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r <br /> tAs Evs�presn 4 P P L I C A T I O N F O^ everelt <br /> ��^'°F CONSTRUCTION <br /> everett . PERMIT e <br /> DEPT. OF COMn'�JIJITY DE\'ELOPMENT SERVICES <br /> CITY NALL 259�8745 <br /> EVERETT, \Yq98201 ❑COMBINATION I�BUILDING ❑ME�HANICAL ❑PLUMBING PERMIT NO. <br /> �' o��mx n�en nuuuiss cnr tir ruo�i 1 <br /> .��t��:'qe2r5 �528 ��.�w,a i '�',22 �✓.E�2£iT �53 - 3 �06 <br /> �RCIIII[CiONI)I51(.N�p AIAIIAppP155 CIIS 21f PIIONF <br /> `�V� <br /> GfN[Rel[ON10.A[IOP nUll�OpP155 CIIY 21P PHON[ tKft+S!� <br /> IUc,���o�lti Couar 6a3 s;l�{AtNiA>—FI4�P1', �i. s�. �az�,o 33�1,�6ye �uccu�c.�z.a a <br /> �lIONE <br /> PI1���IIi�C(OMpACiON h1All n000.1R <br /> UIY LIP p110NE llC[NS!I <br /> iU'O�UE <br /> LlU`tR NONS �{ <br /> ❑D.F��' ❑ADDITION ❑ALTERATION �1R[PAIR ❑DEMOLITION ❑FFNCE ❑SIGN ❑GARAGE ❑BUILDING REtOCAT�ON <br /> \4ll 1IIOY OI\iORK /�/� O �}�7�/� <br /> �-__y'LII�J � I v 1 ,�1� <br /> m.r�t�wur.^ ^ � —� <br /> �= L�O7 U"n,�2S <br /> ruoror� i w nwtmtic I HEREUY CERTIfY THAT 1 HAVE READ AND EXAMIN'tD THIS AP• <br /> �cS� C�Eh�—E PLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br /> lfGAl06CRIP110V O(PROPfNiYISNONN PR015'OR AIIAOI iOUR COF114 �'ROVISION$OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> im �� � OF WORK WILL 6[ COh1PLIED WITH WHETHER SPECIFIED HEREIN <br /> _niocr:_or ' " OR NOT THE GRANTING OF A PF.RMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAIURF OF CONTNACTOR OR AUT CD AGENT DATE <br /> iux nnoaiss l <br /> 1o5z8 G►trEWa� 'LE�Ac� E.� X � ,�• ' 87 <br /> � PLUMBING MfCHANICAI <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> _ R'ATEN CLOSET�TOLI[f� AIR COND UNIiS—IIP fA <br /> ItATNTUB pEFRIGERA710NUhR5—MP U <br /> IAVATOR��p1'n51/AA51N� ItOILEHS—MP FA <br /> SIIOWER GASVIRlDAC UNRS—TOYNACEEA <br /> R17CMLN 51NK F JISP IORI Ln AIR SYSiU15—l1 T U M EA <br /> UISN'AiMIR \\'ALLH[AT[FS—OTU M <br /> UU^IDNYIRAY U^11iNfA1EH5—17TU M <br /> CLOIH[SIVASNLR F�AYORAiIY! COOI[RS <br /> \YAiE R MUTEN QOl Mf S DRYI k5 <br /> UHINAL V(N1ILALON fAN <br /> URINRING FOU`1TAIN NANI;E 1100D <br /> fIOOR DRAIN AIR:IANDLING UNIT— C f AI <br /> ��NU.�t ORf AR(NS S70VE <br /> AOOf UNMhS—RAIN�EADERS AtFTAI FlRFPUC[ 8 CHIMNfV <br /> SIkF I51 NVICf—O�R ETC I <br /> SUB TOTAL SUlTOTAI S <br /> PERMIT f PFIIMIT { <br /> TOTAIfEF f TOTAIfEE 1 <br /> SIOF YARD S[TIIACY. STRf[7 $[TOACK RUN YANO SI IUACA PUu�111CA NUMUkR P�AN�MECK FEF <br /> FEE RKEIPi NO. <br /> U5I 20YE lOT ARU VnU4i SIIF <br /> fi1E5 rryp �FES VALUATION /[E <br /> TYP[ O! C0151 OCCUPANCV CROUP NO OF D\YlLLINC UNI75 <br /> 11UIlDI�G S <br /> SIZ[Oi UIDG NO OF STORIES MA% OCC LOAD <br /> Pl V V IIING <br /> fBE20'.[ BASfMENT IIfUHOUStti fIRlSYRINKLFRS <br /> kEVUBED MFCIIANIGI <br /> ^YIS �'NO <br /> AYPROVAIf BY DATE 0T11ER <br /> 1 FNVINONMENTAL CMECK LIST <br /> PlNALTY UtlC. <br /> 2 BUIIDING PUNS 5[C lOJla� <br /> ] FlRE HYURANi TOTAI <br /> � FINC PROIECTION SYSTEM ►[RMIT VALIDATION <br /> � SGNAOING'fkU\'nTIONECIfARINLlGRUe111NG wMENPROPfRIYVALIDATEDIIN7NI55PACfITMI515Y0URPFRMIT � <br /> 6 ORAINAGE <br /> 7 FN\'IXONAIENTAL IMPACT STATEMENT <br /> B HfAlT11 DISiRICT <br /> APPIIUTION ACC.BY PLANS CNECKEO DY APPR fOR ISSUAN'.E BY <br /> 97 ;9 <br />