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A LICATIQN FOR <br />�NSTRUCTION � <br />everett PE RM IT <br />DFPT OF COA1,YtUNITY OEVELOPMENT $ERVICES <br />CITY HALL 159�e7a5 <br />[veREir,.vn9aiot ❑COMBINATION ❑BUILDING <br />(1N�`.1 R M�II 1U[)Nt 55 <br />1�,,,�a«�l<-k Ca+�;��is� �� l��� Z.s-o�- <br />�qf1Y1lC10XDISII:+�IX M�IlA1JDRI55 <br />=HAM�AL ❑PLUMB!NG PERMIT NO. <br />Cn� tir ruov� <br />� l�.a*7� �%f2G i 2- 5-8�9�Z ? <br />everetl <br />e <br />CI�IHAII'O�i0.�C10P AIAILA000.(SS QiV lIP I'110�[ lIC(NSIY <br />�nrr�„i .i ca„�.� C o"�" � � n�� Z�ss N �% % �� �(l'u ///G` I ��C' .i SZZ�-CEG � G%3C3 � /{'Av <br />,� t�`/ ' <br />rwn�ni.oro�irsecioa nurteoouiss cnr zir euo.i uavs�. <br />5 ixir �i�PaSc- zz3-C z -µ�-Ge-CA-C '�Y� �o <br />CU5$ OI }sp0.N <br />❑NEN' ❑ADUITION �ALTERATION ❑REPAIR CDkMOI.ITION ❑FENCf. ❑SIGN ❑GANAGE ❑6UILDING NELOCATION <br />V'AlL'AI�UAOINONK �w <br />1 � e�C� <br />UISCXIpI ��OWK / <br />Ac�+ e�� UNINcr a �'aI-Gi� �C�Ii�hr <br />rac^os csi oi nwmrvc I HCREI3Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />.� ���, fl I PLICATION AND KNOW THE SAMF TO f3E TRUE AND CORRECT ALL <br />lt Lwl Uf 5( BiP11O� OI PROI'I RiY 1910Kiv pl ICK 04 Al in(11 fOtlR COfll l <br />lO1�OlDIX�01 <br />�an �unai ss <br />2 5� S- f� ��'� <br />PWMBING <br />NO. TYPE OF FIX7URE <br />\VA1 F N CI OSL 1 I IOLI[ TI <br />11ATHiP14 <br />In\'MONY P1'�SII f{ASIN� <br />51IOU'! R <br />KIIQ{LN SL'�K ft OISP <br />lLSl1'rA411(N <br />LAV�\Uk1' 7RA\ <br />CI O7Ht S \\'ASHI H <br />\M41 f H HL471 R <br />� URI�AI <br />fIN�NAINL IOIINiAIN <br />I IOOR UItAW <br />\'A( UU.0 ItRfnAl NS <br />ROUf DHAINS—NAI?'IIAllIFS <br />SINK ISI N\9Cf —11AR. I 1C 1 <br />USE 7.OyE <br />T1Pf OF CO�'Sf <br />SILI OF I11.I)� <br />IIHI IO�F <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNtNG THI$ TYPE <br />OI� WORK 6VRL 1?F COMPLIED N'ITH WHEYHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PR[SUME TO <br />GIVE AUTHORITY TO VIOLATC OR CANC[L THE PROVISIONS OF <br />�NY O7HER 57nT1. ON IOCAL LAW REGULATING CONSTRUCTION <br />OR THF PERFORM�NCC OF CONSTRUCiION. <br />sicrvntuRt o�� co cros oe t1+r�eiz�o nr,tur nnr[ <br />� � <br />X ���G '� '� S /�� U rl <br />1 <br />FEE NO. TYPE OF EQUIPMENT <br />nIR(U'.I� 1�`:i15—HP IA <br />HIIHIGIitAllt)vU41i5—HP IA <br />NOIIIHS—IIP In <br />(:AAIIHIDAC UNI75—i0�'JNnLI En <br />IpNCIfIAIHSI'S7fM115-13iU f.1tA <br />VAaII11tAlINS—�{Ill N <br />��ViHI,AiIN�-.Hlu V <br />1A'�PORnfll'f CUpLINS <br />❑ J7111 S ORI I HS <br />tYMIL41i(>'� IAN <br />N4VG1 HOOD <br />AIH MANUILtiG lJtili— C I M <br />S70A'f <br />VI lAl I IHIPinf! F(��I�UNIY <br />/ / ar--�:/ trrnrr :.'S7o <br />$UP TOUL <br />PERMIT S <br />TOTALfFF S <br />ti1NlflSLif1A(A HIAH1.AFUSI11fAfR <br />107 AftEA �'q( qvT 5171 <br />.`f1 �. �Ml� <br />OCNPANCY LNOUP NO UI D\YEiLING UI <br />f.'O OI �IONIIS s1AX OCC IOAD <br />H>�I��:I�'1 ❑111N����V� IIHI SPPIhKItNl <br />RI VUIN! U <br />1l S '. �'U <br />nPPPOYAlS NY �AIE <br />1[NVIFO��.�1LK1Af CHII A I Ill <br />2 6UILOING PL��S <br />7 llRf H\llkAtil <br />a 110.EPRO71Ci10^+S�S71.�1 <br />� �.H�DIKCi xPA'4t1L1� A 1 I I 4NIW. �,HI'14111ni�. <br />6 OHAINAGL <br />% frv\'INOti\114iAL IM111`1CI tiINI Vl�'.1 <br />H MfAL1HDISTRIU I I <br />APNIICA710AAll N� � 11/���'SfHIC1.fU111 41'I'N I�JHI��I'nvtl P� <br />Vl � V( H! t K hUM111 R <br />�tt <br />SUBTJTAI s <br />PIRMI( S <br />TOTALI[E S <br />PIAN CHI CA I I L <br />III I MICEIPi NO <br />FEkS VALUATION <br />ItUiIUIhG h <br />I'I UAtIiING <br />ntl CHANII AI <br />O1Hf R <br />r�nnin. unc <br />SfC 101fa1 <br />TOTAL <br />CI PMIL tAIIDATION <br />�vq : P��A'14.iA A:1 I"..il U ilA ;i.�� �I'-Al l'.1111� IS 1UVY. PlHhtll <br />!LE <br />C <br />