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�►PPLICATION FOR e��,�„ <br /> '"'E"'°"'° �ONSTRUCTIOn <br /> an oF � <br /> €;verett PERMIT <br /> DEPT OF COMMUNITV DEVELOPMFNT $ERVICES <br /> CITV HALL 259�8745 <br /> EVERETT,WA9B201 ��OMBINATION C'�BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> ON'N[R M�II eO0AiS5 ❑iY ZIP PNONF <br /> �\L' Nf�l �2.� L �I �GK'� l___ �1i5�-rSZ_ - ZZ1l. S}l�lC ��. ' EV�fI`i� - `l`dLUi � S.j-�`5��5 <br /> �RCMIilCTO0.0[SICN[p M�IlA0DRl5S UfY ZIV PNOYE <br /> GfMo�i�tCO'�iR�C10R M�IlA00N[51 CILY ZIV PHOM[ UCWSFI <br /> SI<HnAIUlCO4i0.1C10X M�II.��ONFSS �'�Y CIV VNONF • UCFNSEI <br /> 1`IV��qIUG C(�tIIA�RGR MAII�D�RI55 CIiY ZIP VNON[ IICENSE 1 <br /> [lASSOf N'ORR <br /> ❑NEW ❑ADDITION ❑ALTERATION �RFPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILD�NG RELOCATION <br /> 4/.l W IION Oi KONK <br /> s Z u o , U U - tl Ci a�+=� <br /> p�SCF�tl1 WORR <br /> 1'4T NE`fl CG:n1�Q:11'1UiJ 1ZC0 ! JV ��1 E�\i� 1NC_ RJG i.�� LFf�(Z�� E. �. <br /> rauros�o us�� or xunu�.�c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> E ��v� a� - � n �L .- S ';z�AG` PLICATION AVD KNOW THE SAME TO dE TRUE AND CORRECT ALL <br /> ❑GAl DISCRIPIIO�OI PNOPI0.IY�SMOWH B[LOW ON A1L�O1 fOU0.(OPIF51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> �_ .i-.`_�`+ �\ _ `_ OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi 4'�eioca_or T�-�'�'�' •i OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> Ucc'O„oo ��Y �� � v u GIVE AIJTHORI7Y TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> GR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUR[ D!COu7RACTOR OR AUTHORIZED ALENT �ATE <br /> ION ACf)PI55 � il � ��`. - <br /> } <br /> 2 � � b -S�a c_ - T - C�`�a c-,T �N t��e�� , J(v a_._V�- ,� il—�a,Y.,1��.-- �; � - 'a I <br /> PLUMBING MECHANICAL <br /> NO. iYPE OF FIXTURE FEE NO. TYPE OF EQUIPMFNT FEF <br /> N'AiFR ClO5C7�i0UE71 AIN COND UNITS-H P EA � <br /> FlA1111UU REfHIGLRA710N UNRi-H P U <br /> UVAIORY IWASM IIASIN� (101LER5-N P EA <br /> SHO��ER GASFIqfDAC UI:RS-TONNAGEfA <br /> NI1CMf N SINK 8 OISP IONCEn AIH SVSTFMS-li T U M EA <br /> DIS\VASHLR \4'ALlHEA1IR5-UlU M <br /> UUNp0.Y iNAY U�'ll Hf AIENS-B 7 U M <br /> CLOIMFS WA511[H FVnPOHAIII'E COOLERS <br /> WAIER HlA7LN CIOTMFS ONVfRS <br /> URINAI VkNilU71ON fA4 <br /> []RMrING(OUNTAIN R�FGf HOO� <br /> � f IOOR UNAIY AIR MANOUNC UNIT- C f M <br /> V�NUM11 OREAKIRS SiOV( <br /> � NOOf [)RAWS-HAINLEA[JIRS ��1RAL fINFPUCF 6 CHIMNEY <br /> SINK�SCNVICI-HAR. EtC 1 <br /> SUlTOTAL SUlTOTAI f <br /> 5 <br /> �f�M1T S �[lMIT ! <br /> TOTAL iEE f TOT�I IFE y — <br /> SIUf Y�HD 5(iOACN STR[[i SLTpACK RUN M0.D Sl Rf1CK PLAN CM(CK NUhU1ER PUN CM[CX FEE <br /> ik[ RECEIPTNO. <br /> USF ZO4! lOi ANU y�UNi Slif <br /> ❑YFS .����0 F!6 VAWATION /EE <br /> iYPI Of COrvST OCNPANCY GNOUV NU Of OWIIIiNG UNlii <br /> HUILUINL S <br /> I511I Of NIOG NO Of STOPILS M�% OCC IOAO <br /> ri unmir+c <br /> � FINE ZONE BASEMfNi IIIONOOMt fIR[ SI'IUN6LEH5 <br /> NfQUIRED ME0IANIUI <br /> f�YES ;INO <br /> Af�IIOVAL3 �t DAT[ 01MER <br /> 1 [NVIRONMfN1AlCM[CKLISi UBC <br /> PkNAL7Y SEC JONa� <br /> � BUILOIr+G Ptnn'S <br /> ) FlNf HVONA�1 TOTAL <br /> � FIR[ PROTEC710N 51'STfM �ERMIT VAlIDA710N <br /> �4'11fN PROP[RlY VALIOATE�I�N iHB SPACE�TIIIS IS VOIIR PFXMIT <br /> 5 LRADI4Ul%l\VA710N8C1lARINGIGRUBNINC <br /> 6 pRA1NACf <br /> 7 FNVINONMENUl:A1PACT STATEM[NT <br /> E MFALTH�iSTRICI <br /> APPIIUiION AU OY PlANS CM[CKEO PV �YP� IOR 6SUAN(! PV <br /> 94 J9 <br />