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. `} <br /> � <br /> � MeEveryreen 1PPLI�CATlON Fa7Q <br /> °""�` CONPERM TTIOI� `Ei <br /> everett <br /> UEPT pF COMMUNIIY DE\'ELOPMENT SERVICES <br /> CITY HALL 259-8745 <br /> EveReii,wn eezm �COMBINATION ❑ BUILDING ��" <br /> ,c�yHECNANICqL ❑PLUMBING PERMIT NO. <br /> oMn�q Meil nooxlss <br /> . R�F3c��2T TO/�KE-�e /oi/ Noy urv ziv vuor�E <br /> r «o [S�C4lX r�✓� Ev�e�rr ��9 zsz G�3S <br /> MAII�UDNf55 ��Jy `p <br /> VMO4F <br /> LFN[oAlCOv1XA(:10R nlqlApONF55 <br /> ❑IY y1p PNON[ <br /> IICWSE I <br /> M[CN�tiICAlCO\IR�<IOF <br /> Cv� MNl ADOFI55 <br /> ��TY ��P PNONE <br /> C �9iE S✓G l3235h' �vo2Ti/�p f-LL�//JE u,q ��«�:�. <br /> P��,���.�:�ov�w,<<oa Q 7�G ¢Goo �[Cu2i2i7ay <br /> meneooxiu �i�r iip � <br /> , vxoNE iic�r�sc� <br /> � CUSS Of\10Pc <br /> ❑NEl4 ❑ADDITION ❑��TERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARACE ❑BUILDIN <br /> vewenon or woxr, G RELOCATION <br /> s <br /> DISCNINt H'ORC <br /> ,eeP��9�C- F�a,��ee �,�o wAr�-,e h�c-4rt-,e <br /> rxoros�o ust or nwmiu� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br /> l[G�L 0lSCNIPIIONO(PPOPtRIYpHOWNO[lON ON AILACN fOORCOP1t5) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ioi__aiocc__or_ OF WORK WILL OE COMPLIED WITH WHETHER SPECIfIED HEREIN <br /> OR NOT. THE CRANTING 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 PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE Oi COuiRACTOR OR AUTMORI2ED ACENT �ATE <br /> iox n�ox[ss <br /> !o i/ x� ������" '_,�.,� z4,r.9^��� <br /> PLUMBINL • <br /> MECHANIUL ' <br /> NO. fYPE OF FIXTURE FEE NO. TypE OF'EQUIPMENT <br /> wnifH CLOSFi�iOLIETI FEE <br /> B�THtUB <br /> AIN CONp Un115—M P U <br /> BEfftILFRAiION UNITS—HP.EA <br /> UVATORY�WASIIOASINI pOIlERS—HP fA <br /> SMOIVFR <br /> GAS FlHED A C UNIT$—TCNNAGF EA <br /> KITCH[N SINK 6 OISP <br /> fOXCkD AB SVSTFMS-0 T V JJ M EA � <br /> UISwASMER <br /> LAUN�RY TR�Y WALI HEATkR$—�3 T V M <br /> 11MR HEAiERS—B i U M <br /> CIOiHES WASN[N <br /> EVAPOftA1NE COOLERS <br /> N'AiER HUi[q <br /> URINAI <br /> CLOiHtS DHYFFS <br /> �RINAWG fOIJNiAIN ��Ht��AT�ON fnN <br /> iIOOR OR�IN N�NGf HOOD <br /> AIR NANDIING UNIT— C{M <br /> V�CUUbIpREAKlftS <br /> SiOVF <br /> FOOF D2�IN5—RAINIUDERS AIETAL qRFPUC[8 CHIMNEY <br /> � SI�vK(SERVI[[—pAN,EiC� - Gv r� � Tf <br /> S"� <br /> SUB TOTAL <br /> �E�MIT y SUB TOTAI S U STJ <br /> TO�AIFEF y IENMIT s �) � <br /> SIDF Y�RD SCip,1CK STftFR SRpnCN HUp yARD SRpnCK PUrv������HUMII[R TOTAI f[E f � J <br /> PI�N CNECK fEE <br /> fEE RECEIPT NO. <br /> USF ZONE LOT ARCA <br /> ��UNi SIiE <br /> ❑YES ❑rv0 iEES VAIUAiION FEE <br /> TYPE O�CONST p[[UPAN�Y GROUP NO Oi pWEIIING UrvIiS <br /> SILL OF tlLOG AO.OI510NIE5 MA% O[C LOAD ONIDINC y <br /> PlUMI11l:G <br /> RN[ZONt OASEMENi plpkOpMS FINE SPRINKlERS <br /> NEQUINED MLCMANIUL <br /> rnrs ❑no . I <br /> _ APPROVAlS !T OATF OiMFR �� <br /> 1 FNVIRONMLNTe�[qECK ll5i <br /> ]. �UIIDING PUN$ PFN�LTI' U.00. <br /> SEC lONa7 <br /> J FlHC 1!YDRAN7 TOT�I <br /> � flRf °RJ7FCTION SYS7EM P[NMIT VAl10ATION �� J� <br /> 5 GNAOINGL%UVATIONB QkANINGGRU0111NG WMEN PROPENLY VAIIDATEO(IN THIS SPACE�iM131S YOUR PERMIT <br /> 6 DN�INAGE � <br /> ]. ENVIRONMERTAIIMVAU STATEMENT <br /> B HEA:iN DISiNICT <br /> APPI.IUiION ACC.BY PUN$CHECNFD 6Y APPR.fpR ISSUANCE BY <br /> 99 M <br /> _ i <br />