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msevero�� • -• - �I���TIC�N F�� R everetl <br /> °'�'°` CONSTRUCTIO�N � <br /> everett PE RM IT <br /> DEP7 OF COMn7UNITY DEVELOPMENT SERVICES <br /> CI7Y MALL 259-8745 <br /> eveeeii. wneezo� ��OMBINATION ❑ BUILDING ❑MECHA��ICAL ❑PLUMBING PERMITNO. <br /> ObnFX i o <br /> � _.���' / Mnll nDUx155 ('Iiv Zin PMONF ) <br /> �i� ,: ,�'� ,,;� yt,,i"3�j � 4�>� ':J,='�i .h��s�-7�'`�•: � <br /> ARCIIpfC10ROf51f,nlR� ,tiell�p�R151 � <br /> CI1Y ZIP VNONF <br /> CINfR�ICONIXACIOR nUR AppR155 ❑IY 21V pHON[ IICINSLI <br /> \11114n1(MC01:10.nCIOF ANIlA0pp155 ('l1Y LIP pHON[ lIC[NSEI <br /> IYl��lil\t.tO�vIR�CtON nUIIADpXL55 (IlY ]IP pHONE LICENSEI <br /> l I���UI\�ORK <br /> ❑NE\v ❑ADDITION �]ALiERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑OUILDING RELOCATION <br /> �ui,nn.or��ouc " I <br /> t <br /> I11�CH�111 NONA <br /> r�.��r'o�inos� o� ximuivr, I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> iir..irnxeiruouorvaorixn�v�aw�mirnvnueneonouxcornsi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL OE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> tp1 —"�OCA--Of OR NOT THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHQRITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER SL4TE OR I '_AL LAW REGULATING CONSTRUCTION <br /> OR THt PERFORMi�P:Ct OF CONSTRUCTION. <br /> SIGNA7UNl OI C041RACTOR OR AViHORIZE�ACEN7 DATE <br /> IU11 VlfiNlSt <br /> ����/ l�.� X <br /> i <br /> PWMBING MfCHANIUI <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> \tlAl[RCLOS[1�T011[7� �IN�OND U�+IiS-fIP U <br /> pniMiVB Rff'n�C[RA710NUNR5-HP FA <br /> I M'AiOHI I W ASl1 PASINI If0111 V.5-H P !A <br /> $MOW[R f,ASHNfDAC UNR$-iONNAGEU <br /> RIICM[N$IkK g DISP IONCLD AIR$YS7EA15-0 7 U M EA <br /> DI9YASM(R WALI HkA1LR5-Il l U M <br /> IAVNDFVTHAI UMiHFAlIRS-pTU M <br /> QOIMIS W�SHCq 1A'nPORMIVE COOLkRS <br /> � 14�itR HUiER (IOiHIS�RYERS <br /> � URINnI V(N11UIlOn(AN <br /> ' DRIn614C FOUNTAIN RANCt HOOD . <br /> <<u�H��R��� AIR N�NDLING UNIT— C i M <br /> VACUUb�ORUKERS S10Vf � i' <br /> 0.00f D0.AIh5—NAWIUDEHS � MI lAL fIHEPIACE 6 CMIMNEY <br /> SIHK�5[RVIC(—IlAR. 1 IC� <br /> SUtITOTAL SUBTOTAI S <br /> P[NMIT f PERMIT S <br /> IOTAL iEE f TOUL FEE f <br /> SiOtYARp5lifinCK StRf115(ipAC� RURYARDSE1f1ACA PUNOIfCA:�UMtiIR PUh[HECKFEE <br /> � FtE RECF'PT NO <br /> I VSf 20M11 LOL ARIA VAUNi Slll <br /> ❑YES i,NO fE6 VALUATION iEE <br /> iYPF OF CONSi OCCUPANCY GROU� NO OI DN'f ll IN(,UNIi$ ' <br /> BUIfOING S <br /> SIZE OF PLOC NO Of STORIIS b1A% OCC LO�D <br /> PlUn1N:NG <br /> FlNFZON[ UAS[MENi IIIUHOt)�n IIXISPRINKUNS " <br /> RfUUIN10 n11Q1AHICM <br /> I1YIS I'M10 <br /> APMOVALS !Y OATE p7���µ <br /> t fNVIRONM[NTAI CMCCK 115T <br /> PfNAL7Y UPC <br /> 7 nwiDinc rurv5 SEC )oN=1 <br /> 1 iIRF HYOfiANi TOTAL <br /> a fiRl PROTEC110N i1<iEM PEMMIT VAIIDATION <br /> 1YIIIN PNOPERLY VALIOAT[OIIN IHi$SPAC(�iH151$1OUR VERMIi <br /> S (.HAOWf,4k(A':AiIONM1QIARW(1GNUN4WC <br /> M1 DRAINAC[ <br /> 1 ENVIpONMfNIAI IMPAR $IAiEMENI <br /> E HUl!n pISTRIri <br /> � ,.. if, :�1... m �fPh lilu �)��`�-.tl P� <br />