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� ' `�- <br /> _ � <br /> tne E�ergreen A F _ L I C A T I O N I�O R everetl <br /> "�'°F CONSTRUCTION e <br /> everett PE RM IT <br /> DEPT OF COMAIUNITV DEVEIOPMENT SERVICES <br /> C�TY HALL 2548745 <br /> everteti, wn9eiot �COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> nWrvfP nuR nUOxi 5 dvt� p � <br /> �n00 (OS�j,^rr.. ill.�, CII�'N.�Ji/�CY.rfIJ��,� 'SLrP��l� /� � <br /> LICC-�ff4l�� 5�i1�1'Y� �3..{in.'�' "t'�'�n.' _�,'2-�-� cl�IQ,3 � � /�'��r�,<�G <br /> ARCIIIIICLOROISIGNIq M11AILn0�PIS5 ❑lY ZIP PHONE SJ—IC.t./�+ <br /> f����s/��;�=�v/ Fr���c��:= 3cc� ca-r �r� ��rr�e- �o��r,-� �g� �o <br /> � > <br /> l:ItifN�l CONINA(IOR� MAII ApON155 CIIY [IP pMON[ <br /> / / .�1,3 �O� �IICFNS!1 <br /> "� "�^ / r c-�c- P. Q <br /> �.L L � ic1-.v � e 4',•vs� 9/� �lJ G✓ �`D� S�a tf/-� f�/o '� 7 P3 —[�09 a s ise� s <br /> f11CHnNl(�IIOn1Rnf10N nlAllnDpNf55 (��v LIP PHON[ IICFNSEI <br /> 19P\IONIIIONIp�(lOR AI.VI�DOH155 (IIV ZIP pHONE LIC[NSEI <br /> �ll1 OfNOPN <br /> EW ❑ADDIiION ❑ALTERATION ❑REPAIH ❑DEMOLITION ❑FENCt ❑SIGN ❑CARAGE ❑BUILDINGRELOUTION <br /> ��iv�nnw or woer. � . <br /> � � � �C�O <br /> I1IKNIIi1 \ ORI. <br /> COlUS -rXfi'Onl oF �A� , �; i/u�: WO5 �- rn� srr: n�'= r"U77dzr F���-- <br /> runro,iursi o� xunuinc I HERE9Y CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> G�-�j,N /7'IGY,FIi , �!-J�L��L PLICATION AND KNOW THE SAME TO UE TRUE AND CORRECT ALL <br /> iic+i msceirno�+or reortxr��vw�o�v ntiowoa niva�rouamr�nsi �ROVISIONS OP LAWS AND ORDlNANCES GOVERNING THIS TYPE <br /> OF YyORK WILL �E COMPLIED WITH WHETH[R SPECIFIED HEREIN <br /> 1O1 �'�OC"—Of OR NOT THF GRANTING OF A PERMIT DOES NOT PRESUME TO � <br /> GIVE AUTf�IORITY TO VIOLATE OR GANCEL THE PROVISIONS OF <br /> " �' ��-GCi�,��—� ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMi1NCE OF CONSTRUCTION. <br /> S�GNAiUHI OI CONiR��TOR OR AUTHORIZED AGENT DATE . _ <br /> um�nne�u i � <br /> -{-r 1 <br /> X �M-. �(,'�rirr.r-�-- Z3 �P-�� i�� <br /> - ,"...�.,,: ... <br /> PLUMBING MECHANICAL <br /> NO. 7YPE OF FI%TURE FEE NO. 7YPE OF EQUIPMENT FEE -' - �� . � <br /> R'AT(RCLOSCT�TOIIfT) AINCONp U'�RS—IIP EA � � � <br /> f1AT11TU0 HFINIGIkAilO4UNli5—NP EA ' <br /> i.nvnioa�pensnnnsiNi noutes—��r tn . .. . <br /> $MOWER GAStIRfDACUNITS—TONNAGEEA - ' <br /> KIiCHEN SINK E DISP �pNQD AIR Si11CM5—OTU M EA (� <br /> p15N'ASHfN \\'4ll HfAikH$—piU M <br /> UUNONI iNAY Unll ryfAIIHS—flTU M <br /> CLO7M[4 WASH(B IA'APORA�IVF COOLfNS <br /> VVAiER HUiER ILOiMtS DRYf RS <br /> URINAI VINIIUIION fAN <br /> DNWKINC fOUN7AIN NAN(;� ��pOD <br /> fLOOR DRAIh AIN NANDL WG UNIi— C F M <br /> � VANUMBRUKfRS SIUVL <br /> ROOf pRAIRS-2AINIEAO[RS ,VfUI fIREPUCF ACHIMNEV <br /> SINK�SEFVICf—HAR. ETC 1 <br /> SUB TOTAI SUB TOTAI 3 <br /> P[RMIT S PERMIT y <br /> TOTAL/Ef S TOTAL FEf f <br /> SIpF 1AR0 5[ O.�CK STR[ET S[Tfl [K Rf AR YANO 5I itlACK PUN[II[CK NUMFIEH PUN CHKK fEE <br /> /�,� � 1� /LF .�¢� rte �2 8o R`�` 83BQ <br /> USF 7.ONE lOT ARFA y���ryt SIIF <br /> G�/ �'FS CNO FEES VAWA710N iEE <br /> TYPF 01 (ON57 OCCUPANCY CROUP NO 01 DWfLI WG UNIiS <br /> ��J 8- z. � <br /> ����<<��N�: sQ�,o. //2 C�o <br /> SIZE OF NIOG NO Of SIORIES n1nX OU IOnO <br /> I PIUMHINC <br /> fBEZONF OASFMENI OfOROUAri FBtSPRINKIEHl <br /> Z �O �. REQUIRlf> � MfCMANI(Al. <br /> nris .r+o 5 UU <br /> APPROVAlS BY DAIE OiHfH <br /> 1 ENVIRONMENTAL CHECK lliT <br /> Pf NAl TY U�C <br /> 7 OUIIDING 4'lANS SfC J07�a) <br /> ] flR[ MYDNANT TOTAL � I ( �O <br /> � R2[ PROTECTION SYSTEM PFRMIT VALIDATION <br /> WHfY PROPERLY l'AlIDn7LU 11N iH6 SPACI�TH151S YOUN PER611T <br /> 5 CNApINQf%CAVAiIpNRCIk�iRINGICRUNHINL <br /> 6 DRAINAGF <br /> 7 ENVIRONMfNTALIMPACTSTA�EMENT <br /> B HEAUM OISTRICT <br /> APPLIUTION ACC BY PUNS CHECKFD 0Y APPR FOH ISSUANCf OY <br /> V. �-♦ <br /> 91 79 <br />