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Me Ernrqraen A P P L 1 C A T 1 O N F O R everen <br /> °�r°° �ONSTRUCTION e <br /> everett PERMIT <br /> DEPT OF COMMUNITV DNELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> eveReTt. wn9e:ot �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> UWrvFx .vu�lnUuxEsS ❑ir t�r prypq� <br /> 1 / <br /> r-ii./�,��i/Z � v/J�vSd.v %SL�� iCOs'�v!h �ic�rl7�` 1�lu�J 3>> c� i�. � <br /> 6RUIIPC�OHGESIGnlN nNReODRfSS UIY ZIP pMOn[ <br /> GIM1EMAlCO'�1NAC10R �UIlA00RFS5 CIiV ZIF PMON( �IC[v5[/ <br /> ntIfHlVUIIOhIN�C10X M�ItA00Rf5S CIIV JP pHON[ IICFN5E1 <br /> 1'IC��BI��.tOvtx�Clp0. melLn�DHl55 lliY ZiP prypvE LICENSEI <br /> lIAl10f KOMK <br /> ❑Nf�l' CIdADDITION ❑ALTEftATION ❑REPAIR ❑OEMOLITION ❑FENCE ❑9GN ❑GAR�GE ❑BUILDING RELOCATION <br /> \'/���iAl I(1M1 OI 1\ONI( ---• <br /> +;cn�nd <br /> 1�I>t.-HINf\\'UNc <br /> J 1.i5/�w �� �(+�ti' C� ` �rv!f✓C{c f' J �L:� 'i � . _ <br /> runru�iuisi o� xuiui�.c I HkRELY CERTIFY THAT I HAVE k�AD AND EXAMINED 'h115 AP- <br /> PUCATION AND KNOW THE SA-v1E TO BE TRUE AND CORRECT ALL <br /> itr.0 ots�eivnov�r caontei��s�wNn xuo��o+n��nu��u�u�oPusi PROVIS10N5 OF I.AWS P.M1f`ORDINANCE$COVERNING 'HI$7YPE <br /> Of WORK WILL EIE COMPLIED�\�ITH WHETHER SPECIFIf D HEREIN <br /> io�_niocK_oi OR NOT THF CB.N'�NG OF A PFRMIT DOES NOT PR.ESUME TO <br /> GIVE AUTHpRITy 7'+ ':IOLATE OR CANCEL THE PRO'✓ISIONS OF <br /> ANY OTHER ;iATE OF. LOCAL lAW REGULATIfVG COD�STRUCTION <br /> OH THE PkRFORMAM10E OF CONSTRUCTION. <br /> SIGNA7URE Of CON7RARCR ON AUTMORIZED AGENi DATE <br /> �„�, ,,,,��,� _ = .� � � <br /> , <br /> i4'% �� ` - _,7 h x ,�<, ��� �,.� �� � -�'�- <br /> PWMBING MECHANICAL / <br /> NO. iYPE OF FI%TURE FEE NO. TYPE OF EQUIPMFNT FEE <br /> V':nI1HQO5Et�1011F71 nIH(OND UN�iS-11V fn <br /> BAIMIUIt HIFHIG`.ftAiIONUfai75—HP U <br /> UV'ALOHY IIYASH NA9M1I 1101LcRS-11 P kA <br /> SIION'I N Gh5�'�Nf U A C UNIiS—IONNqf.f EA <br /> AII(IILY$IhFnpISP IOIt(lU �VH$1Si1115—IlIU MfA <br /> UISl1'ASHEN N'ALIMtAIIHS—OTV M � � <br /> �q���npV;1' iNA1 UHIf HhAilNS—H iU M <br /> C101111 S IYASHf H U'AI'ONAIIVI i OJI f NS <br /> N'Ai(R IIIAILH CLOiHFS DHYFFS <br /> UHInAI : VfNII1�ilONMN <br /> UNIh�AING FOUN7�IN HArvGE HOO� <br /> IIUON DNAIK AIN HANUIIhG UNIT— C!M <br /> VA[I:I.n�IINIAKI BS S10VF � <br /> qOt�I UNAIrvS—H41�1 f AOf NS MFTAL(IRFPUC(A CHIMNEV <br /> SLur_ftif NV'I('k—BnH.fiC 1 <br /> SUB TOTAL SUO TOTAI f <br /> PERMIT S VERMIT S <br /> TOTAL FF[ S TOUI fFL S <br /> qDt VnHD(11114f K SiFI fT 51 iOACK HUH YANp 511p�CK PLnN CIIfCA NUn111fH � PLAN CHECR FEE <br /> FE[ RFCfIPtNO <br /> l��Sk J.ON! l01 ANk� VAC�N7 SI7L <br /> �_i'!IS �:NO «<S VAWATION FE[ <br /> iYYf Uf COh}1 OCCUI'ANCY GROUI' NO 01 ON'ILIING 1;vI1S <br /> �j�IILDIN(. S <br /> till OF NIPL NO OF STONI(5 MA% OCC IO�D <br /> 19Lh11!ING <br /> IiHI ZOvI 11�SfMFNi 1111)HG�Mb flHk SPRWKLERS <br /> BFQUIRED MfC�UNIUL <br /> "�.YFS �1N0 � <br /> APPPOVAlS BY DAIE OiMkR "—� <br /> 1 1\\'INUNr.tf r:iAl CHtCA •_ISi U Ii C <br /> PkNALiY SFC 30JIn1 <br /> 2 IIUIIUIYC VUrvS � <br /> ) IBF HIUNANI iOTAL <br /> � fIRlPN01fC710NSY51En1 PENMITVALID�IIUN <br /> WHf v PY.OPI NI1 l'AI Il)�Tf L(IN i111S tii'nCFI iM15 IS YOUB PkNMiI <br /> i GNADINC I XUVnI ION A Cl l nRl vC�GNUBHINC <br /> 6 DHAINAG( <br /> ] [NVIHONn1lN7A1. IMPACi STATtMENi <br /> B MUITM DISiHICi <br /> APPlIU110NACC BY PUNSCM[CKEOOV APPX fOH155UANC! IiY <br /> � 1 "� <br />