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1 <br /> a� PLICATION FOR ���,�n <br /> '"'E"'°'"" CONSTRUCTION e <br /> CIN OF <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES � <br /> CITY HAIL 259�8715 <br /> EVERETT,WA9B207 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OwrvIR MAIInDDM(15 CIIY ZIP PIION[ <br /> "�l�I nS 1 ffi� '� ►�t 1� 46�l �t,M 9T• ���f�€�� GBzo 3 zS�i (o0 31 <br /> ARCHITICiORDi51GNIR MAllA0DN15S CIIY 21P PHONE <br /> G�Nt0.e1 COniR�f10N MAII��ORISS CIIY ZIP PHON[ LICENSE I <br /> -t-u�� .4RT" �0 8 �w ttpt� S�.4YR-� �r810�i Z8�}' o4Z-o '�-(��e 3 <br /> +�Il�unH'nICOVIRnC10R nUII�ODNIA tltY 21P PHOH[ IICEN5E1 <br /> � CIIY ZIV PHOH[ UC[NSE� <br /> PIPNNI�ClUNi0.�CiOR MAII�ODRl55 <br /> � <br /> l l�N O{NORK <br /> ❑NEN ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOIITION ❑FENCE �SIGI: ❑GARAGE ❑BUILDING RELOCATION <br /> \�ll'VIMOI WORK <br /> f (���• �� <br /> ❑IKNIIII \\ORA <br /> �{Z@GT ' MA-�N"r'AI IJ oN� D � ����T2�c. S�c.-�n1 . _.. <br /> rxuroanra oi xvnui�c I HEREBY CERTIFY THAT I HAVE READ ANL � �'����NED THIS AP- <br /> �13�G PLICATION AND KNOW THE SAME TO BE TRU, '�J CORRECT ALL <br /> 111'.V DISCNIPIIOV Of i'ROPIRI115110NNflllO\\'OR�II�CNIOURCOPIfS� PROVISIONS OF LAWS AND ORDI�JANCES GO�fRNING THIS TYPE <br /> OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io� _x�oc.�or OR NOT. THE CRANTING �iF 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 /> �5 GNATURF OF CONIRACTOR OR AUTNORIZED ACENi DATE <br /> -ru�. A�zr ) <br /> i�in�nnn�c� 4(obl �Ec,rn S-r x S�P �Dvps�.rL 4' �' ' So <br /> PWMlING MECHANIUL . <br /> NO. TY�E OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> N'ATfR CLOSET ITOLIETI AIR COND UNITS—H P EA <br /> REFRICERATION UNITS—HP EA <br /> PAiM7UB <br /> I.A\'ATORY IW�SH ItA51N� POIlFRS—H P EA <br /> CAS FIRED AC UNITS—TONNACE EA <br /> SMON'FR <br /> KITCHE"1 SINK 8 DISP IONC[O AIR$YSTEM$—B T U M EA <br /> N'ALLHEAIERS—BiU M <br /> DISWASNfR <br /> UNI1HfATERS—�TU M <br /> UUNDRY INAP <br /> EVAPORATIVF COOLERS <br /> CLOIHfS wASMF R ��p7��f 5 ORYERS <br /> WA7ER NEAT[R <br /> U�INAL VfNiIIATION FAN <br /> I ORINAING FOUNTAIN RANCF MO00 <br /> � AIR MANDLING UNIT— C F M. <br /> f LOON DRAIN <br /> \UC WM BRf AKF0.5 STOVE <br /> ROOF DRAINS—RAINLFADERS MFTAL FIREPLACE 8 CHIMNfY <br /> SINK�SFRVICE—BAR [TC 1 <br /> SU!TOTAL f <br /> susror�i <br /> ►ERMIT f ►FRMIT f <br /> ' - � TOTALIEF S TOTAIf[E s " <br /> PLAN CMECK FEF <br /> S�I)F YARU Sf70.�CK STRFFT 5[TOACK RUR YA0.D SET�ACK PUr1 CI�fC�NUMBER fEE RFCEIPT NO. <br /> �� <br /> USF 7.ONf lOT ARU y���NT SIIE �EFS VAIU�TION iFE <br /> ❑Y[5 CNO <br /> 7YP1 OF CONST OCNPANCY CROUP NO Of DWRUNG UNITS <br /> UNIDINC sl <br /> SIZL OF AIOG NO OF STORIES ���% OCC lOAO <br /> PLUh1111NG <br /> fBF ZON[ O�SEMfNT IIFUROOMS REQUIREDKLfRS ��FCNANIUL <br /> f7VF5 ❑NO <br /> A►►�OVALS �� DAiF O7M[R <br /> 1 ENVIRONM[NTALCMECKl15T pFNALTY UBC. <br /> SK JONa1 <br /> 2 BUIIDINC PUN$ T�T�� . q <br /> 7 RRE HYDRANT <br /> � RRE PROT[CTION SYFFM ►[RMIT VALIDA710N <br /> WMEN PROPERLV VALIDAIFD IIN THIS SP�CEI TN�S IS YOUR PERMIT <br /> 5 GRApWGII%(AyMIONACIIARINGIGRUNHING <br /> 6 �RAINAG[ <br /> 7 FNVIRONMENT�LIMPACTSIATEMENi <br /> E MULTl1 DISTRICT <br /> APPlIU1lUN �U. IlY Pl VSCN!('KfG �1 ACPR InR ISSU�N I1V <br />