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AP�.ICATION FOR i ��«<n <br /> fMEwry�� CONSTRUCTION e <br /> C17Y OF <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVEItETT. WA9B2�� ❑�pMBINATiON � BUILDINr, ❑MECHANiCAI C�PLUMBING PERMIT R�O. <br /> OWNfR M�Il1pDM155 CIIY ZIP PMONE <br /> v�nnn�- .h `TURNF� �f�� L-�mf��'-� F��,�r.1( �ta�i.�� a-������ <br /> �IU f i ON OILGVIN Mell eDDNISS CIiY <br /> Z�p PNONF <br /> ' <br /> GINfNAI CONiR�CtOR MAII ADPRFSS U1V ].IF PNON[ IICENS[� <br /> \UCINNIUI COf:BAC10N � MAIL AOORI55 <br /> CIIY IIP PMON( LICENSE1 <br /> fIP��01}CIUNIR�CIOR MAllA00Rf55 <br /> CIiY LP PNON[ llC[�'15E t <br /> t I P�0{KORN <br /> ❑NEW ❑ADD�TION ❑ALTERA710N ❑REPAIR ❑OEMOUTION �FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br /> �vc�,nn�y��S\�n�oan <br /> f lSl�./-�- <br /> UI NIPI \\ONA <br /> �A�.1� �4A�� ��= �� <br /> rxnrnvor+� oi xvnurvc I HERE[3Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �tc.i niscuivnov or rwor�ai���sr+o�n n�iow�ne niuo�rouu mrus� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ��,� � a �,�, CL C�.Kr{ �1Ji�� � OF WORK WILL 6E COMPLIEU WRH WHETHF.R SPECIFIED HEREIN <br /> ii� pia�K �{ y � « OR NOT. THf GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> ` � (' GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> VQ1Ume `� ��� ��c-t' i�t�� 5 ret- �---� c�� ANY OTHER STATE OR LOCAL LAW REGULATING CONST�1 CTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. �(;u/f.J <br /> C L I � � <br /> S �� `�'L�I� �� � 1 SIGNATUNk OI CONIH CiOR OR AUTMOR2E0�GENT DATE <br /> ro un`�: �� J/ ///�/,/{ <br /> I�IH��(1NI4� V /�//�� � (/V��iy � . <br /> /\ <br /> MECHANICAL <br /> PLUMBING <br /> NO. TYPE OF FI%TURE <br /> FEE NO. 7YPE OF EQUIPMENT FEE <br /> AIR COND UM1liS-N P EA <br /> wAi(R ClO5E71TOL1E71 <br /> RFLRIGLRATIONUNITS-HP U <br /> BATIi7UB <br /> 11pILfRS-HP EA <br /> UVA70HY(N'ASH f1A51Y1 <br /> GAS FIN(D A C UNI I$—IONNAGE EA <br /> SHO��'F R <br /> IONCEn��H5Y51[b15-6TU MEA <br /> KI7CH1�SINK E DISP <br /> lVAtlHEniCRS—NiU M1� <br /> DIS�vnSHIN <br /> UM1I7 Ht�7tR5-111 U M <br /> UUNDRI 7HA1 <br /> [VqppRAlNffOOL(RS <br /> Cl01ML5\v�SMER QO7HFS DRYCRS <br /> K'AIFB HkA7fR <br /> VFNilU710N FAN <br /> UHINAI <br /> RANCIMOOD <br /> DftINK�tiG FOUN7AIN <br /> AIN HAIJOLING UNIT— C i M <br /> (IOOR ORAIN S10Vf <br /> \'ACUUtiI NeUKERS <br /> ntf TAl f IRF PUCf 8 CHIAW EY <br /> ROOf ORAIrvS—Rr�NLUDERi <br /> SINK(SENVICf—9AR E1C 1 <br /> SIIB TOTAL s <br /> SUB TOiAL pFRM1T f <br /> 7ERMIT s S <br /> f TOTALiEE <br /> TOTAL FEE p�AN CMfIX FEE <br /> SIDF V�RD 5[111nCK SiRFFT 5(ifl�CK RtnH VAFO 5110ACA PUN CM[CA NUMOCF ffE RECEIPT NO <br /> U5I ZONE l0T AREA y��ANi SIIE {FES VALUA710N FEE <br /> f7YE5 CNO <br /> TVPE OI CO�57 O(CUPANCY CROUP NO Of DWfLLING UNITS <br /> flUI1.OWG S <br /> SIZE OF HLDC NV OF S70RIE5 NAX OCC LOAD <br /> PWMIIING <br /> RRE 204[ f1A5FMEN7 I1IUNUUM11ti REQUIRRIDNKLLRS . MfCMANIUI <br /> flVES !�'.NO <br /> APYRO�ALS BT UATE OTM(R <br /> UBC <br /> 1 ENVIRONM[NTALCMECKl15T pINAtTY SEC 30Aa1 <br /> $ BUILO�NG PUNS TOTAI <br /> ) flBF MY�NAN7 <br /> PERMIT VAIIDATION <br /> � HRE f'ROT��T�n`�SYST[M �yry�N PHOPf HLY VALIU��EU(�N TMIS SPACq TIIIS IS YOUR PERfdIT <br /> S GRAO�NGiI%CAVAiION S CLI ARING!CRUNNING <br /> 6 �RAINAGE <br /> 7 ENVIRONMFNTALIMPACTST�TFM[NT <br /> B HEAITH OISiRICT <br /> AP7lIUTION ACC BY P��NS CMfCKED 8Y APPR FON �'SUANCk PY <br /> q.; 79 <br />