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- . <br /> AP� �ICATION FOR <br /> '^•EHromn CONSTRUCTION ��� <br /> CITY OF <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT $ERV�CES <br /> CITY HALL I59�8745 <br /> EVERETT,WA9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ON'N{p p ��— M�II ADDMI4 ❑Ii 21P PNONE / <br /> �.f.,�,{I/�1 �",,/i�r,..i �Sti/ CFcI�'a.t �ta�e. C'.�vu7'� �j'8ao3 3s� - � (� 95 <br /> �CI I[I R ! IGrvI MnII�D�P155 CILY ZIP PNONF <br /> GINIR�tCONIqAC10N MAllA00RlSS UiY 21P PNON[ lR[NSEI <br /> NICII�MC.1l[Ou1N�ftOR nUIIeDOXl55 CtlY LIP PNOHF IICEN5E1 <br /> MI�NNtiGCUNiR�[l0R MAIlADp0.lSS CIiY ZIP PMOHE ll[ENSEI <br /> CIU]Uf NONK <br /> ❑NEW ❑ADDITION ❑ALTERATION I�I'REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINGRELOCATION <br /> �u���unv or woxk / /� <br /> ' no ,f� f�,yc�-o-e� ,_g�rr.ta�-s� , .e.1iz.A� ,.l.i��v �..�-a.�.n.t'�' r,-,�ti,..a.�..=, JT,.G. 24:.,.� <br /> (JI))/))/tNiltl KORS • �—�• <br /> �/ `�5'� O �.U [.CwN <br /> K� <br /> ruorus�ooti or nunurvc I HE EOY CERTIFY HAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO B! TRUE AND CORRECT ALL <br /> 11U1 [1f5tRiPtiOVOf VROPINt�ISNON�+qIlOw00.e11ACH10U0.COPi111 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi �Aioc1_or w' � ^ — OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE UR CANCFL THE PROVISIONS OF <br /> �NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> �- � OR THt PENFORMANCE OF CONSTRUCTION. <br /> SICNAIUNE Of(Of:iRACTOR OR AUfMORl2E�AGFNT DATE <br /> iox�nnairs <br /> � t ab� X <br /> PLUMlING MECMANICAL <br /> NO. TY�E OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER C105[T�TOLIFTI �IR[OND UNIIS–H P FA <br /> PATM7UB NFFRIC[NA710Y UNITS–N P EA <br /> I.AVATORY�WASNflA51N� 17011[R$–HP EA <br /> SMOWER GAS fIR[D AC UNIT$–TONNAGE EA � <br /> I <br /> KIICHW SINK 8 UISP lORClU AIN 515i[MS–N T U M EA <br /> DISWASH[R N'M1LlMfAlkRi–BTU M <br /> UUNDRY INAY UNIi HU7lNS-0 T U M <br /> CIOiHES���SMER !\'APORAiI\'(COOLf0.5 <br />, N'AiFR MkATlR CLOiHIS ORYFRS <br />�� URINAL Vf NiILATION FAY ' <br /> DPINKING FnUNTAIN RAN(:1 MOOD <br /> FIOOR DRAIY AIN IIANpIING UNIT— C F M <br />` VACUUM BRUKFNS S10Vf <br /> ROOF ORAINS—RAINIEADERS �.�1 Ul FIR[PLAC[ 6 CNIhWFY <br /> SINK(SERVICI—flAR ETC 1 � <br /> SU�TOTAL SU!TOTAL f <br /> ►EIIMIT f PFRMIT f <br /> lOiAIfEE f TOTALFFF f <br /> SIDf YARO SfTO.\CK STR[fT SCTOACK NUR YAND 5[TOACK PLAN[II[CK NUA\IIER PLAN CHECK FFE <br /> FFE RFCEIPT NO. <br />`� USF ZON! LOT ARU <br />'�7 ❑(SN GNO iFFS VALUAiION FFF <br /> TYPE Of CONSi OCNPAN�Y CROUP NO Of D\YI ILINL UNIiS <br />� <br /> OUIIDINC s <br />'f SIZf OF BLDG NO OF STORIf 5 MA% OCC IOAD . <br /> 1'LUM111NG <br /> FINC ZONE FlASFMENT HIUHUOMS IIR! SPRINKlENS <br /> HFQUIRID . M[CHAMUL <br /> C7Yf5 IlNO <br /> A►�IIOVAIS �Y DATE O7NfR <br /> 1 ENV10.0NMCNUI CHECK UST �y� <br /> PENAITY SEC 70)�a) <br /> I 7 BNLDINC PIAN$ <br /> ] F10.[ MYORANT TOTAI <br /> 1 RRE PROTFC110N SYST[M �E�MIi VAUDATION <br /> wHFN PROPERIY VAlIDA7FD ON THIS SPACE)THIS IS VOUN PFNMIT <br /> S GRADINf:IiXCAVA1tONbCIfARINGILPUNNWG <br /> h ORA�NAG[ <br /> 7 FNV10.0NMENTAI IMPACT STAfEN�ENT <br /> E MFALTN DISTqICT <br /> n�rucnn�i� �c�� nv ��nNc c��tc�i o n� •i� . . .. .. . . , <br />