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- . <br /> APpIICATlO►P: �OR ��� <br /> '"'E"'°"'" C�.NSTRUCTIUN <br /> CIiY OF <br /> �verett PE RM IT <br /> [1EPT OF COMMUNITV DEVELOPMENT SERVICES <br /> CITY HALL 259�B7<5 <br /> EVERETT,WA90201 (]COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNI MAII�OONF55 CITY 21V PHONF <br /> ��,�Yc"� I � �1USl-� C.F_ ,�1.�,��`�I-4— re r��-t� ��� —�t-,`�,�'S � <br /> ARCNITlClORO[SILNFR MAIIeDUR[55 � ��1Y ZIP NONE <br /> GlN[R�LCONIN�CIOR MeILApDR[55 ❑iY 21V PNON[ lIC[NSE� <br /> �'� °�' �' �i-�'�C� �' l��iC� � �'�u rc71'P.e nGJ � �(t'�' i5�-�S y t�� �,� � n l �1�3b <br /> NEOI�MUL COMR�CION MAII AOON[5`. CI�V LIP PHOM[ UC[NS!� <br /> Cll'NIIIM1I.�ONiPA[lOR <br /> MAII AOORESS ❑LV ZIP PMONE IICFNSF I <br /> CU55 Of N'O0.K <br /> ❑NEN' ❑ADDITION ❑ALTEHATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> yµp�pOv Of NOXF <br /> t � \ � <br /> OFSCRINF�'O,RK, <br /> I C }�' <br /> rxorosious� oi nunoi �c I NEREBY CSRTIFY THAT I HAVE READ AND E%�MINFD THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ACL <br /> ieui oiseairrior+or rxov�AinsNowr+e[iow ox nirncH i wi covusi PROVISIONS OF LAWS AND ORDINANCE$GOVERNING THI$TYPE <br /> �� OF WORK WIt.L BE COMPLIED WITH WHETHER SPECIFIE�HEREIN <br /> ioi_eix.�or r�K''f"�"k `-' �U � � OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> a GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> vU I \)I 3 �7 " -��- N ya ORYTHE PERFORMA�NCE OF CON57RUCTION ING CONSTRUCTION <br /> � �G1 �� 'IGNATUNf OF CONiRACTOR OR AV7NOR¢FD ALENT DATE <br /> \ <br /> . ion�o aiss , x � U rG�G� � �� �- � � <br /> � O -P �` <br /> PIUMBING MECIIANICAI <br /> NO. TYPE OF FI%TURE <br /> FEE NO. iY►E OF EQUI�MEHT �F� <br /> WATfR CLOStT IT��ILTI AIR COND UNI75—H P EA <br /> REFRIGLRA710N UNITS—MP FA <br /> BAiHiUP <br /> LAVATONY�WASH PASIN� 001L[RS-H P [A <br /> GAS F10.fD AC UNITS-TONNAGE En <br /> SHOWfR <br /> FORC[0 Alk SYSTfMS-8 T U M U <br /> KIiCHIN SINK 6 DISP <br /> W�LlMFA7fR5-BTU M <br /> D15�.'�SHf fl <br /> UNIIH[A7fR5-BiU M <br /> IAUNOFYTNAV <br /> CIOTMES WASMFR [\'AYO8AI�VE COUlFRS <br /> WAIER MkAT[R CIOTMFS DRYIkS <br /> VENTIUTION fhN <br /> URINAI <br /> �RINKING FOUNTAIN RANGE HOOU � <br /> � AIR HAN�LINL UNIT- C f M <br /> FIOOR pRAlh <br /> VACUUM flREAKFRS STOVE <br /> ROOf DRAWS-RA'NLUOERS METAI.fIREPUCf b CHIMNEY <br /> SINK 6F RVICf-BAR,[iC I <br /> SU�iOTAI ' � <br /> SU!TOTAL —� <br /> �FIIMIT S _ �EIIMii � <br /> �- TOT�L fEE f TOTAL IF[ � <br /> PIAN CHECK FkE <br /> SIOf YARD SIiPACK SiR[lT S[TO�CK RUR YARU S[7BAfK PUN OIC.:K NUMBER FFE RECFIPT NO. <br /> USt IONE lOT AftEI. VAUM SITE IFES �AWATION /FF � <br /> ❑Yf5 �'7 — <br /> 7YP[OF CONSi OCCUPANCY GROUP HO Of OWFILING UNIiS <br /> FUIID��G � <br /> SIZ[ Of BLUG k0 OF$TORIF$ MA% OCC IOA� <br /> 'WM91NG <br /> FIFf ZOv[ BASFMEN7 NIURW�.R RIEQUBEfDN�ERS MfliIANIUL ^ <br /> rnrs ❑r+o <br /> A�P�OVAIS �Y OAiE O7HfR <br /> 1 ENVIRONMFNTAICHfCKl151 PENAITY UBC <br /> SfC bNa� <br /> ] BUIl01NG PUNS TOiAI <br /> ) fIRF IIYDNANT '� <br /> � Fl0.F PROi[CTIpN SYSTFM fF11Mlt V�l10ATION <br /> WMIN PROPENV VAIIDAiED pN TMI$SPACF)THIS IS YOUR PE0.MIT <br /> 5 GRADMG4%IAVATION6CLUNINGICRU9flING <br /> 6 ORI1NAGf <br /> 7 [NVIRONMEN7AL IMPACT STATEIAENi <br /> E MFALfH OISTRICT <br /> Appi�rq;l0^+ �Cr qr CIANSCH[CKFDPY APP0. FORISSU�NCf flT <br />