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i <br /> �' �QRLICATION FOR ���,�n <br /> �n�'°'"^ i.ONSTRUCTION e <br /> evere�t PERMIT <br /> DEPT. OF COMMUNITY DEVL'LOPMENT SERVICES . <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 �COMBINATtON ❑ BUILDING ❑MECHANICAL ❑P�UMBING PERMIT NO. <br /> OWNER MAII A00Nl55 CITY ZIP PHONE <br /> li1/a.%�e�� ��501� �_ Sa.s-1 , /..... 1 <br /> NCMrtEC10NO[SIGNEX M,111�0URF55 fITY 21P PMOME <br /> 2 � �-v l-5No!/o�H3o �D z <br /> Gfn[rtAl COHI0.A�C10R �� MAIL ADD0.E55 CiTr 21P PNONE IICENiE/ <br /> $/�o� �a��<r2�yNo�r� c% Ti„O .Za.�t"e- 5�✓u�5 ���/3��3 <br /> n�lCIUMUI CONiqAClO� M�I nODR65 Cliv LIP PMO f LICENSF■ <br /> 1'IUMPIYGCONBACLOR n�All�U0RF5i UIY ZIP PHONE UCFNSEi <br /> C1�S50f WORK <br /> ❑NEW ❑ADDITION C�ALTERATIO� �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCAI�ION <br /> WIUATIONOI WONK � U <br /> � /�iD o '_ — <br /> Gf StR19[NO� � � <br /> �e -% ap. C✓JC' ' I � � //i{I B–`' <br /> VROPOSlDUSF JI uno�+c� I HEREOY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ucni o�s[RirnoN o:PROPEXIYISNON'N BLL�N'ON�ITACM FOUNCOP�lS� � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED Wllri WHETHER SPECIFIED HEREIN <br /> ioi �flIOCC�or � " �- ���Z OR NOT. THE GRANTING OF A PERMIT DOE$ 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 PERFORMANCE OF CONSTRUCTION. <br /> 9GN�TURE OF CONTRACTnR OR AUTHORiZED ACENT DATE <br /> i � / <br /> ioanooaEss � � _ � �y � <br /> C�YJL'CC. �v X ` . <br /> PLUMBING MECHANlCAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATEN ClOSET(TOLIE7) AIR COND UNITS—H P. EA <br /> BA7NTU� REFRIGE0.ATION UNITS—HP. EA <br /> i <br /> .�I LAVAiORY IWASN BASIN) BOILER$—H P EA _ <br /> $HGWFR GAS FIftED A.0 UNITS—TONNAGf EA <br /> j KITCMEN SINK 6 DISP 'fORCED AIF SVSTEMS—B.T U M EA <br /> An DISWASMER WALLMUTER$—BTL. M <br /> � 7 LAUNDRY iRAY UNIT HEATER$—B.T U M <br /> I � CLOTM6 VdASHER EVAPORATIVE COOLERS <br /> WATfR MFATCR CLOTNFS DRYEHS <br /> URINAL VENTILATION FAN <br /> DRINKINGFOUNTAIN RANGE HOOD <br /> fLOOR�RAIN AIR NANOLING UNIT— CF.M. <br /> VANUM BRUKfNS STOVE <br /> ROOF ORAINS—RAINLEADFftS METAL FBEPUCE 8 CHIMNEV <br /> SINK�SERVICE—BAR.E7C1 <br /> i <br /> � SUB TOTAI 3 <br /> � SUBTOTAI <br /> �EIIMIT 3 PFRMIi S <br /> TOTAI FEE S TOTAI FEE s <br /> SIDE YAR�5(TBACK STREET SCTO�CK R[AR YAHD SETI7ACK PIAN CHECK�UMBER PUN CMEIX FEE <br /> FEE HECEIPT NO. <br /> USE ZONE LOT AREA y���NT SITE FE6 � VALUATION FEE <br /> pVES ❑NO <br /> TYPE Oi CONST OCCUPANCY GkOUP NO.OF DWELUNG UNIiS <br /> 9UILDINC S <br /> SRE UF BLDG Nn Of STORIES MA% OCC LOAD <br /> PWMIIING <br /> FlRE ZONC OASEMENT H![]NOUn15 REQU REIDKLENS MECHANIGL <br /> r7VE5 ❑NO <br /> APIRO�AlS EY DATE OTMEN <br /> 1 ENVIFONMCNTALCHFCK �IST PEN��TY U.BC <br /> SEC.)011a) <br /> 1 BUILDING PUNS <br /> TOTAI <br /> 7 RRf MYDHAYT <br /> f HkE PROTECTION SYSTEM tFllMli VALIOATION <br /> WHEN PROPERIY VAIIDATED ON TNIS SPACEI THIS IS YOUR PENMIT <br /> 5 GRA�ING4%CAVAilONBCLfARINGILRUeAING <br /> 6 DH�INACf ______ <br />