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____ <br /> I <br /> t�e Ewryroe� A P P L I�A T I O N F n R everen <br /> ��n�F CONSTRUCTIO� . e <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERFIT,WA98201 ��OMBINATION ❑ BUILDING MECHANICAL ❑PLUMBING PERMIT NO. �U�/� <br /> . nowrvte nq�l nunM[ss fc�l� z�r PHONf <br /> L�c..�srns Cc.-is� ��nsv«.��{ /�G SSI`I .C`��a �4 . ri�f"1-c6 3`/j— YSGO _ <br /> AqC1111IC10RIlLSILNIH MAIL UNISS CIIY I.IP PNON[ <br /> CI�. yM�LCOu11NCfUR / melln��N[SS �IIY LIP PHONE IICFNSL� <br /> C,oK.s�n,S �L.as7; �nt�.n�i /?a 55l� f:�.eie Gv4� yir.� _3Y7�/Sc�-Co-u,zic,_ <br /> AIICNAnIUI CO41ReC1OK �eil nO0 4 ❑1� 11P P�iONE IICEh$E I C/rj� <br /> Ptt'�� I\G ,OYIR�CIU0. A1All AOAHlSS lli\ ZIP PNO'�E I�CENSE I <br /> , ' �,�, Pu.��,n� ���� <br /> CU}5 O!\cONA <br /> �NRV ❑ADDITION ❑ALTERATION ❑NEPAIN ❑DEb10LITION ❑FENCE ❑SIGN ❑GARAGE ❑OUILDING RELOUTION <br /> vuununv or�coxa <br /> f <br /> I>IS(NIIlI1\�NA � • <br /> �•� F4„�. �4�. ����. <br /> ruorostous i xwioi+c I HEREBI' CERTIFY THAT I HAVE READ AND EXAMINED THI$ AP- <br /> /t �� �� PLIC�ITION�ND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br /> itcn�otscairnos or raortairis��own nuo�e oe en+o�rnuu cni�n�� PROVISIONS OF L�WS AND ORDINANCE$ GOVERNING THIS TYPE <br /> OF N'ORK WILL BE COh1PLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi _moi�_o� OR NOT THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION$ OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PCRFORM�NCE OF CONSTRUCTION. <br /> SIGNAIURfOfCONTRACTOR08 UTI ft17FD. NT DATE <br /> r <br /> / <br /> Io11 AIIDUL55 J <br /> S�.' � �\ <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF fIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> �v�ite aosEt irouen nie muo un�irs—n r rn <br /> HATH1Ufi R(fRIG[HATIONUNITS—NP [A <br /> lAIUiORY 1\VASH fIn51N1 NOIIFRS—M P f A <br /> SIION'F R GAS f IR[O A C UNITS—TONNACE EA <br /> Al7CHlN$INK h DISP IONCf 0 AIN SYS7EMS—H T U M EA <br /> f]6lYA5MIH 1VALL MULENS—l1 i U M <br /> UURURi iNAY UNIi Hf ATENS—fl I U M <br /> CL01Hf5\VASHCR N'APORAiIVF COOLCRS <br /> N'A7FR MEA7ER ClO7HFS ORYLRS <br /> UftIM1�I V[NI I V�TION FAN <br /> ORINKING��UNTAIN RnNCF HOOD <br /> FIOOR�RAIN AIR MANOI ING UNIT— C F�\t <br /> \'ACUUN BRUKf NS SiOVf <br /> BOOf UNAIYS—RAINlFAO[RS M(lAl FlRFYUC[ 8 CHIbInEI <br /> SINK ISI R\'ICf—Ii�R[TC I <br /> SUB TOTAL SIIB TOTAI f <br /> PFRMIT S PERMIT S <br /> TOTAI FEE f TOTAL F[E s <br /> S�UFTnRDSfTBACK STRFITS[TIIACR H[AHYARDSIIII�(K PU'�U1ICANUNf1(R PL�M1CMICI:FFE <br /> � (l! RKEIPT NO <br /> � <br /> VSF ZO�+L LOTARU y�UNI SIIE <br /> [�Y[5 CNO fL[S �AlUAT10N �EE <br /> TYPF OF CONSi OCCUPANCY LROUP NO OV OWFLLII(;�u.IfS <br /> nuuoitic � <br /> SIZE OF ULDG NO OF STORIES AIA% OCC IOAD <br /> PWn111INC. <br /> FlN[ ZONC IlASEMFNT 1111]RU(1A1ti HRE SPHIM1KlLNS � <br /> HIQUBL� AIICHAtiICAI <br /> �'IYfS flNO <br /> APPROVAIS BY UATf OIMlR <br /> 1 ENVIRONMINTALCHtCKL15T PFNAIII l '�C <br /> src mx�l <br /> 1 11UIlU1N(.PLANS <br /> TOTAI <br /> f IHI I/YDHANT <br /> < FIRE PBOTI"TION SYSTEM PFiMIT VALIOATION� . <br /> � WHl�: PHOPfR1S VALIUAIfI)�IN iMl$SI'AC:11MI515 YOUF PtRAl11 <br /> '� S GNADING.IXCAVATIONh�'LfANINCCRUONINC � <br /> b UNAINAGC <br /> 7 !N\'!RON�IWTAL IMPAC`STA1EMfNT <br /> 9 HUITII DISTNICT <br /> APPUUTION ACC IlY �'LANS CHECKE�fl1' APPR fOH ISSUIN(�.I lY <br /> 9.1.i9 <br /> _ 1 ♦ � __ <br />