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�� <br /> ���E»rom� APpLlCATION FOR ���„ <br /> ����F C.�NSTRUCTION e <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> �� CITY HALL 259�8745 ,,..,� � <br /> EVERETT.WA90201 ��OMBINATION ❑ BUILDING I(dMECHANICAL ❑PLUMBING PERMIT NO. � <br /> O'yN�p ANII AUONISS,/ CII� ZIP P110N[ <br /> J�FF l-IfGLA,IJD ZU/3/y Hl3�ii% �✓C-fZ� q��'� Z>L-ZGD� <br /> ARb111ICI ON UISILIv10. S1�Il�[lUXlSS ❑tY ZIP PIIONI <br /> GtNt0.�l CON10.�(lON +Nll nppRt55 U1P LIP 1'NON[ LICENSE� <br /> � <br /> \IIONnIUI COv1NAC10N tiNll�pDNlSe UIM LIP PNOrvF IICFNS[� <br /> E���c��A,� M r-� �S3z � zu��`5 r=. � y�,uwv�,� 9 xa�c� <br /> flUNprvG IONIP�l10N �Ull nOUNlSS 011 ZIP PNONf IICFNSE� <br /> CUSS OI N JNR <br /> ❑NRY ❑ADDITION ❑ALTERATION ❑RCPAIR ❑OEh10lITION ❑ifINCE ❑SIGN ❑GARAGE ❑NUILD�NG RELOCAiION <br /> \'1WAlION Of N�OflK <br /> f <br /> "�.�E,v'�i�- i D r0/� �zZ C� � <br /> ru�, istnut� oi nwiunr. I HCHCR� CERTIFY THiV I HAVE READ AND E%AMINED THI$ AP- <br /> � = �� �-L_ PLIC�TION �.1�D KNO\Y THE SAME TO 8E TRUE AND CORRECT ALL <br /> ucuonceipnomorraortaivivwwnxuowouniru:uiouxmrusi PKOVISIGNSUfLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL UE COMPL�ED WITH WHETHER SPECIFIED HEREIN <br /> io� _n�oc._ui OR hOT THE GRANTING OF A PERINIT DOES NOT PRESUME TO <br /> GIVE �UIHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ,\NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTlON <br /> OR THE PfRFORMANC[ OF CONSTRUCT�ON. <br /> 9GnAfUH[Of CONfNACTOR ON AVTMONI� 1GENT DATC <br /> �„�„�,�,w�,,,/ _ _ ' ', x � -z /Z -9 �Y1 <br /> Z <br /> PLUMBING MEC N <br /> NO. TYPE OF FIXTURE FFE NO. TYPE OF EQU�PMENT fEE <br /> �\'A7INCLUS[lllOtllll AIHC.OND V\I7S-NP U <br /> FlATIIIU[i RI iRIGi RATIOV UNITS-H P [A <br /> IAYAlUR1'1\\'ASH OASI41 IIOLLfHS-11 P IA <br /> SMO\\'IR GASfIHIUAC UNITS-TOM1N�G[ EA <br /> KIiCMLv 51':K 8 UISP IUNCLO AIR SYSTCM$-Il i V M EA <br /> 015\YASMIN N'ALLHIA7LNS-OiU AI <br /> LAUNDN1iR�\ U�WIMfAIlRS-111U ��1 <br /> CLO11115 6�ASMI H f VAI'UN1iIV[COOIEBi <br /> N'AlE0.MUIf R ClOiH15 DRYIRS <br /> i <br /> URINAI \'i NIILAI ION FAN <br /> DHINAItiG{OUN7AIN HANGE HOOO � <br /> FIOOH LIAAIN AIN I:ANUIIYC UNI7- C F A1 <br /> \'ACUC�111RU1:f NS S70Vt <br /> ROOf DRAINS-FAINLfAUEHS ���fUl fIRFPUCE b CHIAINEY <br /> SINK 6FNV�Cf-OAH, E iC I <br /> SU9TOTAl SU!TOTAL s <br /> �EtMIT S PERMIi f O — <br /> TOTAI iEE S TOUI fE[ s <br /> 5101 1'AHO S[l111CK S7N[[i SLiflACA RUR 1'AftD 51 i0A[A PUrv UIiCR KU�NIi(F PUN CMECK FEE <br /> FFE R[CIIPT NO. <br /> USE 7.ONE LOi AFFA �-�[�NI 517[ <br /> �,115 _.��� fE[5 VALUATION iEF <br /> TYP[ Of CONS� OCNVAhCY f.ROUP tiU Of DWIIL WG C�I15 <br /> ituaowc s <br /> SIZI 0( 111DG NO O�STVR16 �t�% OCC LOnU — <br /> PWMIIING <br /> FIN[ 20Nf IIA51M[N7 III(]HOOvt fIX( 51'RINFIfNS <br /> RkQUIHf� M1II(11\NIUL Cf J <br /> „YIS "hU <br /> AfPNOVAlS B1' �AT[ O7MEN <br /> 1 [NVIRONM[NTAICHLCAIUI PtnAl7Y UGC <br /> sfc 7o11a1 <br /> 7 17UIlDInG PLAM1S <br /> J IINI III'00.AN7 TOUL S`-Q F <br /> � FIR[ PRO7LG110N StSiE�M PERMIT VAIIDAiION <br /> NHEN PRUPEHIY VALIDA7fDlIN 7MI5 SPAC[I7MI515 YOUX PfRM1T <br /> 5 GRAOINGiL%U\'nTIONbCIfARINGCRUB111NG <br /> 6 DRAIN�GL <br /> 7 ENVIRONM[NTAL Ih1V�CT SiATEMENT <br /> E NfALTM DISiRIQ <br /> APPLIGTION ACC BY �L��'15 CMECNfD IlY APFH ION ISSl1ANlt NY <br /> I I <br /> '11 'q <br />