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everett <br />DEPT. OF COMMUNITY DEVELOPMENT SER`110E5 <br />CITY HALL 259�8745 <br />EVCRETT, \4A 98201 ��OMBINATION <br />��LICATION FO ' . <br />,.ONSTRUCTION� <br />PERMIT <br />BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />VWNtN N�II.�UUNI.ff IIIT CIP v11Vrvt <br />��c'L L �r� S c_i-/ ;�.0� .5, �,�i I i?t' x F,i E �� i T �1-S c(/. <br />nNOIIIfttOR1)LSIf.NfH n•��JLAODHISS ULY � ZIP PIIONI <br />everetl <br />e <br />GININnICO,vINAC10N nuILAUOP(Si CII� Zii' 1'110Nf IICLNSEN <br />FRa,vr- ,! c;,�,�,rrz ,'?RaC'c'� �,K.� -S�nN��c,r.a,�G����y,R'14� �.zv-ir44_� �ca�ic�,� <br />,U[CIIAtllUICONiFnCiON M1I�ILAf]Dp155 ❑IY JII' PHOuf LICLNS � <br />PWAlI11NGCOVIRACiOR M1fAlI�DpNf55 ❑iV LIP 1`IIONI LICfuSLN <br />CU5501 N'OHC <br />❑NE\V ❑ADDITION �ALTERATION ❑REPiVR ❑DEAIOLI�ION ❑FENCE ❑SIGN ❑GARAGE ❑BUILUING RELOCATION <br />V'AIUNIONO�• � �� <br />S v <br />OLSCNIIII N'ORI. <br />reorosinusi ar xwioir+c <br />LI Gnl. �!.SCRIPiION Of YROP[0.T' 6H011'N OELON' OR ,1rtnCH fOLR COPIlSI <br />iot0�"$oio�n�/C7o� =��-��'rZA�i.- IiiS� <br />Inll AI;UNF 5; <br />���5 <br />PLUMBING <br />NO. <br />� ti Frl x— J- ✓:= :2 E'-i <br />TYPE OF FIXTURE <br />11AiHTUf� <br />I.A\'ATORY 6VASH 11ASINI <br />SIIOWEN <br />AIiCHCN SINK & GISP. <br />DISN'ASHEN <br />LAUNDRY TftA\' <br />CIO�HFS N'ASHLR <br />\5'ATLN IICATFR <br />URINAI <br />nHiN�inc FouNrniu <br />VACUUh1UREAK[RS <br />NUOF DftAINS—NAINLfAUlRS <br />SINK �SFRVKE—OhR, CiC 1 <br />SU9TOTAL <br />Pf RMIT <br />TOTALfEE <br />SIfiLYARD$EiIUCK S7REETSL711ACK <br />l � .7.�� <br />��F�o�� �or,;RE� <br />� <br />� ��.'J il��/iL <br />iYP[ OI CO�.ST. OCNPA�f�Y "R( <br />i.:lcC�i(�� .�� �c 5 <br />.� �i����t�- t> <br />SI7.E OV 6LDG. NO O( S'OR�IS <br />����. X 1.�-SC % <br />FEE <br />�S <br />RLAR 1'ARD 51 <br />— _�G � <br />Vn�Av, S�Tf <br />❑YLS }�O <br />M1tA% OCC LOAD <br />Ifi�F.`1CM I OIU,�)�)�l} I klvISlR��tn> <br />APPRO\'ALS BY DATF <br />1 ENVIRON�VR.'TTL CHiCK LISf <br />1 �UILDq�C PLANS <br />d lINEHVpBANT <br />a flHi PHOTFC7ION SVST[M <br />5 GRAI]ING�IMUV�110Nh :II.ANIN(7GR!;11111NG <br />6 DRAI�AGf � <br />7. LNVIRONMFNTAI. IMPACT 57�\TGIFNT <br />8 HfAliH1:6BIC1 <br />APPIJCA710N ACC H1' I PLANS CHLCKLD OV I Ai'CR fOR ISSUA�CL Bi <br />V, �.. <br />ls l�ny S���i«ow <br />� HERE6Y CI'RTIF1' THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION ANU KNO\N THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OP LAbVS AND ORDINANCE9 GOVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIED WITH WH� fHER SPECIFIED HEREIN <br />OR NOT. TI1E GP.ANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVF AU7HORITY TO VIOLATE OR CANCEL THE PROVISIONS (�f <br />ANY OiHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE P[RFORMANCE OF CONSTRUCTION. <br />SIGti1TURl OF CONIRACTOR ON AUTHONIZfO nGENT DAi[ <br />��_: <br />X %L'J- <br />—�- <br />MECHANICAL <br />TYPE OF EQUIPMI <br />AIH CONU UNITS—M P. [A <br />RFlRICf HATION 11NIT5-1�1 P kA <br />IIOILlRS—IIJ' (A <br />CAS FlRH) �\C UtiRS-70�ti;JAGC kA <br />FORCI I` �Lft 51'Slf �IS—�.7 U. M M <br />11'i\lL Ilf nitRS—B TL. .�t <br />UNI7 H:nTfNi—fi f U. Ai <br />EVAPORn71VE COOLCRS <br />CI.O7H15 DRYfHS <br />vthianrio�u FnN <br />rcnn�c[ �i000 <br />niu ��nNuunc u�nT- c.r n� <br />itovt <br />bt[TAL I BFPLACF 3 CIIIMNLI' <br />IlU1LDWC. <br />rwnn�irvc <br />MI CI!ANI(.AL <br />O7HCR <br />PfN4171 <br />ret <br />SUB TOTAL S <br />hfRM1T S <br />TOTAL FEf f <br />PLAN CNLCK F[E <br />FLE �Yl NkCEIPTNO. <br />22 — 3 <br />VALU4TION fEE <br />b �B�O � �—!U� <br />U I7l <br />SEC. 3071�1 <br />TOTAI I I � 1. � <br />T <br />PfRMIi VAIIDATION <br />11'H(n fROPf:RL1 VnIJU,V I�U (IN 71115 SPACF) THI$ IS YOUft PERMI7 <br />