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, AP LICATION FOR <br />�NSTRUCTIC�N � everett <br />evereit PERMIT Ei <br />DF.PT. OF COh1n7UNllY DEVELOphIENT S6RVICES <br />CITY HALL 259�8745 <br />f.VERETT, N'A 98201 ��OMBINATiUN <br />❑ BUILDING ❑MEC:IpNICAL ❑pLUMBING PERMIT NO. <br />ONM1EF AIAIL ADUMES$ <br />/. _ _ _ ^ _ ❑1V Ili PMOV[ <br />!JR <br />Si <br />r��onc <br />r <br />nuuuwuimvianctox .��utnooeiss <br />air �ir r�wae ucensF a <br />rtunlnl9r.cRaanttOa sUl1 nooNE55 <br />fllY ZIP PHO�[ IICENS[y <br />itn» UI \\'ORK <br />�h�E�v ❑ADDITION <br />\'�WATiON Of \V�O/RA'}n <br />S ; T /L' � <br />OiSCRIfi! N'00.K <br />r0.0PO5F[J USF Of INIl01rvG <br />❑ALTERAiION ❑REPAIR ❑DEMOIITION ❑FENCE �ISIGN ❑GARAGE ❑�UILDINCRELOCATION <br />L[ WL DESCHIPiION Oi PROPEPTY �SHOIVH p[101V ON AiIACM fOUR COPiES� <br />lOi � BIUCK _� pp <br />io� nonarss <br />�� l . <br />PLUMBING '� - <br />NO. TYPE OF FIXTURE <br />\5'ATfA CLOSET (TOIIETI <br />RATiIUB <br />LA�ATORV�lVASH fiA51N) <br />SH J1YE R <br />KIiCHFN SINK A �ISP <br />SIUE <br />LAUNORYTRAY <br />CLOTHES\1'ASHEH <br />URINAL <br />FOUNTAIN <br />FIOOR DRAIN <br />VnCUUh1 11RF.nKCHS <br />HOOF DRAINS—RAINL <br />SINK (SFN\9CF—flAR, E <br />SUBTOTAL <br />TOTRLFfE SI <br />1FTSFiOACK RfARY4RI] <br />US[ ZONF L07 ARf A <br />T1PE OF COtiSi OCCUPANCY <br />SIJF OF <br />FEE <br />YAi'qN7 SIII <br />.."1} '.:\(: <br />EOUP NO Oh JIYI If WG <br />5 .VA% OCC IOnI] <br />^in�c�rvr IIiASf�tIFNi I IqUkl)f)V1 fIB151'Hln <br />RI QUIRI U <br />Wf5 : <br />APVROVALS OY <br />1 ENVIRONMFM1TM CH�CK LI57 <br />2. 9UILDING PLANS <br />7 FINF HYDftqNT <br />4 fiN[ PNOIIC1104 5157fn1 <br />i t.k�UING�I AC�V,A I IUY R( 1 I AN INGi;kUNI11NC <br />� uenir+nee <br />7. ltiVIRONMFN'AL IMPACT SfAIIA11NT <br />I HERE�Y CEPTIFY THAT I Iii1VE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO 6E TRUE AND CORRFCT ALL <br />PROVf510NS OF LAWS AND ORDINANCES GOVERNING TIi15 TYPE <br />OF `.NORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. ��HE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />G!VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of <br />ANY OTFIER STATE OR LOCAL LA�N REGULATING CONSTRUCTION <br />OR 1�HE PERPORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZEm AGENT DPiF <br />C� C (� . /i _ I i / , <br />MECHANICAL <br />N�• TYPE OF EQUIPM <br />AIR COND. UNRS—HJ'. fA <br />ItEFRIGERATION UNITS—Hp. Ei <br />�OR[RS—HP. PA <br />GAS FIftED A.C. UNIT$—TOtiNA <br />FORCED AIN SYSTEMS—I17L. <br />IVALLHEATERS—�.i.U. M <br />W\'ITIIEATFRS—IIS.U. M <br />F\'TPORniNf COOLERS <br />VF <br />HOOD <br />JDLING U�IT— (.�.�� <br />STOVk <br />.VC7AL FlRkPLACE A CHIAWEV <br />SUB TOTAI <br />__�, PFRMIT <br />TOTAL FEE <br />PtnN CHFCK NUMIIPH <br />ffl <br />FEFS Vei <br />IiUll DIAG <br />PILM1IINNG <br />.�1kCHAMC,AI <br />OATE p7���q <br />N HI�I.TiI �ISiHICi <br />f.PPLIU110N ALC Ilt PLANJS CH(CKfD 111' APPR fOH ISSUANCI IfY <br />%'�7' 7 •-7�� <br />P( N�I.iY <br />51 <br />l <br />EA <br />UIlC <br />SEC 30l(a) <br />� <br />S <br />5 <br />1'IAN CfIECK FEE <br />REIEIPT NO. <br />�N FF <br />e� <br />iEE <br />iOTAI I I � I� <br />PFpM1T VALIpqTiON <br />wr�t N r��s r vniio�J rHis s�,s isy�u,a,r r� � <br />� o �[ �N I � �� S��) <br />�tii c�'�; <br />NpV 9 1979 <br />ll—`�—�� � <br />\/ '^ _ _ <br />Il�l3l?� ' <br />G✓Ilt,tG ��Ar.v PvB �iv 'oii.l <br />�(Z1('A'T� �?.�O�T�' <br />