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` PPLICaTION F�R ��� <br /> ,^.Ewro�.° �CaNSTRUCTIOn <br /> GITY OF <br /> everett PERMIT <br /> DEPT OF COMMUNITY OEVELOPMENi SERVICES <br /> CITY HALL 259�8745 <br /> EVERET�.wnea.ot ��pMg�Nq7�ON ❑ BUILDING ❑MECHANICAL ❑PLUMBING PE�RMITN <br /> —�— rnniinoox�ss cnr (.7`-/ <br /> o���a a1 �/ ��.c„ �sa- 9 <br /> � /�2/r"£SS d 0/Q 6/lR4 r�L�Pff. zir rHOH� <br /> MAII�DDR65 / <br /> A0.CMIl[fIORD[9LnfM �J/t��� O'�a(�J � <br /> L� L <br /> �Q�^ � /y'L cISU /+^e� ziv vnoH[ uc[nsE� <br /> GfN[N�IC .iReQOR <br /> Meu nooa ss arr <br /> LIP PNON[ LIC[NSE I <br /> M[(HSMUICONiPACiOR <br /> M.UT A0�0.[55 ���Y <br /> I�p PNONE LICEN5E1 <br /> MAII A�DRF55 <br /> CI\Y <br /> �R��flltiG CON1RnOOR <br /> CU55 Of NORN <br /> ❑NE1Y ❑ADD�7�ON ❑�LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br /> vn�unnnv or woxa <br /> � <br /> oi xmE woxR <br /> 'raovosiousE cr xw�oivc pLICAT ON AND RNOW THE SAMERTO BE T UE AND'CORR CT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> IFUI DISCRIPitONOt VROF[0.1YISMOWN PFIOW OR AIiACN fOU0.COV161 Qp y�ORK WILL BE COMPLIED W�TH WHETHER SPEQFIED HEREIN <br /> eioca_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> ��'— GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFOftMANCE OF CONSTRUCtION. <br /> SIGNATUME OF CON7RACiOR OR AUTHORIZCD AGENT DATE <br /> /� ` ��//��.. /Q�d��/ <br /> �HM1ODR�SV/C /�OiiW'"WI/Of / — X /L�ii�/ . <br /> �ip'Ul��ff� <br /> MECHANIUL <br /> PLUMBING TYPE OF EQUIPMEN7 FEE <br /> NO. TYPE OF FI%TURE <br /> FEE NO. <br /> AIR COND UNRS-H P.EA <br /> \YATER CLOSET 17011Ep REFRIG[NATION UNI15-HP.EA <br /> OAT11TU0 BOIlERS-��P E� <br /> UVATORYIWASHAASItiI LASFlNfD�C UNRS-TONNAGEEA <br /> SHOW[R fOHCE���R$YSTEM$-B.T U M EA <br /> KI1CH[�'SIUK 6 DISP �y��� HEATERS-O7U M <br /> DISWhSM[R UNITMEATFRS-9TU M <br /> lAUNORY TPAV E\'APORATIVE COOlERS <br /> CLOIHR\vASMER ��pTMES DRYFRS <br /> WAiEH MEAiER yEry7���710N MN __ <br /> URINAI BANGF MOOD <br /> pN1��K14G FOUNTAIN �IN MANOLING UY�7- C FM <br /> iLOOR�RAIN " SiOVE <br /> vANU.N BkEAK[RS ""t�.,-.'--! METAL fIREPUCE 6 CNIMYEY — � <br /> ROOf OHAINS-RAINIEADERS � -+,3--..- <br /> SINK6FRVICE-NAR.[T�1 �-� ' <br /> — sue ror�i s <br /> SUlTO:AL 1FRMIT f <br /> �ERM.T S TOUL FEE t <br /> TOTAI FEE s PIAN CHfIX FEE <br /> 5ipp VARO SCTflACK STftEFi 5[TpACK Mf�S YAkD SETpACK PUN CHCCK NVMUER fEE pfCEIPT N0. <br /> USF ZO��E LOT AREA � i?"��NT 511E FEES <br /> V�WATIOH iEE <br /> JliS ❑NO <br /> OCCUP�NC1 GROUP INO OF DWELIING UNI75 <br /> TYPF OF CONST � <br /> evuou+c <br /> NO OF STONIFS P.1AX OCC LOAD <br /> SIZE Of OLOG p�UM01NG <br /> 6ASEM[N7 IIIUROOMS FlRESP0.1NKlERS MECHAM��� <br /> FIHE Z�NE RFQUIRFO <br /> OYES ❑NO <br /> A���OVAI[ �r DATF OTHFR <br /> OBC <br /> 1 [N':IftONMENTAL CHECK lIST PENAL7Y $K.H:)fal <br /> 7 BUILDING PlANS , TO7R� <br /> J RRE HYDHANT , <br /> �[IIMIT VALID�TION <br /> � FlRE PNOTEQIOv SYSTFM , WMEN PROPERLY VALIDATfD�IN THIS SPACEI TH�S IS YOUR PERMR <br /> 5 GRAOINGL%���'�TIONdCLkANINGf.RUNHING <br /> 6 ORAINAGE <br /> 7 fNVIRONM[NUL IMPACT$TATEMf��'w <br /> E HEALTN D�SiPICT n^,,,,__ „ <br /> APPLIUTION ACC BY <br /> VLANSCMd•�:fS:JN> � � !''�RfON1S5U�NCEBY <br /> F <br /> q4-79 <br />