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everei� - ----� r�R►��� -�---.- � . <br /> DEPT. OF COMMUNITY DEVEIOPMENT SERVICES <br /> ❑tY HALL 259-H745 <br /> EVERETT, WA9B201 �COMBINATION ❑ BUiLDING ❑AIECHAkICAL ❑PLUMRING PERMIT <br /> ��Ty Z�p PHONF <br /> OWM1ER M�II AUUN65 Ltic � S � -� -��� <br /> S'.� -�P,e f����. !� �st�� s::$ ��� <br /> �0.CNITECi OR DFSIG�[N mMl���0.[55 <br /> CIIY ZIP PMONE <br /> PHONE IICENSF/ �,a� <br /> CEN[RAICOYiNAC10R / M�IIADDR6$ ���Y �P <br /> , � �n �! lvr�s�" i� / .O//J(,�,� /�r- MRfz�yS�'��t L�il- (e�H-7d7/i¢[s� //L <br /> l.�a. ��iy LIP PHOME <br /> n1fCMANIUI C04iR�Ci00. M IL ADO SS <br /> ��ty ZIP PMONE IICENSF� <br /> PWMPItiGCONTkACiOR M�ILAODRE55 <br /> CUS$OF KORN <br /> ❑NEW ❑ADDITION ❑ALTERATION LA'K�PAIR ❑DEMOLITION L�FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br /> V�IWi�OVOf WORK <br /> 1 � Q l..) <br /> �6[!R�IBC WORK 1 1 <br /> ^.t /1. Q -J...JCiYT:OaJ � �`.µ�"'v <br /> vaovosEous oi nunoivc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> , � PLI�ATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS�ND ORDINANCES GOVERNING THIS TYPE <br /> l[Wl0E5CRIPT10NOiFNOP[R1YIS�OH'NB[lON'ORAITACMfOURCOPlE57 OFWORKWILLBECOMPLIEDWITHWHETHERSPEQFIEDHEREIN <br /> 92 1� �rj' F✓ f� ✓, �"� N pR NOT. THf GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> lUT d BIOIX�_OF �/! D� �, <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ._ � // ANY OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION <br /> �-�• OR THE PERFORMANCE OF COP.STRUCTION. <br /> 5 � � I SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br /> �oe�o� �s5�� '�� w-� x �1.�- ar � F� I <br /> On+ /�'��r' MEGHANIUL <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT <br /> AI7 COND.UNIT$-HP.EA <br /> K'ATER ClOSET ITOLIE71 <br /> REFRIGERATION UNITS-HP.EA <br /> BATMTUB BOILERS-HP EA � <br /> � IAVATORV�WASH BASIN� <br /> �A$FIREO A.0 UNIT$-TONNAGE EA <br /> SHOWER FOkCED AIR SYSTEM$-8 T U. M EA <br /> KRCHEN$INK 6�ISP y,���HE�TERS-B.T U M <br /> OISwASHER UNITMEATERS-BiU M <br /> UUNORY TftAY <br /> EVAPORATIVE COOLERS <br /> CLpiMES wASMER ��OTHES DItYERS <br /> WnTER HEATER yENTILATION FAN <br /> URINAL RANCE HOOD <br /> ORINKING FOUNTAIN <br /> AIR MANDLINC UNIT- C.F.M. <br /> iLOOR DRA'N STOVE <br /> VACUUM 08EANE0.5 <br /> METAL FIREPLACE 8 CNIMNEY <br /> ROOF DRAI�IS-RAINIEADERS <br /> SINN�SERVICE-BAR.FTC) <br /> SU!TOTAL f <br /> SU!TOTAL ►FRMIi S <br /> S <br /> PFIIMIT TO7AL FEE � <br /> TOTALfFF s <br /> PLAN CMECK FEE <br /> SIDE VARO$CTOACK STREET SCTAACK RCAN YAR�SEiB�CK PLAN CHECK NU�IBEH FEF RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FFfS VAlU/.710N FFE <br /> ❑VES ONO <br /> iYPE OF CON57. OCNPANCY GROUP <br /> NO Oi DWELLINL UNITS <br /> 9UILD�NG S <br /> SIZ[ OF BLDG NO OF STORIES MAL OCC IOAD <br /> PIUMHING <br /> RRC ZONE OASEMENT l4OROOMS RFQUIRFIONKlERS MECNANIUL <br /> ❑VES IlNO <br /> A��AOVALS �Y UATE OTHfR <br /> UE C. <br /> 1 ENVIRONMENUL CMECK 115T PENALTY SEC 70$a) <br /> 1 BNLDING PLANS TOTAL <br /> ) fIRE MYDRANT <br /> IEIIMIT VALIDAiION <br /> � FIRE PROTECTION SYSTEM �y��EN PROPENIY VAUDATED(IN THIS SPACEI THIS IS YOUR PERMIT <br /> 5 GNADINGIFXUVATION 6 CIEARINGILRUBflING <br /> 6 DRAINAGE <br /> 7 ENV10.0NMFNTALIMPFCT ST�TEMENT <br /> E HfALTH DISTRICT <br /> APPLICATION ACC. BY PUNS CHECKED BV APPR iOR ISSU�NCE BY <br /> g.1 79 <br />