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��,E�s,9,,,� - A�LICATION FOR • <br /> ciTy oF - � everen <br /> everett �ONSTRUCTIOIV e <br /> DEPT OF COMnqUNITY DEVELOPMENT SERVICES PE RM IT <br /> CITY HALL 259-8745 <br /> eveeerT, wqve2ot �COMBINATION ❑ BUILDING ❑MECHANICAL ❑pLUM81NG PERMIT NO. <br /> OWNEN MAII ADI)NI h CIII <br /> ZIP PHONE <br /> 11�.iL �1"l�L /.' G / �� r�R��P � � �r r� . �- �fZ / i y 71 <br /> ARCIIIIfCtOppFSC !R 1 L ODRI55 ❑IY ZIP PHONF <br /> CI1IRAl CpNiRA(lOR M�IL�ODRFSS ���y <br /> ZIP pMONF LICENSf 1 <br /> _V'�G� !' -iv-> T� 5 Y7 � 5- � a� v/�ii�' /�'r v i'liii'� ` - �4 9 L 1 sc 7 fVG <br /> Il Cµ(O IN CION Il DORBS CIIY LIP p110NE <br /> UCENSE I <br /> 19l'NIII\11(UNiq�[�OR MAII ADOR6S (IIY <br /> Z�P PHOnE IICENSE Y <br /> CI���OI NOqK <br /> ❑NEIV �qDDITION ❑ALTERATION C�REPAIR ❑DEMOLITION ❑FENCf. ❑SICN ❑GARAGE ❑BUILDING RELOCATION <br /> ��ic+nnn ai woet <br /> ' S, m�, `= <br /> ❑I�lRlllf NpPA <br /> �� i f� N: 7[l.l � <br /> �'NUPn51 O I�SI OI I�W l U��+G <br /> I HEREUY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br /> i�r.0 rnxuirnou ov raor�ai�is��owH n�iow on n�ucr�roun mrnsi PROVISIONS OF LAW$AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL 6E COMPLIED WITH WHETHER SPECIF�ED HEREIN <br /> <<�� �xioc�_ur OR NOT. THE GRANTING OF A PFRMIT DOES NOT PRESUME TO <br /> � GIVE AUiHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> I7— 7-�` —S ti/t ,i �t ' — ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUHF 0I CONiRACTOR OR AUTHORIZED AGENT DATE <br /> u»uoneiss <br /> 07- , l�vi/li1 "�� �, � �� <br /> X � /_ ,� �, S-/.�-� <br /> PLUMBING MECHANICAL � <br /> - NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> \YA7[RCLOSET�70LIf71 AINCONp UN115—HP EA <br /> PA7 i WE1 NfFNICENATION UNITS—H P EA <br /> I M'A70RY�W:15M pASIN) 1101LlBS—M P EA <br /> SHOWfR f,n5 HRED AC UNITS—TONNAC� EA <br /> KI7C4l�' SIM1K h DISP lONCFD AIH SYSTEMS—B T U M EA <br /> D!$WASHER K'ALIHkAiERS-pTU M <br /> UU'�'DRi 7RAY U�II HM�;NS-E7 T U M <br /> CIOIMfS lVASMER I\'nPORAi1VE COOLfRS <br /> lVAikH NEAiER ClO7H!5 ORVERS <br /> URINAL VI Y�ILATIOrv FAN <br /> _ DkINKWGfOUNiAIN RANGEMOOD <br /> FI.008 �HAIti AIN HANOLIYG UNI7- <br /> CFM <br /> l'A(UUM 9RFAKLRS S10Vf <br /> HOOf pftA1N5-HAINLEAOFRS .�ItiAL IIRtPLACF 8 CHIMNEV <br /> SINN 6FRVI�f-NAR. f iC� <br /> SUBTO'AL SUB TOTAL S <br /> PENMIT S PERMIT S <br /> TOTAL/EE S TOTAL iEE S <br /> SIDF V1HD Sf 10��CK $7RFFi SCTflACK RMk YAND SE111�CK PIAN QI[CA NUAlI1ER pUry CryKK FEE <br /> s� ZOFT ZOr� �� .. FFF HECEIPT NO <br /> USF 7.Otif lOT ARFA ' � ' " � +"-/' �V • <br /> VAUNI SI7E � <br /> ��� :]YFS 'GKO� � �EES �I yALUATIDN FFE <br /> IYPf Of �;Sl O[NPANCY CROUP NO OF DWfIIIN(;UNIiS <br /> �l�r �_ I `— I3UIlf)IN(; y��M•VD � � <br /> SIlE O�-l� I l0(l NO Of SiORIES h1A% OQ LOAU t�.ti+ <br /> d X�Z ' PIUMNING <br /> llNf ZOtiF flh5[MENi IIII)ROOat} fBf SPRINKIfkS <br /> 3 `__ _ RFQUIHID MECMANIUI <br /> �-��s .�r <br /> APPROVALS BY DATE OiMfR <br /> 1 ENVIRONMEN1Al O1fCK LISi <br /> Pf NAf ly U d C <br /> 2 13UIlDWG PUNS $EC 703�a� <br /> 7 flRf HYONINI TOTAI �� OQ <br /> a fINF PRO7ECTIOti SYSiFM PFRMIT VALIDAiION <br /> S Gknf)ING7%CAA'n110N 8('LlANINGGRUHHINC AV1�EN PROPERLV Wl10ATE0 pN THIS SPACE�THIS IS YOUR PERMIT <br /> 6 DHAINAGF �1����NC.�E C���� <br /> 7 ENVIRONMENiAI IMPACT SiATfMENT <br /> �� <br /> e Ncnirr�oisraict �'�. To w� Tx �u 3 (y'� OF Fe1t��Ty <br /> APPIIUTIOI:ACC BY PlANSCMECKEDPY APPR fOR155UANCF NY ��pE�QqL� �,�� .`a <br /> V: C� <br /> g.i 79 <br />