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' ^cCrctl <br /> C�NSTRUCTION � <br /> everett PERMI�' <br /> DEPT. OF C0�1AtUNITY DEVi°LOPMENT 5[RVICES <br /> CIT1' HALI.259�8745 <br /> EVERETT, \1'A98201 �COMBINATION �BUILDING ❑MECHANICAL ❑ALUMBING PERMIT NO. <br /> owata nuunoowiss cnr zir ri�out <br /> �/OY� �TE25t�.v �SO/ Caoc[EGE�vE ��F-e�'7T 9�Z03 '3�—/G,9S <br /> AN[IIIIfQORO1SIG�IR AUIIA[lDNL55 ❑IY ZII PMO' � <br /> GI�IRAlCOu1HAC10R MAILAUDRf55 IIIY ZIP PHO4[ UCLNS[M <br /> Eti�QE�.t3LD� 7"NG � E�/Fv�?EE.V �✓�1y 4Pzo3 .353�7/6/ <br /> M[OIAMUI(ONiRAC10R Al�ll AD[1R155 Cli1 LIP PMOu[ LIC[NS[M <br /> a�3-oi-E�-EQ- �Q - 30� �f/ _ <br /> PW��NNGCOI:iRACiON M�IlAU0RLS5 CIIY ].IP PMON[ llC[NS[N <br /> c❑NEW`oaAOADDITION ❑ALTERATICN ,�REPAIR ❑OEh10LIT10N ❑FENCE ❑SIGN ❑GARAGE ❑OUILDINGRELOIAiION <br /> ,����� <br /> o� im���oar • IN�TDi LG ��lV V/A/yL <br /> ��=/l1011E �iV57 .(/G — e° �/ o .�A✓ ,rv'5Et7�� Si11i;uG n�c i RE�'�D��,r+1� <br /> raoro iouse or nuimrvc I HERE6Y CERTIF�. THAT t HAVE READ AND EXAMINED THIS nP- <br /> ���D���,� PLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br /> �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> uenio[scemnouor reorcan�;s��owr+ntwwoRnruo�rouemens� Ur WORK WILL 6[ COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioT moc�_or fn���1�F�•� �� - pR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> I GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> I a� I I L PS� S_ ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE O� �ONSTRUCTION. <br /> ; 1 , 1� � �� _O 1 S�GYATUHE COMRACIOR OF .'�. iHORIZED AGLNT DATF <br /> L�[.� <br /> IOOADI]NL55 9_ .�� <br /> v c E x <br /> PLUMBING ' ! MECHANICAL <br /> FEE NO. TYPE OF EQUIPMENT FEE '� <br /> NO. TYPE OF FIXTURE ' <br /> \VATfR CLOSET(TOLIET) AIR COND.UNRS—HP.fA <br /> RMHTUI4 RffRICCNAiION UNITS—M.P.[A <br /> U\'ATORY lK'ASM IlA$IN) (101L1'RS—H P EA <br /> $HO\VER <br /> GAS fINCD A.C.UNITS—TONNAGE EA � <br /> KITCHkN$INK R DISP. fOHCCD AIR SVREM$-17S.U. ���� � <br /> DIS\1'ASHCR \1'ALL HFATERS—D.T.U. M �. <br /> LAUNDR\'TNAY UVIT HEATCHS—U.TL. h1 <br /> EVnPORATIVC COOLCRS <br /> CIOTH[5\VASMCR [�OTNIS DRPlRS <br /> \VATER H[ATER <br /> y�uiILATION fAN <br /> URINAL <br /> DRINKIkG FOUNTAIN RnnGl II000 <br /> FLOOR DRAIN AIR H�NDLING UNIT— CF M. <br /> VANUM 6REAKkRS 570VE <br /> HOOF ORAIN$—RAINIEAUCRS M[TAL FINEPLACE R CHIMNEY <br /> $INK�SERVICE-6AR,ETC) <br /> SUB iOTAL f <br /> SUB iOTAI <br /> PFRMIT f PFRMIi f <br /> TOiAI FEE S TOTAL FFE f <br /> PLAN CNEIX FEE <br /> SIDE YARD SETBAIX STRCET SkTIlACK RInN YARD SCil7nCK PLAN CHCCK NUMOCR rt� RECEIPT NO. <br /> US[ ZONE lOT AR[A VACANTSRf FEES VAlUA710N FEE <br /> ❑Y[5 ❑�O <br /> TYCE OF CONST. OCCUPANCY GROUI' NO.OF DN'ELLING UNIT$ <br /> IIUILDING S <br /> 54E OF OIDQ NO.OF$TORI[$ hUX.OCL LOAD <br /> rwn+nwc <br /> fIRE ZONE 11ASEM[NT IiLDROO,NS �iQU�E��«HS �����{�NIUL <br /> f�YfS (1N0 <br /> APPROVALS BY DATF O7H[H <br /> 1. ENVIBONM[NTA�CIICCK UST PENALII' U-'�C <br /> SEC.1011a) <br /> 2. 11UILDING PLANS <br /> 10TAL <br /> 7 FINE HYDRANT <br /> 4. FIRC PROT[CTION SYSTLM PERMIT VAUDATION <br /> �y�{[�;peOP[ItLY VALIUATE�IIN THIS SPACE)iH15 IS YOUR PF.RAIIT <br /> 5 GHADINGIIXCA\'A710NRClLANINGi(:MUI71{IKG � <br /> 6 DRAINAGC <br /> Z ENVIRONMENTALIMPACTSTATE61[NT <br /> 8. HEALTH DISTHIC7 <br /> APPLIUTION ACC PY PLANS CHIIXLD I4V �PI'N.FOR I$$UANCL IIY <br /> 9 1 7'� � <br />