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Ihe Evar9resn .� � � � ' � � � r � � � � � <br />��TM�F. - CONSTRUCTION <br />everett PE RM IT <br />OEPT OF COMh1UNITY DFVELOPMENTSERVICES <br />CIiY HAIL 259�8745 <br />EVERETT.\VA90201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWN[R n MAII�ODNISS � ❑IY 21P VNONf J� <br />, �� �� _ / ^ G` � � �'{ ��^� � <br />: rc.a lG',r:«���,-r, w r( H�: l7•2 � �'°�a-i� -� Z¢•^x.ra� r��. 0.� <br />fHC�I�C�OROFSIGN[R ' � M11,11lAppNF55 C CIIY, �� 21P VHONE <br />1J w/ �lot.L��_ ��£ 'i G 3 — /�fI`,CTI �J � v ,i�<c�z�^cl' �f(D-�G� %7� - <br />C(NRlel fONIPAf�[lR M1UII AODNISS _ ��Y $IP P110Nj ��� <br />everetl <br />� <br />MFUMNIUI CONIqAC10N M�II AODRE55 CRY LIY PNONE LIC[NSf I <br />{ <br />CIUnIp:�+G COa1R�C10R MAIL ADDR[SS CIIV ZIP PIIONE IICENS[ I <br />v <br />'i�NEN ❑ADDITION ❑ALTERATION ❑REPAIR ❑DE�70UTION ❑FENCE ❑SICN ❑GARAGE ❑DUIL�ING RELOCATION <br />�W�IICNOi\VONR . � .! 1�.. <br />s 1"ia.� coo J'i'.d-�a� _� , i u:�'�y--a ��� <br />raor seo usF or eunou+c <br />�L_ � ld.Y <br />tFGAI UKCNIPiI�Of YROi <br />ioi�' C/k <br />ion �noaiss <br />� �. <br />PIUMBING <br />TYPE OF FIXTURE <br />CT IIOLIEII <br />[1A1HtUB <br />lM'ATURY I\YASH <br />SHOWLR <br />AIICNFN SINK b U <br />plSwnSME R <br />IAUNDNYTNAI' <br />CLOfHFS N'ASHEH <br />VRINAL <br />nRINKING fOUNTAIN <br />fIUUN DRAIN <br />VANUM fik[AKLRS <br />RDOF DN�IN$—RAINLEAUfNS <br />SINK (SFPVICF—�AR ETC 1 <br />+ I HEREUY CERTIFY TI1AT 1 HAVE READ AND EXAMINED THIS AP- <br />� � �� , � .yy, PLICATION AND KNOW THE $AME TO 8E TRUE AND CORRECT ALL <br />�ItACH un cotAsi PROVISIONS OF LAWS AND ORDINANCE$ GOVERNINC THIS TYPE <br />•�S �. ` OF WORK WILL OE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THF GRANTING OF A PERMIT �OES NOT PRESUME TO <br />..�y�- GIVE AUTHORITY TO VIOLATE CR CANCEL THE PROVISIONS OF <br />r �-to� ,(:t• nNY OTHER STATE OR LOCAL LAW RECULATINC CONSTRUCTION <br />�_��—Z�j_ — OR THE PERFORMANCE OF CONSTRUCTION. <br />_ ( _$IGNATUNE OF CONIRACTOR OR AUTHORIZED ACENT OATE <br />Y � J �� _ / <br />�j--��, - ,Fl -,. r ," v�. ,1 l�i�� ��t_.�-� J��z�iF3 <br />SU! iOTAI <br />PFRMIi f � <br />10TAlfEE S � <br />SIDfYARf]5[10.1CK STRfET5T0ACK RUBYAftD [lfl� <br />!� � M l�-1 <br />USE ZONE LOT AHEA yACANT SITE <br />' `�`f3vs`� !•9`f,oc� �cs ❑No <br />1YPE OF CONST� �J OCCUPAN�Y LI UP NO Of OWELLINI <br />�I a;, 4 ° --�.,� A — <br />$IL[ OF DC �� r r'+O Of $TORIK hu% OCC LOAU <br />.� .�u.� �:�cc� 2 9 8 <br />FIRE ZO E OASEMENT I7tDNOUP <br />APPROVALS <br />1. ENYIRONMENTAL CM[CK LIST <br />2. BUROING VLAN$ <br />3 fINE HYDNANT <br />� FIRE PROTFCTION SYSifM <br />5 GRADINGitXCAVATION6QfARINLIGRUONING <br />6 ORAINACE <br />7.ENVINONMFNiALIMPAQ STATEMENT <br />B HFAITM DiSiNICT <br />er � DATE <br />APPLIUTION ACC. BY PUN$ CHECKfD BY APPB. FOR ISSUANCE <br />�.%,. �Wl�� <br />9•1 �79 <br />MECHANIGL <br />NO. TYPE OF EQUIPMENT <br />AIN COND U"1�T$-H P. EA <br />RFIftILENAIIONUNRS-HP fA <br />BOIlERS-HP E� <br />CASfBEUAC UNttS-IONNACFCA <br />1 !O{tC[nAIN5Y5iFh15-01U �' <br />1VA11111AilRS—BiU M <br />UNII IlfAll NS—B I U��'�Jh1 <br />F\'APORAIIVE COOlERS <br />� CIOIHES DNYERS <br />YENIIlA710N FAN <br />HANGFIIOOU <br />AIH HANDIINC UNIT— C.F M <br />STOVE <br />MF7nL RRFPUCE 8 CHIMNEV <br />PUN CIICCK NUMOEB <br />$'3�/ / �3S <br />FfE <br />SUBTOTAL s " <br />PENMIT 3 <br />TOTAI FEE s <br />pLAN CIILCK FkE <br />FEE p3 REIFIPT NO. <br />y � tt' � / ' � <br />VAIUATION FEF <br />�UILUING 3 �O My-\.� � <br />U:-V <br />PLUMIIINC <br />MECHANIUL � <br />OTFIFR <br />Pf NAIiY U fl C. <br />SEC JOl(al <br />TOTAL ' <br />�EIIMIT VAIIDATION <br />WIIEN PROPERLY VALI�ATEU (IN THIS SPACE� THIS 15 YOUR PFRMIT <br />���'- �L /.,' �f'( I! l�•;.i�4, l/%,Jc, <br />,`. <br />:.,:..e�':. <br />. ';i�ii.'�::�:.. <br />.� <br />' <br />i <br />; <br />. <br />c ;;!�';'. <br />1 <br />� , •,; <br />k Zg:. <br />��� <br />� 'F,! <br />1 ""�; <br />} <br />�....',� '. <br />i .,::i< <br />