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Ms Ererpree^ A P P� � C A T I O N F C"t everett <br />��TM�F CONSTRUCTIOIv e <br />everett PERMIT <br />DEPT OF COMAtUNITY DE\'ELOPh7ENT SERVICES <br />CITY HALL 259�8745 <br />EVFREiT, WA98201 ��OMBINATION ❑ BUILDING CMECHANICAL ❑PWMBING PERMIT NO. <br />OWNIR AIAII AUUNISS OL1 21P PHONf <br />�RCIIIi1QORUISICYIN 11nllAUORI9 U1Y ZIP i'110NF <br />CININeI CON10.�C100. f1All ApD0.lSS CI11 ZII' PNONE IICENSF 1 <br />\IIO1�vIUlCONipnC10M ���IlA00NIR ❑11 LIV PHONE IICLNSF� <br />ftCNlil\�; CONIPACIOP 11All AOpH(SS ❑lY LI` PiIOrvE IICErvS[ II <br />Q�5501 AAONA <br />❑NFIV ❑ADDITION ❑ALTERATION ❑R[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RFLOGTION <br />\AIO.VIONOf\\ON6 � <br />3 -(i �.. <br />UfSlNlpf \\O0.A <br />raOrosE� Ust Of nuilOirvC, <br />tlUl U[ SC0.1P110Y O( P0.0PF RIV �S��ON'N Ilf l0\5' ON AI I M: H lU4N l OPp 51 <br />l01 �PIUI��Qf <br />iuu.00uin <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />\\'A7l H QOSE T l1011E TI <br />IlATH1Ull <br />SMONFH <br />All(H!ti SINA A OISP <br />UISN'ASRF H <br />UU'�'DBI' iNAP <br />CLOINfS \VASIIkR <br />UNINAI <br />URINAINf, FOUNTAIY <br />FLOON ONAIN <br />vACUUbt IiBE nR[ RS <br />HOOI I)NAINS—RAINLF ADFH$ <br />SIhY UER\9CL —IIAR. f 7C I <br />SUB TOTAL <br />PERMIT S <br />TO7AL FFE s <br />51HDSIi111CA $TRF[TS(TOACK NI <br />USF TOu[ <br />rvri oi co:�ri <br />FIN[ <br />lOT AR! A <br />ODUPANCY f.ROUP <br />,o or zroHits <br />11A5[MENT IIIURUOl1S <br />APPROVAlS <br />� fM1VIRONMfNTAI CMFCh 1157 <br />i aunou+c ri�Ns <br />7 FIRE M\DRANT <br />1 (IR! YNOiECTION SYSTEM <br />5 LHADIYL'!%UV.\110N8QUNINGI�RUHBING <br />h DRnInAG[ <br />7 fNVIRON/.IfNTAI IMPACT STATEMENT <br />B NFAITM DISTRICT <br />APPtIUiION nCC BY PUNS CMECKED BY <br />9.1-79 <br />FEE <br />VACANI Sllf <br />❑VFS uN0 <br />NO OI UWELLING L'Nllti <br />n�nz occ ionu <br />FIH! SPRINKLtR1 <br />REOUIRFU <br />I HERE6Y CERTIfY THAT I HAVE READ AND EXAh11NE0 THIS AP- <br />PLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br />PROVISIONS Of LAWS AND ORDINANCES GOVERNING TH�S TYPE <br />Of IVORK WILL UE COMPLIED WITH WIIETHER $PECIFIED HEREIN <br />OR NOT. THf: GRANTING OF A PERMIT DOES NOT PRESUME 70 <br />GIVE AUTHORITI' TO VIOLATE OR CANCEL THE PROVISIONS OF <br />.1NY OTHER STATF OR LOCAL LAW REGULATING CON$TRUCTION <br />OR TNF PERFORMANCE OF CONSTRUCTION. <br />SIGNAiUHE Of CONTHACIOR OR AUTHORIZED ACENT �i1E <br />MECHANICAL <br />NO. TYPE 01 EQUIPMENT <br />nIR Co�O UNIiS—M P En <br />NEIRIGfNATIONUNIA—MP EA <br />f401LFH5—MP !A <br />GAS f IRf � �( 11N17$—TONNACE EA <br />FOHCfD:VH515TEn15—UTU MFA <br />\YNL MIAI[RS—l1 f U M <br />L'NI1MfA7ER5-11TU M <br />t\'nPURAtIVE COOIERS <br />YfNfllAilON fAN <br />RANC[ HOOU <br />AIR MANOLING U41T— C F AI <br />SIOVk <br />N[ 7A1 f IRE PUCE A CHIMNFY <br />PUN QIICI: NVM1IOf H <br />f[ES <br />uuunir+c <br />PWMIIINC <br />A1f CHANIUL <br />BY I OATE I O711ER <br />APPR !OR ISSUANC! I1Y <br />rtN�ur <br />TOTAL <br />FEE <br />SUBTOTAL s <br />PFRMIT ! <br />TOTAIfEE s <br />PUN CNECK fk! <br />(fF RECEIPiNp. <br />VAWATION �I <br />s <br />unc <br />sic �m��i <br />PERMIT �UUDATIOY <br />NHl�v VpUI'lHL1 A'ALIpAIfUlln 1MIS }PAQI iHIS It 1UUR PkN�',i <br />