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,„aE�a,�,�,� Ap€LICATION FO� <br />°�TM°° �ONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT $ERVICES <br />CITY H�LL 259�8745 <br />EVERETT, WA 98201 [��OMBINATION ❑ BUILDING <br />❑MECHANICAL <br />everetl <br />e <br />❑PLUMBING PERMIT NO. <br />��P v��o�E 3,1-3_zy 6 � <br />.. ,._,,.. _ , .. ,.. .. _ <br />Mtlt11l[(IONU[SICNIN MAII�INXUl ���1 LIY pHONE <br />GINLp�ICONLNeCipR M1IAILApDRF35 CRY 21P PNONC UCFNSf/ <br />n9CM�hIUI (OYIRACI00. M1IAII �DORF55 UiY LIP pHONF lll '�SE I <br />PIUMHI\L (ON�NACiON hl�ll hOD0.L55 CIiY 21P PNONE IICENSE I <br />� <br />CUSS Of NONK <br />❑NEW CADDIT�ON L�.4LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN �GARAGE ❑BUILDING REIOCATION <br />VAll1AlION Of NONR <br />s i�se+d•— ��GD , v a <br />oiscuiui woxx <br />i_ �� pooLT G w G= X i.S i" i N�� GoGv C 12C 7�"C SL/f2 _ <br />rxovostousi oi aw�owc � I HEREBY CERTIFY THAT I HAVE READ AND E�CAMINED �fH15 AP <br />LELAI UESCNIP110� O! PROPFRtY �SMOIVN NFION' ON Aii�CH IOUR COPIE51 <br />ior awc«_or <br />IOb �pDR[ SS <br />�o/�a <br />PLUM9ING <br />NO. <br />R'ATER CI <br />f7A7HTU0 <br />IAVATOR <br />$MOWFft <br />TYPE OF FIXTURE <br />pASW) <br />OISWASMER <br />UUNDRY TNAY <br />CLOTHES WASMER <br />\VA7ER MEATER <br />URINAL <br />ORINKING FOUNTAIN <br />fLOOR UNAIN <br />VACl1U611{REAKFRS <br />ROOf DRNN$—RAINI <br />SINK ISERVICE—JAR. I <br />• / <br />i <br />ZONt <br />TYPE OF CONST <br />U�UU C7 <br />siu ov aior, <br />l 1° X �( � <br />FIRf LONf <br />� <br />PLIC�TION AND KNOW THE SAME TO Of TRUE AND CORRECT AlL <br />PROVISIONS OF LAWS AND ORUINANCES GOVERNING THIS TYPE <br />OF WORK WILL [3E COh1PLIED WITH WHETHER SPECIFIED HCREIN <br />OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PP.ESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANfEL TUF PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. 'M / �G <br />SIGH/.TUBE OF CONTRACTOR OR AUTMORIZED ACENT DATE ��/4 •�p p� <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />AIR COND 11NIT5—H P kA <br />NEfRIGERATION UNITS—MP. EA <br />HUIIlRS—HP CA <br />GASFBEDAC UNIT$—iONNAGE[A <br />FORCFO AIR SY57[MS—O.T U. M EA <br />WAIL HEATEBS—U T U M <br />UNIT HEATERS-0 T U. M <br />EVAPORATNf COOLEftS <br />SUB TOTAI <br />PERMIT S <br />TOTAL FEE S <br />STRER SRIUCK NUR YAHO SEiUACA <br />i � <br />� % / il.i F / <br />I LOT ARfA <br />APPROVAlS <br />1 ENVIHONMENiAL CHECK iIST <br />I. �UIIDING PLAN$ <br />7 FIHE MY�RANT <br />< FIHE PROTECTION SYSTEM <br />5 GRADING�f%CAVATIONSQkARINGIGRUH1iING <br />L DRAINAGE <br />7 ENVIRONMENTALIMPACTSTATEMENT <br />B. MEAITH DISTRICT <br />APPLIUTION AQ. fl( PUNS CMECKED BY <br />9 7 %9 <br />VACANT SI7! <br />❑YES ❑NO <br />Vp OF DWFLUNG UNI75 <br />nux oct iono <br />�C/ o L� L <br />flHk SI'HINKIkRS <br />VENTIUiION <br />RANGFMOOD <br />AB HnNDLIN( <br />STOVE <br />6 <br />PLAN CH[C " NUMOEft <br />�.z�jo yss <br />FE[5 <br />ouaowc <br />riun+niNc <br />tQUIY.FD MfCHANIGL <br />l�YfS 'JL�O <br />9Y I DATE OTHER <br />,�P7R fOR ISSU�NCE BY <br />�' � <br />PFNALTY <br />FEE <br />SUBTOTAI S <br />PERMIT S <br />TO1AL FEE 3 <br />PUN CHFf.K FEE <br />FkE � .23 RKEIPT NO. <br />VAlUAT10N 2� <br />s <br />unc <br />SCC 1O71a) <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIUATED (IN THIS SPACf� TMIS IS YOUR PERMIT <br />�� <br />