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4PP�1CATtON FO�. <br />I�e Ever9reen � � � ^ � � � � �' O � . <br />evereti PER�IT <br />.'DFPT OF C!)�1MUNIlY UEVELOPMENT $ERVICES <br />- CIIY HALL 259�tl745 <br />EVERElT, WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />0 <br />everett <br />� I <br />OWNIN � Mell �U:1NI55 UIl c r •n�nc <br />.�'�'< <•: �/r.-�it r�Cl.�x �9G" /I/vl�i,[,'rn G/•ts� 93'�7,f aS�S-989/ <br />ANCItrtICI OR OISIGnIN MAIL nUflR[55 C�IY LF YMONF <br />_�aiLa2rt'�' i� i`%� S,C' _w1 . . . <br />G[NINnI CONiN UON �) M�II OU0.t5S CIiV LIP PHONF UCENSf / <br />iii c.v fYG ��t �� tA.� �lr7l f7.�-7 c+2 . <br />n�IC���tiiUt COn�R�t�ON n�ell nUONt55 CIiY tIP PNOMf IICEHSF 1 <br />P11�n111��i.lUM1iX1l1UN MAIL ApON61 CIIY ZIP PNONf LICIN$E / <br />� OI NONK <br />IEW ❑ADDITICIN ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />vµwu��nin.,.,nw � �(�, <br />+ ��` � 4LEl�.K� - � <br />Ul5('NI01 KONA <br />PXOYOSIUUSf OI IIILIU�'�L <br />lf Ul O! 5( XII`I IO V O{ YNCP! R I Y ISIIO W N tll lOw OR Ai fA011 /O�IIR( JCOPIt SI <br />IOI�btOLK�01 �� IZ� "L�]���_ <br />S� 53 4l '�cF St %<r .L�T 4/ P[of •r i.....Cy /-� � <br />�tq�.7i. r:L�..-.e �O Py, yc .: .� f'L-:» i��ro..lf �i� hie e. <br />laxnnualet P..�LRLL�I. Te •w ��.c K�[�.� <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />N'AIIH ( l05l1 l1011l il <br />I 11A1111U11 <br />� n\�AIUNY IwAS11 IIASIN) <br />ti1ltAtl B <br />KItU1tN SI4K b UISP <br />❑ISN'ASIII N <br />UUrvOHY IkAY <br />� f IOIIIIS WnS111N <br />� N'AIIHMIAIIH <br />UkINAI <br />Uu�n�:�rvr,�ounln�rv <br />— riooN ne�w <br />VAl UUnI 11N1 nKl RS <br />Rqllf UNAINS-NAINIfAUfN$ <br />tlrvK �)( N\9Ct - II�H. I 7C � <br />FEE <br />SUB TOTAI :'i <br />PERMII S <br />TOTAI fEE f <br />51[ll YANUSIIIL�(K SINIfI5L10ACN RIAHYAftDSI111ACA <br />r ' �M "' ,�D <br />J �v 2iiA% 4�� <br />USt T.UNt lUT ARU i y�(:�N7 SIIk <br />�_.� �,// 'L7 `�+vts r.;No <br />TYPk OI ((lr:� �_� I UCCUPAN�fCY GROIIP NU Of UWIIIING UI <br />I%'[>Cr� I� �l 02�� <br />)IZt OI BIOG � NO Of S70RI15 A1AX OCC IUAD <br />� � p fi (JiL�G', 4 <br />HHIZUNI IfA5kA1LN1 ❑IURUUNI fIRISPNINRllN1 <br />� ��_ ftf()IIINt <br />� J�- flYlt � NO <br />AYPROVAlS <br />i FHVINONAtIN1Al UIICK LIST <br />1 AUIIUIrvGVLANS <br />) flNl 115UHn4I <br />T��� <br />� HRfI'HOIfC710N51SIfb� <br />5 l,HAf11NG9 %( M'A110N 8 Cl lA1tINGGNU0111NG <br />b ONAINAGF <br />7 [NVIRONMfNUIIMPACi57ATEMENT <br />e nenin�oisiuict <br />AYPLIUIIUNACG IIY PUNSCMfCKfDBY <br />`� T�'� Elurj�l <br />e r; �i <br />BY � DATE <br />APPN IOR ISSUANCf BY <br />L•c. <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Hi°'1N <br />OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PRESUN,� (O <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTR:ICTION <br />OR ThiE PERFORMANCE OF CONSTRUCTION. <br />SICNATURF OF CO �TNACTOR OR AUTHOFIZED AGENT DATE �/�-� <br />X ,f�-� ,��- <br />MECMANICAL <br />TYPE OF EQUIPME <br />UNI75-HN EA <br />TIONUNII$-MP EA <br />UOIlEHS-MP kA <br />GAS f INE D A C UNITS- `nNNAGE EA <br />IUHC[D AIN SYSTEMS-II T V M FA <br />\VAII MFAT[NS-6 i U M <br />UNI7MtAI1H5-11TU M <br />fVAPURAIWkCOOlEHS <br />CIOI Mf S ONYk NS <br />VINTIIAiION FAN <br />AIR HANDIING UNIT- C! M <br />S10VE <br />MfT�L FIN[PLACE S CHIMNFY <br />PIAN SIIICM1 NUMOIN <br />�Y/ia�2ar <br />11UILDING <br />Pl Un1111 NG <br />MICMANIUI <br />OiMEN <br />Pf NAITY <br />FEE <br />SUB TOTAL 7 <br />PLRMIT S <br />TOTAIiFE 3 ' <br />PLAN CHfCK FEE <br />FEE a s RtCFIPT NO. <br />lY0— ��tl3� <br />VAlUAT10N FEf <br />UBl <br />SFG JO7;a) <br />�OTAI I � � <br />PENMIT VALIDA710N <br />1\'tltN PNOPEIfLY VALIDATfD IIN THIS SPACF) THIS IS 10UR PERMIT <br />�1zOUZ i�P2(� .�LC�C7G. l0 `P-�= <br />�J-��._,116E�E.�i� '��� ��J"� <br />�luta-c- o�-wAY �.� �� , <br />+• <br />0 <br />Pi <br />� <br />z <br />O <br />ti <br />� <br />m <br />ti � <br />--I 'rl <br />fn 2 <br />0 <br />m <br />co <br />m o <br />� <br />-1 C <br />O ? <br />m <br />�z <br />2 -i <br />m <br />.O ^c <br />C <br />a -i <br />rx <br />r-� i--� <br />� N <br />< <br />�n <br />O � <br />T D <br />-� m <br />2 <br />m «-� <br />N <br />o r <br />c-� m <br />C N <br />� N <br />m <br />Z C"� <br />--i r <br />• m <br />n <br />� <br />� <br />x <br />a <br />2 <br />1 <br />r=" <br />N <br />Z <br />0 <br />� <br />C� <br />m <br />