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� rr , ,, _ �. . P,PPLIC!"TION FO� <br />, � �ONSTftUCTION <br />f everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMCNT $ERVICES <br />� ❑TY HALL 259�8745 <br />` EVERETT,WA9R201 �COMBINATION <br />� <br />OWNER MAII AD�I <br />. �^J/� C uc.�L��.F j�Gln <br />� ...�.....�........<��.��o MAILA[J�I <br />0.�L <br />I'LUMf11NL CONTRAQOR <br />: ctr_� / <br />MAiI � <br />8 � �/. .-, <br />� <br />LDING ❑MECHANICAL <br />CItY <br />"��_� i��� t�' EG. <br />��r l��i.��c� <br />�"1 everetl <br />� e <br />❑PLUMBING PERMIT NO. <br />zir r��orve <br />�u� � S800S �3`� � <br />II' J PMONE ��• <br />G!/iF <br />�/f %i �- �"J �s <br />'y Z�p PNONE UCENSE N <br />�c� �c %`f� S '��¢ 6 <br />t�p PHONE IICENSE M <br />� �-� 3-D/-rE-w, <br />-USS OF WOftK <br />�Qn�cw I-InnnITION ❑ALTERATION ❑REPAIii ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILD�NG RELOCATI <br />r..__. _ <br />� IALUATlOt�O(\YOftK <br />3 �0 L'✓✓ <br />Of'CRIOE\ ONK <br />./l//d�7'1— TL--�/�f-.�lT !�r/�l�i-a`5� <br />reoroseous� or nm�oir+e I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />� OW THE SANE TO BE TRUE AND CORRECT ALL <br />l[GAL 06CNIPiION C[ 1'ROPERIT �SHOWN OFLOW OH AIiACII �OUR COPI67 <br />.,,. NIOCK__UF <br />�p11 A�UN[55 <br />PLUMBiNG <br />NO. <br />TYPE OF <br />� WATERCLOSkTfiUlltil <br />BATHiUii <br />' LAVATORYIW�SFiRA57N) <br />i •� <br />SHOWEH <br />KITCHEN SINK 8 DISP. <br />OISWASHER <br />LAUNORY TRAV <br />CLOTHE$ WASHER <br />'.j WATER HEATE0. <br />URINAL <br />DRINKWG FOUNIAIN <br />FLOOR DRAIN <br />VANUM ORFAKERS <br />ROOF DRAINS-NAINLEADENS <br />SINK �SERVICE-RAR, CTC.1 <br />JSL 'l.ONF <br />G—/ <br />TYPf Of CONST <br />'� - N <br />5¢e oF n�oc <br />SUBTOiAL <br />1 �RMIT s <br />TOTAL FEE S <br />STREETSFTDACK RCAH YARD <br />LOi AR[A <br />oF sn <br />1 <br />f CHOUP <br />A-z <br />PLICATION AND KN <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED \NITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF � 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 TNE PERFOR ANCE O GONSTRUCTION. <br />SIGNAiURE OF C fR CT H AfiEN� DATE <br />� �� �� 7� <br />X � �i f� <br />FEE NO. TYPE OF EQUIPMkn� _ <br />� �.�. AIR CONO. 11N1T5-H.P. EA <br />HEFNIGERATION UNITS-F1.P. fn <br />�� �� 11011ER5-�HP. 6\ <br />GASFlNED AC.UNRS-TONNAGECA <br />FONCCD AIR SYST6415-R.T.U. M EA <br />\l'ALL HGATFRS-Ii7.0 h� <br />UNITNFATlRS-�TU M <br />Cl'nPORATIVk COOL[NS <br />CLCTHES ORYIIRS <br />�y v�Nn�nTioN tnN <br />NnNGEHOOD <br />• AIN FIANULINC UNIT- C.F.M. <br />S70Vf <br />METnL FIftEPLACC & CHIAtNE1' <br />VACANT SITI <br />❑Y6 ❑NO <br />VO. Of D1V171.IN1 <br />b <br />ninx cc:c �onn <br />FIRC ZONf IIACCMCNI I1t.DHOOMS flRl. SPRINKun� <br />2 o v a�a��HE� <br />c�n s nNo <br />APPNO\'ALS BY DATE <br />7. LNVIR(�YMLM1UI CH(CK IJST � <br />I. IiUILIIING PLANS <br />7. FIRC Hl'nRAM <br />d. FlRI' PHOTFCTION SYSTEM ' <br />i. GR.\OWGiI %CAVATION A CI.I.AHINGIGNUBI11Nf. <br />fi. nNAINAf,f <br />7. [NVIftONM[NTAL IMI'ACT STA:6NkNT <br />tl. HIALTIIDISTftIC( <br />is <br />AI'PIIGTlO� ACC. OV PUNi CIIICKID IiY APPR. I ON ISSUANCE U1 <br />9 1-79 <br />SUB TOTAL <br />PERMIT s <br />TOTAL FEE f <br />PLAN CHCCK NUMUER PUN CHECK FEE <br />�� � �����. 5� RECFIPT �� <br />�FEES VAIUATION FEE <br />nuiioiNc S�JZ�jdL�� 90? <br />PLl.h1111NG � Z� <br />nuainrncnt _ LoC <br />oince <br />unc <br />rrNnti�� sEc. �m(al <br />T�:A� ! 093 <br />PERMIT VALIDAiION <br />WHLN P50PkRL7 VALIDATFD �IN THIS 51'nCCI TFIS IS YOUN PEf;MiT <br />� <br />