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. � A: .'LIC�►TION FOR <br />'",E"`°`"° �CONSTRUCTiON <br />crtr or <br />eve�ett PE RM IT <br />CEPT. OF COMMUNITV DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA9B201 �COMBINATION Q BUILDIWG ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />everetl <br />e <br />GfNIRAICONIXAC100. M.111�00RI55 CItY ZIP PNOHE LICENSf1 <br />�'� C <,_., /'.... /�i.r'i� .�ih,�.c_ /�v,� ,v rie� -rr�i3s �GJ=uz�/y ,z7oz? <br />�1 <br />AI/�IL <br />UIY <br />�IO��11�e�t NNipK10R nlell �DOX[55 CIIY 2�P VHOrvE LI[EHS[ / <br />�NEW ❑ADDITION <br />� nw�nrn+or woAK <br />' ZW 5�0 °--` <br />mu'eim wna� <br />icic�v <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE p151GN ❑GARAGE ❑BUILDING RELOCATION <br />IIUI OISCXIP�IOu OI fROPlRLV ISMO1tiN flLIOW Oq �tUCN fOU0. COPII51 <br />l01 _ Pl0[c _ OI <br />ION+Dp0.155 /� •"'�� <br />9� CJ J 041N �% <br />PLUMB�NG <br />NO. TYPE OF FIXTURE <br />N'nTFR ClOSET �TOUEp <br />P�THTUB <br />UVATORY �WASH PASIN) <br />$MOWFR <br />KITCMEN SINK 6 DISP <br />DISwASHfR <br />�AUNDHI'TNA1 <br />QO7HL5 �v�$M[R <br />WA1fN HfATER <br />URINAL <br />ORINKI4C FOU`1TAIN <br />FEE <br />VACUUM BRUKERS <br />ROOF DRAINS—RAINIEADFRS <br />SINK �5[RVICf —BAR. :TC 1 <br />SUlTOTAI <br />PERMIT s <br />TOTAIFEE s <br />........�. ocrriViPAfK RURYARDSET <br />USE ZOHF LOi AHFA <br />TYPE OFCON57 OCCUPANCY GRC <br />SIZE Of OLDL NO OF $TORIES <br />vmo mvi OASEMFNi 8l <br />M���)�ALS <br />1 ENVIRONMENTALCHF�K:.IST <br />2 BNIDING PUNS <br />7 FIRF MVORAHT <br />� FIRfPROTFCTIONSYSTfM <br />S GNADINQfXCAVA710NAClkARINGIGNUHNING <br />b DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B MEAUH DISTRICT <br />APPLIUTION ACC BY �LAMS�%fCKF,q <br />9 7 79 <br />VACANT SITF <br />❑YF$ GNO <br />NO OF �W[ILING U <br />MA% OQ IOAD <br />FBE SPRINKLENS <br />REQUINED <br />C]Y[5 f7N0 <br />!Y DAT[ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRF.SUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUNf OF CO�Li1WCTOR �R'RUTMORIZED AGENT DATE �O//� <br />/ / / <br />MECMANIUL <br />NO. TYPE OF EQUIPMI <br />AIH COND UNITS—HP FA <br />NEfRIGFRATION UNITS—NP EA <br />fiOILERS—H P EA <br />CASFlRED�C UNRS—TONNACEEA <br />FORCED AIR SYSTEMS-8 T U. M EA <br />\VALL MFATERS—B 7 U M <br />IINITMkATfRS—RTU M <br />RANGEHOOD <br />AIR HAN�LINI <br />CFM. <br />FEE <br />MEUI FBCPLACf 6 CHIMNtY <br />SUlTOTAL f <br />PERMIT f <br />70iALiFE s <br />PLAN CH[CK NUMOER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES V�lUA710N iEE <br />dUILDING ° L��. J� <br />PWMI3ING <br />MLCIIANIGL <br />OTNER <br />PENAIiY U.BC. <br />SEC. lO7�a1 <br />TOTAL <br />PElM1T VAIIDAiION <br />\YHEN P20PERLY VALIDATE (IN TFII$ SPACE) TMIS IS YOl1R PERMIT <br />l0 - f� vPv �� <br />