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-i <br /> ,�,E,,,,9,,,� A P P L�CAY I O N FQ 4 everett <br /> ��TM�F CONSTRU�;�IOh e <br /> everett PERMIT <br /> DEPT OF COMMUNRY DEVF.LOPMENT $ERVICE$ <br /> CRY HALL 259�8745 <br /> EVERETT,WA 98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNfN MAIt AOOYFSS CIIY ZIP PHOVF <br /> S�tWJS �Ke�.K�Asc(� f 2Ao( I.l�w✓�tic R�l So Lv�3r� W�4 4����f <br /> nau�rt�craeo�sicnFa nuanouniss cirv zir v��or+[ <br /> GkN(R�l COti1RAC10R bUll�O�RE55 CIiY ZII' PHON[ lIC[f:5f Y <br /> I�L14YLeL�'( Cr.r��.J�cw��.,�tS ?La� (�'�J�J3 S,� S`.1ASTi.E wl�} I�fS� Wr1-�SA-:�4-G�fL.rt <br /> M[CIUNIUI COti1RRf.lOH M1IAIL�UURl55 UiT 11P PH04F IICFNSE Y <br /> �1Cdf.i�r C^hJaJ.IlG1ly1J� ?6t) l 6���'i./�S� SY�CCtc ��A- �I�131F wM.�S�R��.4-6Ktt�• — .i <br /> 19l:NpOC(U4IH4C10R n1All6DDNL55 ❑tY l.IP PMOti[ IICFNSE� <br /> �aac�6g�z_3k33 — <br /> (USSOf\\OHK f � <br /> ❑NE�V ❑ADDITION ❑ALTERA710N ❑REPAIR ❑DEMOLRION ❑FENCE ❑SIGN ❑GARAGE ❑eUILDING RELOCATION <br /> wiwnou o�woiyl- <br /> f � Sd <br /> otscHiet��oxK 1 r 2fG�c1� l.(� <br /> Nw? E,�����a Ri��M1o+K1� So s.�/hsr AS ;u.,°: Si��J iS (�R,�3�'►�C��r i� � �y(K�i'� 637-7� <br /> rxovosioust cs�� � HEREE3Y CERTIFY THAT 1 HAVE READ nND EXAMWED THI$ AP- <br /> �I lC 30./�,L PLICATION AND KNO�V THF SAME TO 8E TRUE AND CORNECT ALL <br /> i�cni ut5cairnou ov enov[q�risNowH ntiaw a�n�rncN rouk mvitz� PROVISIONS OF LA�YS AND ORDINANCES GOVERNING THI$ TYPE <br /> � �I L{ f NS(1QutY I1��I ( OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREiN <br /> ior _A�ocK_ar OR NOT THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AULHORITY TO VIOLAT[ OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULAT�NG CONSTRUCTION <br /> OR TH[ FRFORM�NCE OF CONSTRUCTION. <br /> SIG�AiU : njF CO`17RACTOft OR A ' HORIZED AGENT DATE <br /> � <br /> IOB�DIlMI15 �-� � <br /> Il� S �20.�wi�l r X � µ�z�kL <br /> PLUMBING MECfiANICAI <br /> NO. 7YPE OF FIXTURE FEE NO. 7YPE OF EQUIPMENT FEE _ <br /> WATtHCLOSET(TOLIFTI AINCOhD UNITS-HP kA <br /> ItAiM7Ut1 HffNIGfNn710NUNIiS-HP EA _ <br /> � UVn?ORY�WnS�� HASIH� IlO1LlRS-��PfA <br /> SMOWfR GASFIHkDAC UNIiS-IONNAGCFA <br /> KIICHEN SIM1K 8 D6P IOHCCD rIN$1ST[MS-f{T U ��1 fA <br /> D6W�SMEft \YALL MkATF1:5-0�U M <br /> UUNUNY TB�V UNIi HtATFkS-fl 7 U M <br /> CIOi Hf$VVASHlR f A'�POHAIIVE COOLERS <br /> \VAIEN HEA7CR CIOTMk$DHYFNS <br /> URINAL VENTIUTION fAN <br /> DRINKINC fOUNiAIN H�N�f HOO� <br /> f I OJR DNAIN AIB M�NOIING UNIi- C F M <br /> YACUU��IiREAKERS S10A'F <br /> ROOf DRAINS-HAINLEA�FNS ME iAL f IftE PLACE A CMIMNFV <br /> SInK 6ENVICE-OAR ETC 1 <br /> SUB NTAL SUB iOTAL s <br /> PEFMIT S PEFMiT S <br /> iOTAIfE[ S TOTALfEE f <br /> SiOF YAR�5!lOACK STRFfT SL ipACN HMN YAkD StTOACK PUN CIII.CA NUMIILR PI.AN CM�CK iFE <br /> FEf RECEIPT NO <br /> USE ZON( lUi ANkA yq[qNI SRF <br /> ❑TES [_.M1O fFES �AWATION FFE <br /> TYPEOFCONS. GCCUPANCYGNOUY NOOIUWkLLINCL'.':If$ <br /> IiUILUInG S Q� <br /> SIZE OF HLDG NO OF STORIlS ���x �« <U��� <br /> PLU�Vifl.':G <br /> ��p[ ZpY[ OASEMENT I1fUNUU.US ��Y,{ SVHINKLENS I <br /> NEQUIRfD p1fCHAMUL <br /> ❑YIS CNO � - <br /> APP0.0WL5 BY OATf OiHIR <br /> 1 [NVINOtiMINTAL CHCCK USi Pf`IALTY U HC <br /> ifC 4(tflal <br /> z. euaoiNc ruvs <br /> TOUI <br /> 3 flfl[ HYOHANT <br /> 4 FIRE YROTFCTION SY57lM PERMIT VALIDATION <br /> � WMt.N PNOP[Nl1'�Ul1�AiLU pN iHIS SPAClI i1115 IS\OUH VtRMIT <br /> I 5 GRADINQf%UVnTIONAQFARINGIGRU�NING � <br /> 6 ONAINAGE—_ <br /> 7 fNVIRONMCN7AL IMPACT S7ATEAIENT <br /> 8 MEALTH DISTRIQ <br /> APPLICAiIONACC tlY PLANSCHfCKf�� �P��j�SS���F dY <br /> �� <br /> .� �� ,/. <br /> 9.7�:9 � <br />