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APPL.ICATION FOR ��e <br /> �r�'°'"" .:ONSTRUCTIOfd <br /> everett PE RM IT <br /> DEPT. OF COMML'NITV DEVELOPMEN7 SERVICES <br /> CITY HALL 259-8745 <br /> EVERETT,WA98201 ��OMBIVATION ❑ 9i11LD�IVG ❑MECHANICAL ❑PLUMBINL', PERMIT NO. <br /> . OWN(R MeIIADOAf55 UtY ZIV PMONE <br /> �. 1�( � !�/l� � IS �lI`3 `rHG!� 5b� Frb� - � tZ� q��d.�F 35'3� <br /> ARMIilCT00.Df,IG�+ER FallAppRE55 <br /> GW(RALCO41R�rTpp MJIA�DRFSS CItY ZIP PHONE LICENSEI <br /> f�ICMAN1Ul CO�+1qAQ00. Mell�ODR65 ULY LiP PHOME UCENSE I <br /> 1'IU�•flNG CO�i0.��10R n1All AODR[SS CIiY 21P PNOH[ IICENS!I <br /> C1n55 J!WORK�p � . <br /> CJNEW u��DITION ❑ALTERATION ❑REPAIR ❑DEM.OLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> V�IWPONOf WORK <br /> t <br /> OISCRIII[WOXR � <br /> /1 � <br /> ! <br /> aanvostouv i xw.t:�c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> ' �� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> 1f1:�1 OESCXIPt10M Of VROVlXiY ISNOWN B[lON'00.AIiACX i00R COPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io� _niocK._.or , OR NOI. THE GRANTING 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 C(JNSI RUCT;ON <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUfti OF CONTFACTOF OR AUTMOHIZED ACENi DATE <br /> IOH ADOPIS: <br /> � � D � J �� <br /> � � � - X <br /> PLUMBING MfCHANICAI <br /> NO. TYP OF FIXTUNE FEE NO. TYPE OF EQUIPMENT FEE <br /> WAiER ClO5E11TOlIFT1 AIN COND UNITS—H P FA <br /> �� B�T��TUB REFRIG[RATIONUNITS—HP EA <br /> �� UVATORY(WASH PASIN� E101L[RS—M P EA <br /> SMOwFft G�5 FlRLD AC UNITS—IONNAGE U <br /> � KITCHfN$INK 6 DISP _ FCBCEO AIR SYSikMS-9 T U M EA <br /> DISWASMFR N'ALl M[ATERS—U i U M <br /> � LAUN 1FY iRAY UNII HUTERS—N T U M <br /> � Cl01HE5 W�SHfR _ EVAPORATIVE COOIE�S <br /> WA1ER HFATEN CLO7MFS ORYFRS <br /> URINAL VENiIV,iIOH�AN <br /> DRINKING FOUNTAIN RANGE MOOD <br /> fIOOR DRAIN �10.MAN�LING VNIT— C f M <br /> \'ACUUM1I BREAKERS STOVF — <br /> ROO� �RAINS—RAINIEADERS METAI FIRE UfE CMIMNEY <br /> SINK 6fNV�Ct—BAR.t1C 1 <br /> SUlTOTAL � �� ~ <br /> SU!TOTAL <br /> tERMIT f /EIIMIT ! O <br /> TOTAL iEE S TOTAI iEf s � <br /> SIDF YAR�`CTeACK $TRlR SROACY. RUR VAR�Sf7AACK PUN CH[CA NUMUfR <br /> PUN CMfCK iEE <br /> pFE RFCEIPT NO. <br /> I <br /> USE ZONE LOT ARfA y�CANT SITE �EES VALU�TION fEE <br /> OYES GNO <br /> TYPE O�CONST OCCUPANCV GROUP NO Of DWELUNG UNIi$ <br /> uunoir+c S <br /> SIZE OF OIDC NO Of STOHIES MA% CCC LO�D <br /> PIUMBINL <br /> �R� Zpry. pASEMkN7 111U800M5 FIRE SPRINKlENS � <br /> REQUIkfD MECHANIUI <br /> !�YR CNO <br /> APIROVALS �Y UAiF O7HER <br /> 1 fNVINONMFNiAICMEIXU57 pEVAL1Y UP� <br /> SEC JOJIaI <br /> 7 OUIIDINL�IAN$ <br /> TOtAL <br /> ] RNF H1'ONAN7 <br /> � FINf PQOiECTION SYSTEM �[LLMIT VAUDATION <br /> WHEN PNOP[RlY VALI�AiEOI�N iM15 SPACE)71U5 IS VOU0.PERMIT <br /> < GNA�ING�F%UVAf ION 8 CLURINGCRUBNINC <br /> 6 DRAINAG[ ' <br /> ] �NVIMONM[NUl IMPACT Si�iEMLNT <br /> . III'.��. .. _ .� . <br />