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� <br />i <br />�n.E..,o,,.� ��o N E RM I T10 [V `� °"� <br />�,r oF u <br />ever�tt T <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�87i5 � � <br />EVERETT, WA9B207 ��OMBINATION ❑ BUILDING ❑MECHANICAL <br />❑PLUMBING PERMIT NO. <br />f �R ' _ �J+/�l� eonxiss <br />ri IOCYlJ' ��TY Z�P PMONE <br />�: . <br />1 Zsy- <br />�ai � bZt Y�2o3 <br />�rtCMANIUI CONIR�CiOR M�II �OORfSS UfY <br />LIP PIIONL UCENS[ � <br />� '-'�� �'23s/ <br />1'lUMplu� �ONiRnC10R � AIAII �DOR[$S ��Ty � <br />ZII PMONE IICENS[ I <br />[1n11 Of wORK,,�/ <br />JNE\Y p�ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARA(:� ❑�UILDING RELOCATION <br />VAl W LIOM Of NORK �p <br />� �D. 6Uci �-- �.�0�'Q <br />o[scu u� woac i — <br />PHOPOSf D lbf Ot.NCRDING �+ <br />`3w�_k `3.a..,c-� �-hu� - <br />IEGAL OFSCRi `TIOV U� PROPFNIY �SHON'N BFION' OR Aii�A/CM {OpR COPIf$1 <br />t01 �BIOCK_�Of _ SC I<L C/ SG�%� <br />NS � ZE3 f-� •�'K S L, GU !� <br />S*�- S:-k Pla»-�� �5�..,o-I <br />10� nODRE55 <br />.F��r�{�M--.t.L.2 �✓<M �TZt7 S.E. , <br />PLUMBING I`r7 <br />NO. TYPE OF FIXI ��E <br />\vATER CLOSET �TOIiET� <br />61ICMEN SINK 6 DISP <br />DIS\vASH A <br />UUNDRY TRAY <br />CIOTHES wASHFR <br />WAT[R HEA'iF <br />U5�NAt <br />Cr.Ir,KING F(N�.jnIN <br />1 LCOR DRAIN <br />�AClUnt9REAcfRS <br />RJOF DRAINS—RAINLEADERS <br />SI�K�SERVICE—BAR, ElC) <br />SUBTOTAL <br />!ERMIT <br />70TALfFE <br />USF ZO!�E . lOt nREA <br />TVPE Of CC,'•�.� OCCUPANCY <br />SIZE OF plD[� � � � Of STOF <br />fINE ZONE �!�ASEMENT <br />. . . APPROVALS <br />/ ENVIRONMENTAI CMFCK LIST <br />2. OUILOING PLANS <br />J iIRF M��FArvT <br />� FIRE PROTFCTION SVSTFM <br />5 GRADINUI%UVATIONB QEARINL�GRUtlflING <br />b DR�INAGE <br />7. ENVIROi.:AfNTALIMPACTSTATEMENT <br />D MFALTN DISIVICT <br />APPL'GTION ���. BY PLANS CHECKfD BY <br />�[N'/ YT��7 <br />9.1 79 <br />S <br />I HEREDY fERTIfY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORVIN�NCES GOVERNINC Tlfl$ TYPE <br />^� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OH NOT. THE GR4NTING OF q PERMIT DOES NOT PRESI�ME TO <br />GIV[ AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTI04 <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OECONTHA�R OR AUTHONIZED ALENT DATE <br />MECHANIGI <br />FEE NO. TYPE OF EQUIPMENT <br />AIR COND UNRS—H P. EA <br />REFRICERATION UNITS—H P Fn <br />BORERS—HP. EA <br />CAS FIRED AC UNITS—TONNACE EA <br />FORCED Alk SYSTEMS—B.T U. M EA <br />WnLI MEATERS-67L. M <br />- UNITHEATERS—OSU. M <br />EVAPORATIVF COOlERS <br />CLOTHES ORYERS <br />VENTLLATifjy FAN <br />RANCEHOpD <br />AIR HANDLINC UNIT— C.F M. <br />STOVE <br />nIETAI FIREPIACE R CMIMUEY <br />� <br />SRBACK <br />VACANi SITE <br />❑YES ❑NO <br />NO OF DwEI <br />CY � DATE <br />APPR. fOR ISSUAN�� BY <br />LOKj <br />LAN [MECK NUMBER <br />�'.�//9s6 <br />-s- <br />SUBTOTAL f <br />PEiMIT S <br />TOTALiEE S <br />FLAN �HECK FEE <br />FEE yO Q�'i RF�i3H <br />� <br />BUILDING f <br />♦ <br />PLUMOING T <br />MfCMANIUI <br />OTHER <br />PENdLTY U.B C. <br />$FC 30H+) <br />70TAL <br />�E&MIT VAIIDATIOH <br />WMEN PROPERLY VALIDATED �1N TNIS SPACEI THIS IS YOUR PERMIT <br />FEE <br />� 95 � <br />FEE <br />�.�d <br />� <br />'� <br />