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PLICATION F <br />ONSTRUCTIO� <br />everett PERMIT <br />DF.PT. OF COMMUNITY DF.VELOPMENT SERVICES <br />C�TI' HALL 259-8745 <br />EVEfiETT, WA98201 COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING <br />U tR� .. AfAII AUf)NI55 an� —i�r <br />OH <br />CINLNAL <br />nUll Af]ON65 <br />Alnll AO�R[SS <br />Y <br />CI11 <br />everett <br />e <br />PERMIT NO. <br />PIION[ <br />PIION[ <br />❑LI' )II` I'IIONC C( 'S N <br />. rf'"1M�-� j.✓- <br />n11C1UrvIULlON1BAClOH nNILAUt]PL�S CIIY ❑P PIIOFL � LICENSIN <br />PlUN111NGCONiRACiOR A1VL�l)I.N[55 CI11 21P p110N[ LICFNSEN <br />CUSSOf WUNA — <br />❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILGING RELOGTIOK <br />vniunnovo \VORA <br />' Sl'Cf'� . °C_— <br />OISCHIf.F WpqA <br />1'ROI'OSlDUSf OI ffUrtlllnG <br />ueni ni scuirvon• oi rea�eatr iv+ow� nno�r oe nrtnni roue mrns <br />i <br />ioi�nwcr:,L�ur LAU.ZEL l�'�7'S _ <br />1011 Af]DHL <br />PWMBING i <br />NO. TYPE OF FI%TURE <br />\YATER CLOSFT IIOLIF71 <br />IAV,\10BY �li'A511 BASIN) <br />Sf10lY�R <br />AITCHLN SIhK R DISP. <br />f)ISN'nSHEF <br />IAUNDRP (NAY <br />CL011115 WASHCR <br />VVAi(H HEATCR <br />UNINAL <br />DRINKLYG FOUNTAIN <br />FIOOR UNAIN <br />VACUUAf 13H[nKLR$ <br />HOOF DNnIN$—FAINLFn�CRS <br />SINK�SFHV9Cf:—II4R 17C1 <br />SUB TO <br />TO1AL <br />5lTL`�CK Siftll'7 SF <br />:i5� ,ONE � �.�, �R�� <br />occurnncv <br />�Ja'D!) <br />SIZ( OI' t7L <br />F�RE �0��3 � ��sE�,E�r � ��� ��� <br />APPROVALS <br />1 B��'IHONMfN1ALfHf.IX1.IST <br />z. nuuni,vc r�nvs <br />J FlRF HVDRAN7 <br />4 FlNI PROi1CT10NS1A[M <br />5 GRnO1M1G1ClAA'AIIONA(LF.ARRJG;CRUIIHING <br />4 DftA1NAG�. <br />7. fNV�RONAIEM1TAL IhIPACi SiAiLA1FNi <br />B. HCnI.TH L)67RICT <br />APPIJCATION ACC 111' PlAYS CMICK[D I4V <br />'�/. G, <br />� <br />I HER[GY CERT�PY THAT I HAVF READ AND EXAM�NED THIS AP- <br />PLIGITION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK N'ILL UE COMPLIED WITH N'HETHER SPECIFIED HEREIN <br />UR NOT. 1"H[ GRANTING OF A PFRMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION$ OF <br />�NY OTHfR STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFO^h1ANCE OF CON57RUCTION. <br />SIGNATURf Of CONiR,\CTOR OR AUTHOftIZ'D AG[Ni DATE <br />� � � <br />X �,u-��,.�.,,// // —Z�-1 <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />AIR C04D UNIT$—U P. [A <br />RfFRIf,FRAiIONU�'RS—HP [A <br />11C+IlkNS—Hp EA <br />f,AS�lftlDAC UNRS—IOhKAGIFA <br />�OHCCU Alk SYSiLVS—fl TU M <br />1FA1.1. HfAiLftS—II f U M <br />UtiIIH[A7Lk5-11iU �V <br />I\'APOR,\II\9 COOIEI;S <br />❑01HI5 UR�f NS <br />V!�'�'lI1A710N I�Au <br />rsnna i�oou <br />nie ��nnui.inc unir- cr v <br />S70\'F <br />AflTnl �IRII'IAC( 6 CHIniNFY <br />�5 <br />FfTk Y.IHUSFiIIACK <br />���,,N� s�,� -- <br />. �`"F ti �('O <br />/ � <br />no oi� uwi.i.unc unirs <br />PLn� CHICK NUn18kft <br />FEES <br />SUBTOTAL S <br />PERMIT y <br />FEE <br />TOTALFEE f <br />I'LAN CHECK PEf <br />:ilE �_ NKEIP�nO. <br />C� �J% <br />VAWATION fEE <br />� I1UIlUINC b <br />Vn% O((' IOAD <br />PWAtI11kG <br />I INI 1PN1'�AI f N� — <br />HFQUIHU) A1(CHANIUI <br />1'I S NO <br />flY DATE OTHfN <br />PlNntlY UI7C <br />SfC 707W) <br />TOTAL <br />PERMIT VALIDATION <br />N'IILN I•NOI'1 Rli VALIUA7I.D �IN l lll' SI'TCI:1 THIS IS YOIJR PERMIT <br />API'N I OR ISSUANCI Iii <br />