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` - <br /> � <br /> f��Everpresn P P P L I C A T 1 O N F O R <br /> CITYOF � � �ONSTRUCTION `�e <br /> everett PE RM IT <br /> DEPT. OF COMMUNITY �EVELOPAtENT SERVICES <br /> CITY HAtI 259�8745 <br /> eveReii,wneezoi �COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> O\SN�R ti�nn �onx�ss un zir r��o�t <br /> ��Pi�vE_�s.v�iG� 3'�C9 �U£�'fT /�IJE_ fv£izt:7"T �Tf2ui 2 �9 G•/U4� <br /> ARCIII1fCiOROt51Ll:lR M1UIIApURf55 CIiY ZIP PNONE <br /> CIM1fNAICOniNnCiOR n1All np�FI55 CIIY ZIP PNONF IICINS!1 <br /> �����ri {�u��e.Sc.� i�,, i3,nc /.-� N�arr�.cu�u.c 9527[� L• SY%-//3/ 4,c`-�e e,t-li;�/it3y _ ._ <br /> �U111�NIU1(Oti1R�C10V A1�Il ADUNISS CIIY 21P PIIONI IICf�95F� <br /> 19P'.101�G(OYIN.1tiOR M�IlA0pRl55 ❑lY ZIP CMON[ IICEN5C1 <br /> � <br /> l l Ut UI KONS <br /> ❑NEK' ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOIITION ❑FENCE ❑$IGN ❑GARAGE �BUILDINC REIOCATION <br /> \vlUn1�ON O�� � <br /> 5 ������ � <br /> UI S(4111!\\ON6 <br /> ' , , n ��er.c.T' ' � 1 �r. � • �:_ <br /> rHorostovs� o� nviioi�c 1 HEREHY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> � �• � <br /> /�:�y� ; � � - �,��( fji-I PLICATION AND KNOW THE SAME TO 6[ TRUE AND CORRECT ALI. <br /> ucv mscau�noHoi vxor�xt��s��own miowon nttetn�ai, cornsi PROVISIONS Of- LAWS �ND ORUINANCES GOVERNING THI$ TYPE <br /> .�p� OF�VORK WILL l3E COMPLIED 1NITH WHETHER SPECIFIEU HEREIN <br /> 1O1'�"'ID �,;0�" ...�v °` � U f'' ' '�/`Ze�'�' -S OR NOT THF GR�NTING OF A PERMIT DOES NOT PRESUME TO <br /> � GIVE AUTfiORITY TO VIOL�TE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER ST�TE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERfORh1ANCE OF CONSiRUG110N. <br /> VGNAiUNf O C IBAC70R OR AU HORIZk9�ACFYT DA71. �'�G� "y ` <br /> .� <br /> I�� �DItNI55 � � � " <br /> ��i`7�6 �� <br /> PWMBING MECiI I C <br /> NO. TYPE OF FIX7URE FEE NO. TYPE OF EQUIPMENT FEE <br /> R'A7f N CLOSf i 110L1i 11 AIH COtiU UhIiS-II P EA <br /> f1AIMiUl3 RlIHIGfHA710V Uti17S-IIP ln <br /> lA\'AiONY 1\4ASH HASINI tlUILtRS-H P [1 <br /> SNOIYf R f.A�f IR(p A C UN17S-70NNAG[ U <br /> All(IIINSINKbU15P IONCIDAIHSVS7LA4-HTU MfA <br /> DISK'ASHIH IYALLHlA71R5-IIIU M <br /> IAUtiDNY iHAY UNII HFA7LH5-87 U M <br /> ClO1H15 N"ASHCH IA'�POHAiII'F COOLfRS <br /> 1A'A1FN Mf n11 H CIU7HI5 DBYf HS <br /> UHINAL A'FNiILAIION fAN <br /> UNInAMClOUN7AIN HANGI HpOU <br /> f IOOH ONAIN �IH MARpI ING UNI7- C F h1 <br /> V A('UUA1 BBMKI RS Sl pA'L <br /> ROOf pNAINS-NAIN�FADkBS �I(Ul FBH'IACF RCMIhINEY <br /> $IFK�SfR�9Cf-flAR, F IC 1 <br /> SUB TOUL SUB TOTAI S � <br /> P[RMIT i PERMIT S <br /> TOTAL FL[ S TOTAL FEE S <br /> SIpF �'Ad�$!70ACA SiFt[1 SROACK RUN 1nHU}I ipn(F PUN CM[CK NUh101 H PUN CHECA fEE <br /> /Z�//' �/Q �/�� O � /Q� ...J FLE � R�CE�GP 7 � <br /> USf ZONE lOT ARlA �����HT Sllk <br /> �—� 7`ES CM1O Fk[5 VAWAiION f[F <br /> IYPI OF CONSf OQUPAYCY GROU� M1'U Of UW[LLING L�ti�IS <br /> � <br /> Jt-} M — u�noiNc s/��'�1')� �� J I D �Z) <br /> SRE OF OIUG NO.OF S10RIFS •���z OCC IOAD � <br /> Y�00 � -- 19UMOING '� <br /> H2[ ZONk I1�SfMENT I11UN0�)�11 IIRk SPRINKI[RS <br /> B[QUIN[D n1IC1UNIUl - <br /> - ' _ .__ ._._' ��Fs t�ND <br /> APPROVAlS 01' OATE O7HfR <br /> 1 kNVIRONnItNiALCMECKl15T ��� <br /> PEVALTI 5(C J011al <br /> x nuiior,c vinNs <br /> I ) lIHI HIDRANI TOTAt ��L� .�Z� . <br /> 1 FlNI. PNUiLCilO�SYSIEM1I PLRMIT VALIDATIUN <br /> WMlN PROPkRLY VALIDAlE�11N THIS SPACF)TM151S YOUH PERMIT - <br /> 5 GNAUING�F%GVn710NbQUN:NG,'LFUBIIING <br /> � <br /> 6 ORAINACE -. .. �•'� j i ;j,�� <br /> � , . <br /> 7 fNVIRONMINUIIMPAQSTATkMENT <br /> a H[niti�oistRicr �'� (�+,/�.7 7`7L/L �M ��_li�.( <br /> IPPIIUTION ACC BY PLANS CHFCKLD 11Y APPR fOR ISSl1ANCE BY 1 � <br /> G►-�C-3�- �.�C ' <br /> 1�, :�rn � � � - C� <br /> �' <br /> 9t �v �ji.,C' ,C �(� •L�O ��.F7: = �'_� OC?L?'��' <br />