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i <br /> APPLICATION FOP everetl <br /> crroro�� ;,ONSTRUCTION e <br /> everett PE RMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 �COMBIM1.4TION �SBUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ON'hfN /� nUllAp XIS CIl\ 21P PIION[ <br /> �/�yL7�5 1Ju 5 7��iD . y.s/� �i°ESCP�yf�f�VE �✓Pr"r� 4�.��-3 ,�J`�.Z -30�,U �� <br /> neauncioauesier+ea nuun�u/oa�ss un� zir rnor+c <br /> So.-�t< �'3 /Tvr�l�z <br /> GINfRAICOvtMAC10R n1AILA0URF55 CI1Y lIP P��ON[ LIC[N$[1 <br /> /?il ,S 'c��'- <br /> M[OI�NIUI CO"�1Nn[I X MAII�nUNF55 U1Y LIP FIION[ lIC[NSE 1 <br /> ' ___� <br /> flU�1p1\CCO��INAQOR AIAllAODRfSS ❑R IIP PHOVE lIC[NSE� <br /> IUSS OI\10NA <br /> ❑NE\Y ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEb10LITION ❑FENCE ❑SIGN GARAGE ❑UUILDING RELOULIO�' <br /> \'AW�'110'`ryOI�\\ORR y� <br /> S �(f — � �V W' �+�(. <br /> plSCNlpI\SOR� <br /> (,rJo r2 K Sl`ruc�K✓f <br /> ruorostor�si ai umiui�r, I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> C i9�2of 5C ' �`ror"s�� PLICATIGN AND KNOW THE SAME TO DE TRUE r�ND CORRECT ALL <br /> i�cnini� xiri�o�orvaortatris��o�+rvxuo�rouniuo�rouu��oriui PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> ���/J�����. OF WORK \NILL BE COMPLIED�4'ITH WHETHER SPECIFIED HEREIN <br /> ioi�TSc���or L�✓ OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � ��\ � ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNA iµ[ (4 CO`�TNACTOR OR AUTHORIZED ACENT DATE <br /> ��,,,,,>,�a�ss // l� a�- �� <br /> '-`1% (?rtsce�lf �L•r x CcUy� �- 1J <br /> PLUMBING A ANICAL <br /> NO. TYPE OF FIXTURE FEE 7YPE OF EQUIPMENT FfE <br /> \VATI H ClOSET(1011[11 AIH COND UNI75-11 P U <br /> pATHTUIl RffftlG(BATIOYU�ITS—MP EA <br /> U\'AiORVfWASHPASIN) IiOIL[NS—MP EA <br /> SHO\tlf R GAS f IR[D A C IJNRS-70NNnG[ EA <br /> KIiCH(N SINK d UISP �ORCI D�IN 5\'S7EA15-11 T U M EA <br /> DIS\vASHfR N'ALIHUTINS—L1iU AI <br /> LAUNDHITftAI UNIIHFA7fR5—IIiU M <br /> CIOiHLS��'�SMER ( 'AI'UNA71VE COOIFHS <br /> \VAiER MfATFN CIOiMf 5 URYI NS <br /> URINAI VENiIUIIOti IAN <br /> DFINRING FOUN7AIN NANCf MOOp <br /> fLOOR ORAIN AIR HANnIING UNIT— C f A1 <br /> �'nNV��t fiHUKI RS SiOVL <br /> ROOf DRA�NS—RAINLFAUfRS .�1FUL HNFPUCE E ClIInWEY <br /> SW��SER\'ICI—flAR. E1C 1 <br /> SU970TA1 SUB TOTAL f <br /> — PfRM1T 3 VERMIT s <br /> TOTAL FEE S TOTAI FEE s <br /> SIDF Y1RD SC711�CA $TR[[T$RflAIX RUR\'ANU SFTOACI: �U�ti CMLCI:tiU.�18ER ��N1'LAN CN[CK F[E <br /> �y� p' FkE ��y r� 3 RECEIPT NO <br /> ��U�4 J (I "C•5� <br /> USE ZO.'iE l0T AREA y��ANT 5�7f FFES VALUATION fEE <br /> ❑YES CNO <br /> 7YPE OF CONST OCCUPANCI'CROLII' NO OF DWfILING UNlii <br /> S- N 1�1 — ��������� '� o aa � � So <br /> S12E OF UIDG NO OF STONIFS n1AX OCC IOAD <br /> :gGoG� 4,(; I — rw.�vuvc <br /> IIRFZONC HASEMCN7 BIUNOO�titt NIQUIRlUKltNS p11CH�MG1l .. <br /> __ . ..__. . "H S ;:{K6 <br /> APPMOVALS BY DAT[ Oi11ER <br /> 7 FNVINONMENiALCHICKUST �LNALTY U���� <br /> SCC 3UAa1 <br /> 3 [1NlUING PUNS <br /> TOTAI <br /> J FlRf H1'DRANT <br /> ' � FB[ VROTfC710N$YSTF�1 �ERMIT VAlI0AT10N <br /> R'R[N PpO�fRIY VALIDATEn pN LMIS SPeCEI TMIS IS YOUR PERMIT <br /> � � S GRADWCIf%U\'AiIONACILARING�LBU8171NG . . <br /> 6 OHAINAC[ <br /> 7 ENVIRONMENTAI �M1�PACT STATEMENT <br /> B HF�LTH DISTRICT <br /> AppIIGTION ACC nY PU�S IMFCKED BY APPR fOR ISSUANCk PY <br /> h '�; )) i <br /> , � <br /> 9.1 79 <br />