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AP LICATION FOR � <br />tN Enr9�� ev� <br />��ry°F CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNI7Y DEVELOPMENT $ERVICES <br />UTY HALL 259-8745 <br />EVERETT, WA �38701 �COMBINATION ❑ BUILD6NG ❑MECHANICAL ❑PLUMBING PERMI7' NO. <br />OWN[R A1ell ADDXISS / / CIiV ZIP PNONE <br />� � /•�iu%sli�f �,���n.%77i��[?rzl.'..�`���'/�0�'�]/%Rn�b �/%PrP�i� <br />nNCHrtfCiONO[SiC�vlR MnIln00FIS5 ❑iY 21Y PMONE <br />^�v-�( �3 <br />GINIRAICONIP�fipq AIAllA00RI5S CITY ZU' FMON[ LICENSfN <br />�i�ol � ,r��•����Hr,T�o �.alfeS{e�e��S 2s3-cl-sNof%�C-,�3o�'pZ <br />��IC11ehIUlIONiRA 1GN M�IIA�DRfSS ❑tY IIP PNONE IICFN!ER <br />�9r��pwGfUvlq�('tOX M�II�OOP[55 <br />t I U� Uf NONK <br />❑NEW ❑ADDITION <br />\11l�VIO90f WORA Ov <br />, 2� n n � <br />/l�e- S� �P <br />re��aus�n i�ti or xunui�:r, <br />❑ALTERATION <br />%`�i+/� Srd,' <br />IIL110f5CHIP110NCfVNOPIRM1�S110yN'NNIION'ONAl1AOt/ URCOPIISI <br />i�_�i��1�iocr:�or !—�/i�.�rli� J�'Y- <br />iox+r.ne�n � <br />3�3/- o <br />PLUMBING <br />NC�. TYPE OF F <br />µ'ATFR CLOSfT (TOLIFi) <br />LA\'ATORV (lYASH NASIN) <br />SHON'ER <br />� KITCMEN SIM1K B DISF <br />DISH'�SHEF <br />� LAUNDRV iR1Y <br />CLO7ME5\4ASHFR <br />i 14'ATER MEAIFH <br />URINAL <br />UNINKING VOUN7AIN <br />fLOOR DRAIN <br />\'ACUU��1 PREAKFBS <br />ROOf DRMNS—RAINLfADERS <br />SINK �SEHVICk — AAR, E iC 1 <br />SE ZOHE <br />vr: o� cor+st <br />II.[ OF l7lDG <br />IC.E ZONE <br />TOTAL FFE <br />STRF[T SCTOACK <br />IOT AFEA <br />OCNPANCY GRDUP <br />NO Of STORIES <br />B�SEMENT 11fUNUOM1 <br />APPtOVAlS <br />1 [NVIRONMENTALCNFCKL157 <br />3 BUILUiNS PUNS <br />) FlN[ HVDBANT <br />� FlNF PNOTECTION $YSiEM <br />5 GRAOINL4%fiJ/A710NhCLURINGIGRUHIIING <br />fi DRAINAGE <br />7 ENVIRONMENTALI.NPACTS7ATEM[NT <br />� HFALiM DISiRICT <br />ZiP PIIONE llClNSE I <br />❑DEMOLITION ❑F[NCE ❑SICN ❑GARAGE ❑BUILDING RELOGTION <br />FEE <br />1 HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THI$ AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE <br />OF WOkh \NILL OF COMPLIED WITH WHETHER SPECIFIED HEREiN <br />OR NOT. THE GKANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVf AUTHORITY TO VIOLATE OR CANCEL THE PROVISlONS OF <br />�Nl' OTHER STATE OR LOCAL LAW REGULAT�NG CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />9GNAfURf OF CON7NA T R OR AUTHORIZED AGFNT DATE <br />X � �� � ��� <br />— , , <br />MECHANICAL <br />NO. TYPE OF rQUIPMENT FEE <br />AB CO"1D UNITS-N P EA <br />REIRIGIRATIONUNlTS-HP EA <br />HOIL[RS-H p EA <br />GAS FlREO nC UHITS-TONNAGE U <br />IORClUA1N5Y57FM5-L7TU .�1 <br />1VALlHUTfNS-IliU � ht <br />UNIIHEATENS-GTU M <br />f VnPORn�IVE COOlERS <br />CLOTHkS ORYFRS <br />VENiILATION fAN <br />RAIVf,F HOOD <br />AIR HANpLING UNIT— C P M <br />S70VF <br />ME 7AL FIRFPIACt d CHIMNFV <br />SUBTOTAL s <br />S PfRM1T S <br />S TOTAL FEE s <br />tUN YAND S! TOAfK PiAN CIi[CA NU��1fiER PLAN CHECK FEE <br />FkE ( RKEI?i NO. <br />VACnNi SI7f <br />❑YFS CNO <br />NO Of DWlLIING 11Nl <br />MA% OQ IOAD <br />Ilftf SFHINKLfRS <br />RFQUIRf D <br />f?Y($ f7N0 <br />B1 DATE <br />4PPI ICAiif�N I,(T fiY � L'UM1S fMFCKFD 8Y �♦��R ION ISSCINCI PY <br />iiuunin�c s <br />PWMHING <br />MI[MAMUL <br />OTMER <br />P! NALTY U.0 C <br />SEC 70)(a) <br />TOTAI <br />PERMIT VAIIDAT70N <br />WHkN FNOPLRIV VALIDA(ED (Ih THIS SPAC[; THI515 YOUR P[RMI7 <br />