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��.Ew.,�.� APPt ICATION FOR <br /> �,roF CO� P RMI�TIOh `"e <br /> � everett <br /> DEP7. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALI. 259�8/45 <br /> EVERETT,W�98I07 ��OMBINATION <br /> ❑ BUILDING �MECHANICAL ❑pLUMBING PERMIT NO. <br /> �� � <br /> mui�oou�ss <br /> ' - � n r , UTY Z P PNONE <br /> f� �L .>7 � /„���/7�1�. � .��;C� ,� / / —, _ . <br /> /�i,.� '/:�.,, :r.��.� . �/� �_7 ,S �%; � ., �_,.-/ % <br /> ANCIIITqiOFp(SIGN[P ' �'-/ .� <br /> � MnIle0DPf5S CrtY ZIP <br /> PHONE <br /> C[niR CONIpA[i00. �j MAIIApDMESS <br /> � ,' / fliY ZIP PMONE U:p� I <br /> .�.�'t4 i 1 Y.l,CI. /./f`1_�.�� �. /. ,-rr .: � ' rr. %"� �_?_. � _> (,/--. % ' <br /> r.�ioe iuico rancwW � ° ' / l'�F ri fl�f i'"' � ,1J , .; r'," �:.''��i�7n�/,�,F'/" ) <br /> M Il DDql55 ❑iY CIP � <br /> PIIONF IICENSE t - <br /> PIUMIIItiCONiNA[iOR MAILAOOftE55 <br /> Uiv ZiV PMONF tiCENSE/ <br /> CU55 O!NORK ' ��� <br /> �NE\V ❑ADDITION ❑ALTERATION ❑REP�IR ❑UEMOLITION ❑FENCE ❑SICN C�GARAGE ❑BUILDING RELOGTION <br /> \'AlU�ilOtiOfN'ORS ,� <br /> y 'l. '_.".__ <br /> l <br /> DfSC�Nj�N'ORK � / <br /> y�/1lC�r-' I 1 <br /> �I' V J �f I� (� f .'�1_'. ��. <br /> PqOVO5t6U5FOf flWlplN� <br /> ! HEREBY CERTIFY THAT I HAV[ READ AND EXAMINED THIS AP- <br /> ���������f '��� '�'- PLICATION AND KNOW THE SAME TO BF TRUE AND CORRECT ALL <br /> LFG�lOkSCRIPI�0��0lPROFfHiSISNUNNtlEION'OMAl1ACMfOUNCOVIE51 PROVISIONSOFLAWSANDORDINANCCSGOVERNINGTtiISTYPE <br /> io�_moc�_ur OF WORK WILL BE COMPLIED WITH N'HETHER SPECIFIED HEREIN <br /> OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE /,UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CON5.7RUCTION. <br /> SILNATUHE OETONTRACTOH OR AUT ORIZED AGENT � j , <br /> DATE <br /> 100 nDpqtss� . , .`;' � � /' � <br /> ���.d�(�/ . I . ��%.i /': _/�� / 1 i::..�-+ X �ii AT �� �� <br /> � ,/.:;i � t J d:`:�L- . /,,' .•'t��'r� <br /> PLUMBING MECHANICAL � � � <br /> NO. TYPE OF FI%TURE FEE NO. ,T��:OF EQUIPMEN7 FEE <br /> K'ATER CLOSLT�TfltlETl AIH COND UNIiS-HP.EA <br /> OATMTUU NEFRIGERATION UNITS-H➢.EA <br /> U\'�TORY pVASH PASIN� UOILERS-N P U <br /> $MOWEN W$iIR[D�C UNRS-TONNAGE fA <br /> KIiCHfN$INK R DISP f00.CED AIR$YSTEMi-B T U M EA <br /> ois�vnsn�e <br /> WALIHEAiLRS-OT.0 M <br /> UUNDHY iNAY <br /> — U417 HUTEftS-0'. V M <br /> CLOiN6 WASHFR FVAPORATWE COOlLRS <br /> WAiFN MFAT[H CLO7NFS DRYEHS <br /> URINAI V[NTIUTION FAN <br /> DHINAINL 1'OUN7AIN RANG[ MOOD <br /> �IOUR URAIN <br /> AIR HANULING UNIT- C F M <br /> VnNUM OHUKI NS S70VE . <br /> HOOF DNAWS-RAINIFADlHS MEUL IIREPUCE 8 CHIMNEY <br /> SINK�SERVICI-11AR,EiCI <br /> SUB TOTAL <br /> PERMIT � SUB TOTAL f _ <br /> FERMIT { <br /> TOTAL FEE S TOTAI fEE f <br />�� SIDF YARD SRIIACK STRCET SETpACK RUR YARO 5[TfUCK P�AN CHLCA NUMII[R PLAN CMECK iE[ <br />�+ FEE RECfIPTNO. <br /> U$[ J.Ou( LOT ARlA VAUN7 SITE <br /> ❑YES ❑NO fFES VALUATION fEF <br /> 7YPE Of CONST OCNPAN�y GROUP NO OF DW(��ING UNIiS <br /> IfUIl01NG S <br /> SIZE Of 9LDC NO OF STORIFS MA% OCC IOAU <br /> VWMf11NG <br /> ��H� ZUti� PASEMENT ULUROpMS FlR[ SPRINKLfRS <br /> RfQUBkD MECHANI[AL � <br /> C7Yf5 ❑NO <br /> APPROVALS !Y D�iE OTHEH <br /> 1 EM1VINONMENiAI CHLIX LISI <br /> 7 �NIDINGNUNS PfNAITV UBC. <br /> SEC l03(al <br /> J fIHF MYUFANT TOTAL <br /> 4 RRf. P0.01LCTION SYSTEM PF�MIT VAIIDATION <br /> i GNADINC,R%CAVh710NbCLIANINGIGRUNflING WHENPROPERLYVALIDA7EU�W THISSPACqTHISISVOURPEHMIT <br /> 6 DRAIN�C[ <br /> 7 ENVIRONMfNT1l:M1IPACT STATEMENT <br /> B HUITH OISTNICT <br /> APPLICATION ACC.BY P�ANS CHfCKED BV APPF FOR ISSUAN[E BY <br />� �' <br /> 9 1 '9 <br />� <br />