /> everett PERM�T � <br /> DEPT. OF COMMUNITY DEVELOPMENT $ERVICES ��~ <br /> UTY HALL 259•8745 '�{ �'��~ <br /> EVEREii. wn5e:ot CCOMBINATION W BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. _ <br /> OWVFR .aAllAU0NF55 CITY IP PMOMF <br /> �a r�d 's %�^a�r�. �90/ G-ri.r �-,�,,cv �u��� <br /> ARCNIIER ON DESICNFR MNl Ap�RF55 CIiY ZIP PNONE <br /> gP -Y.�y hi , -- - Ca �lb�-Z- ti/.�.�ur ��,-�-� 5�0�6 77G~ �s33 <br /> GENlRAICONLR�O R MAILA�DRE55 C Y ZIP PMONE LICFNSE/ <br /> AIFCHANIUI CONiR�CiOA MAIt ADDRE55 CRY LIP PHONf IICENS[I <br /> PlUn�Olvf,[ONiR�fl 0.--� MAItADDRE55 ❑TY ZIP PHONE IICFN5F1 <br /> CUSS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE I�SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> W W�iION Of W00.N <br /> S �0 � U <br /> D6Cj�0[WOftK � ' _/ <br /> r�� �� � I G � �' /O� �/V ,sl '�" � / v�y!/ �d i f' <br /> ^Roroseouse or nunoi�e I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO B� TRUE AND CORRECT ALL <br /> LEGAlO[SCN�Vr�ON Of PROPERIVISHOWN 6[lOW OR AIL�CN fOUR COPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ior BIOCK�_Of OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE Of CONTRACTOR OR AUTHORRED AGENi DATE <br /> IOBnDD0.E � v Yl n„��' /� �/ <br /> � V.2�✓ �. . �� \ �.J yY 7 <br /> PIUMBING MEC ANIGL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WAiER ClOSET(TOLIEiI AIR COND UNITS-HP.EA <br /> B�THTUB REFRIC[RATION UNITS-H.P. EA <br /> IAVATORV IW�SH BASIN) eOILERS-H.P. EA <br /> SHOWEft GAS FIRE�A.C.UNIT$-TONNAGE EA <br /> KITCMEN SINK 6 OISP FORCED AIR$YSTEM$-BS U. M EA <br /> DISWASHER N'ALL MEATERS-d.iL. M <br /> UUNDRY TRAV UNIT HEATERS-BSL. M <br /> CLOTNES'/.'�SMER EVAPORATIVE COOLERS <br /> WATEft HEATER CLOTHES ORYEkS <br /> URINAL VENTILATION FAN <br /> DRINNINC�OUNTAIN RANGE MOOD <br /> FLOOR ORAIN AIR HANOLING UNIT- � C.F.M. <br /> VACUUM BREAKERS STOVE <br /> HOOF ORAINS-RAINLEA�ERS METAL FIREPLACE 8 CHIMNEY <br /> � SINK�SFRVICE-flARETC) <br /> SUE70TAL SU!TOTAL f <br /> PERMIT f �EIlM1T 3 <br /> TOTAIFEE f TOTALFEE f <br /> $IDE YARO$RBACK $TREEi SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PUN CMECK FEF <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE iEES � VAIUATION FEF <br /> �YES ❑NO <br /> TYYt OF CONST. OCCUPANCY GBOUP NO.OF DWEILINC UNITS <br /> BNLDING 3 ' <br /> SIZf OF BLDC NO Of STOftIES MAX.OCC 19AD <br /> PLUM8ING <br /> FIRE ZONE BASEMENT 11kOROOMS REQU REIDNKLFRS MECHANIUL <br /> ❑VES ❑NO <br /> A►�ROVAlS EY DATE OTHFR <br /> 1 ENVINONMENTAL CHECK 1151 PFN��T� U.9 C. <br /> SEC.]011al <br /> 2. BUILDINL PUNS �� � <br /> 707A1 <br /> ) iIRE MYDRANT <br /> / FI0.E PHOTECTION SVSTEM �iRMIT VAIIDATION <br /> WMEN PROPERLY VALIDATED IN TMIS SPACF)THIS IS YOUR PERMIT <br /> 5 GRA�INLIF%GVATIONBQEARINGIGRUOAING /� <br /> 6 DRAINAGE ✓' ��'V ( ///'''��� /�� <br /> 7. ENVIRONMENTAL IMPACT STATEMENT ������� �i„//�/�� <br /> / K.�eY-r��-••- <br /> e NEnirH oisTaicr <br /> APPIIGTION ACC 6Y �1A+1 C ECKFU 6Y �PPR FOR ISSUANCE BY <br /> .���/ <br /> /J� .Y'L_f <br /> g.l 7Y <br />