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�CONSTRU�CTIO� /J / /,� everetl <br />� <br />Everett PE RM IT <br />DEP:. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY :iALI ?59-9745 <br />eveaeri,wn9e?oi ❑COMBINATION ❑B�!ILDING ❑h1ECHP.(�ICAL ❑PLUMBING PERMITNO. <br />or�n�a, ' nien noneiss un zir r��orvt <br />q "/ � <br />C. ,. /„ L ,✓,r... /� � 3 /� ,�.-�.. C� ,��l�ccZ'� — <br />ANCIIIifCI O .ISIGKlN .\IAII AUORI.yr Oi� !��' '••v'•• <br />Y <br />GIN�PAICONiRAOOF nVJLA��M65 (RY ]�P PIIUu[ IICIdSLtl <br />NEIHMICnICO�iNeC10F nUIInDUuftS <�t1 LiP P110�E IKEnSFk <br />PIUti101nC CONiR�QON n1A11 nDOti=55 CIIV LP fllO�t IIClN51 I <br />CU55 (11 IVONK <br />❑NEW ❑ADDITION <br />\'ALW110AOf W00.Kj� <br />f � V (/ � <br />UISINIifI 11'OXK <br />PRC OStDLSf Oi IIWLOWG <br />❑ALTERATION IL"REPAIR ❑UF�ttOLITION ❑FENCE ❑SIGN ❑GARAGE ❑UUILDING RELOCATION <br />IIGAt D15C0.1VilOV Of VHOP(R1Y �SH01A,+ IION ON Al1AO <br />l ,� I� l . � _. J <br />io� ti v-b e�oa��� .1� �, ; . / <br />i <br />�-�') {� <br />_ �� <br />�/3�y_ ��r,� c_ ; <br />R (CPII SI <br />�,,;�, , <br />Cc'[ ( <br />���,—����>H�55 � i /! �o�l'� �%��'��u�'_ <br />PLUMBING � <br />NO. TYPf OF FI%TURE <br />\\'/�1LR UOSLT �TOIJFiI <br />11AiHIUIi <br />lA\'.\TOftP05'ASH fiASINI <br />SHOt1'I R <br />Al1CHlN SINK h UISP <br />UISN'�illl N <br />IA��D�t1' iknl <br />aonu �, :vns�+re <br />N'ATI R HCATI.H <br />UNIN.\L <br />DRI�K�M1C f Ul1NiAIN <br />Fl OON DN V Y <br />V'ANU�i pHCAKLNS <br />HOOF DRAIhS—RNNI.f AUENS <br />11\A 6f NVICI —I1nN. I ll 1 <br />FEE <br />SUBTOTAL <br />PEkMIT s <br />TOiALFEE s <br />SIfJf YhNU Sf I ItA( K SIHlI t SIII4AC K kUk YARU tif I ItACl: <br />l'St 7.ONf <br />rvr� or cons <br />SIZL OF 6LDG <br />IIHI J01F <br />lCl ABI A <br />occurnnc <br />NO OF S71 <br />I1A5[.�tf til <br />APVROVALS <br />1 tNtl�NON.NI�TAI CHfCI: LI57 <br />3 IIUILDIKG PLnNS <br />J fIF1111DNAN7 <br />J flNl PHO1fC7lOti5Y5TU1 <br />5 f,XAULu(AIACAA'�il(1.NftCl1AHING�GHUHIIWQ <br />G DRAINnGf -- <br />J f�VINOYM(4i�.1 IM111'ACI ST\TLAtLNi <br />p IIIA1111111SiRll'1 �� <br />�rru��.�rrrrn,�cc L. <br />� <br />\'ACAN I 511! <br />..�.f5 �.�:YU <br />ao or ownun�r, uniis <br />n�ns <br />I HEREf3Y CERTIFY THAT I HAVE READ AND [XAh11NED THI$ AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAW$ AND OKDINANCES GOVFRNING THIS TYPE <br />OF WORK WILL [3E COM."LIED WITH WHETHER SPECIFlED HFKEIN <br />UK NGT. THf. GRi.NTI�IG Of ; PFHMIT DOES N(lT PRESUME TO <br />GNE i1UTHORITY TO VIOLATE OR CANCEL THF PROVISIONS OF <br />ANY OTHER STATE OR LOCAL L�W REGULATING CONSTRUC1lON <br />OR TH[ PERFORM�NC[ OF CONSTRUCTION. <br />SIGNnIUHL Of CON�BACiOH OR AUTHOR�7.I D AGI�T DAit <br />p[ / ¢ �J � CY�� <br />X��i �i����X�,:�-E� d� <br />MECHANICAL � <br />NO. TYPE OF EQI.'IPMENT FEE <br />1BC0�1] UNIU—IIY LA <br />BI I NIGf Rn110�J Vn175—II P EA <br />':OIIIHS—IIP In <br />GASfINIi>AC UNIiS—iQtiuA;LIA <br />fOIZQUAIft51Slf!.1S—filU ����� <br />11'AILHIAIIRS—It1U nt <br />�NI11119ifNS-11TU M1I <br />irnrnunnvr moiius <br />Cf O7..i 5 UNY f HS <br />\'INIItn110N InN <br />RANCL HOOU <br />AIR HANUIIN� UYI1— CI �V <br />SIUA'f <br />A�IIhlllRff'LACf ftCHL41NLY <br />PLAN Chl lK NL'��1 <br />f[ES <br />nun uir.��, <br />PI UNIIYJ(�, <br />�p.,» IIRI 1�•Kinrcttn� <br />NlQU1RfU AIfCMANI[AL <br />lIC ��NO <br />gy DAiE U';IILN <br />VLAN504CKfDUY � ��'PN If)NIti�VTVCI lil <br />I'1 NAt.IY <br />SUB TOTAL s <br />PERMIT s <br />TOLAL RE S <br />PLAu CHI�Y, ffI <br />��� HfClll'i'NO <br />VALUATION F[[ <br />s <br />UOC <br />51.( 1011: ) <br />TOTAL I I <br />r�xnur eanonnoN <br />�:�il� 1'�� �I'iH'1 A�,4��U/Jll��i� Ii1P �P1tl; IIIIS I} VOl!R PlNhtll <br />