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APp,�,I�ON FOR � eV�,�„ <br /> C4IVSTRUCTION <br /> everett PERMIT e <br /> DEPT. OF COMMUNITY OEVELOPMENT SERVICES <br /> CRY HALL 259�8745 ' <br /> EVERFTT,WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL �'❑PLUMBING PERMIT NO. <br /> OWNfR A1A11.A011N155 CIl\' ZII` PII041 <br /> kf[�,'!/�`�/ F ic/�,��.I7 c i�,aro ,!l�uiGtl�li� �rE�=r�,% 9�� �� i �3? �a.r� . <br /> ARCNIL CT OR p1ALNlN MAII ADDp65 ❑tY /IP PIIONE <br /> C ���- ���� y��Ul T� .4l��C' ������T/ �.l!70/ �.fr��1J� � _ <br /> GfNlN�LCOViNACLOR AIAll�00R[55 CIl\ 11P CII04[ IICFM1SF/ <br /> �l�n�t/f— �SEL� <br /> MECIIAMUI C09 NAC10R FIAII�O�X65 CII\' /.IP PIIOV[ tICFtiS[� <br /> sr-�h <br /> PWAIflIUG[ONTPACLOR MAII AOOR[55 CI11 ZIP PI�ONf IIfENSf 1 <br /> CL�55Of WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION REPAIR ❑DEh10LITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VflU�110N Of WORK .� �r'J b ��� D <br /> DfSCRIP!�yORR <br /> :n �ri,�lL s I.</�/, ('ED� 2 <br /> raorosmusi or nunn• I HEREBY CCRTIFY THAT 1 HA\'E READ AND EXAMINED THIS AP- <br /> y- �/ �'�" PUCATION AND KNOW THE 5���1E TO BE TRUE ANU CORRECT ALL <br /> IFG�t DfSCRIPTION Uf PNOPENi\ISIIOWN IILIOW ON AiIACH iOUX[O%I51 PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE <br /> PV� OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ior�aioca y O� ur OR NOT. THE GRANTING OF A PFRMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �NY OTHER SfATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. yn <br /> �/ � � SIGNM Bf Of COMHACiON ON AUTNORI7.!D AGCNT UATF�� �`3 // <br /> o E/=� , l`� .%!/l"l/' ,.� - 7/ � <br /> ioenooarss � 1/���,��7 � ��� � ' <br /> G <br /> �WM�ING MECMANICAL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATERCLOSCTITOIIFI) AIRCOND UNI75-HP IA <br /> BATHTUII N[fNIGfNAilO\Uti175-IIP fA <br /> UVATORY�1YASH [IASIN� 1101Lf NS-H P I A <br /> SHOW ER L-U f INI U 4 C U�I1S-T�f VNAGk LA <br /> KITCNEN SItiK A UISI' IOkCI U�\B S11TI.V5-11 7 V .\t fA <br /> UISlYA511LR O',UI IIIniIHS-HIU A7 <br /> UU\OR1'TRA1 U�I1111NfRti-I17V N <br /> CIOiHFS\\'ASHIR 1\'4PORAII\9 COOLFHS <br /> �1'ATLR MfATFR C1U11115 DRPCh� <br /> URINAL A'!A I ILV ION I AN <br /> ORINKINGfOl1N7,\L'�' RANqi IIOOD <br /> noou nkni� niu to��uun�c uuir— c r n+ <br /> t�ncuu.��uetn�res sto��r <br /> ROOf�RAIuS—NAINlIAO(BS ��1LTAL fIRfPUCF R CHI.U4L1' <br /> 51AK ISI RV9Ck—ItAR CIC 1 <br /> SUBiOTAL SUPfOTAI S <br /> P[PAIIi S YERMIT S <br /> TOTALFEE f 70TAlf[E S <br /> SIDL1'AftOSLTIIACA SiHIEISt711A('K RkAR\AHDSLII��'�K PIANCNEIXNU�V11fR NIANCHLCKFCI <br /> I(I RkCEIfTNU <br /> U51 Zntif LOi ANfA \'AUNT SIT[ <br /> U'FS GNO �F�S �'A�U4ilON FfE <br /> 71'P! Of CORSI. OQUPAICI'GNOUI' �O OF 171V[l1.ING UNIIS <br /> 11UILDYJG S <br /> }Ilf Of I11.DG NO.Of iIONIfS ��tA% OCC I.OAD <br /> PIU.VIIING <br /> IIHI Zn�l OASEMINI Itll)H00.11ti FIRI 51'HIIRIIRI <br /> Rf.QUINID ,A1FCIInNIUI <br /> i-'.115 ;-'NO <br /> APPROVALS BY DATE 0111fR <br /> t tti\'IkUN.VLtiIAI.p��CKlIST �IIIC <br /> . 19NA17Y tifC ]I111,0 <br /> : Ill11lUING 1'1-ANS <br /> � IINI InURAnI TOTAL <br /> i IIHI PHOIfCi10�51S1L��t PENMIi VAIIDATION <br /> \\IItN I'HOI'I RLI'VAl1UA71Il II� IIIK til'Al 11 llllti IS POIiN PERh11T <br /> : �:Nnlllc(;I M�n\',\I IItV R t I I�HING LNUIIIIKf, <br /> b DRAINAGI <br /> 7 INVIN0IV['�IA1 IS11'AC7 S7AlIn11N7 <br /> N IIIAL711 OIti1Nl( 1 <br /> AI'PIIC.VIInACt 111 I'UN51:111('KII)BY AI'fH IDH145UANCI III <br /> �._ — . <br /> 'I 1 "� <br />