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APPIICATION FOR everetl <br /> '"'E"ro"'" C�,NSTRUCTION e <br /> cm oc <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CRY HALL 259�8745 / <br /> EVE0.ETT,WA 98201 ❑COMBINATION b BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> M�II ADON(55 CIIV ZIP PMONE <br /> �i-w��w I � 1 C � / .;�5',: 4Y�-1 <br /> wV�G�w� l.Vw� ��.=5 :`k1Y�{ l��C.C� C�Ye Z1P rna�c <br /> AIA1l AD ISS ��tY <br /> ANCMII[Ci ON DESIGNIN �. <br /> \` MAII�U�XISS CITY ZIi' PMON[ pC IICENSF/ <br /> GErvIRM CONiRntiON �{ � �� Z� J ��5,� C l�p 1 <br /> � ���5 l� EE � Jr2. �S, �- , c: 'H. <br /> >7 /� �' � PHOH[ IICENSE 11 <br /> nROIANI Al COHiR�QOP <br /> AUII AD00.l55 �� ���Y tIP <br /> P W MNI'.G tONi R�f tON <br /> MAII ADDN65 ��1Y ZIP PHONE IKENSE� <br /> C�NEW,opK�ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑G�RAGE ❑BUILDING RELOCATION <br /> \'nWAiION Of WORK <br /> 5 � <br /> 06CRIPf\VO0.N ( • <br /> � C ` <br /> ._ �Jf \AJ:. �.� J'. C�.W�n.. \ <br /> rxoros�ous�or nuuoivc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> � . _�J PLICATION AND KNOW THE SAM: TO BE TRUE AND CORRECT ALL <br /> � � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> l[G�l OlSCNIPilOYOi VROP[MLYISIIOWN BIlO\V OR�IL�CNfOURCOPIF51 pF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN <br /> ia� �_fli«.K�o�V��•.,.: R�_ctQ � �;c �C-- � OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> l,� �e y <br /> S�L. ��': 1H N4'{ 4,L �/,:�✓ ���"�f qNY OTNEROST'ATE n LOCAL LAW EGU ATING CONSTR'UOCTION <br /> ' OR THE PERFORh1ANCE Of CONSTRUCTION. <br /> �.� O � � , SICNATUHE OF CONTRACTOR OR AUTHORRE��GFNT OATE <br /> �:«�....�. . r � �'� � j �% -� t <br /> �oN,�oa�5s x <br /> � � � < < > �-<< , <br /> MECHANI Al <br /> PLUMBING FEE <br /> NO. <br /> lY►E OF FI%TURE FEE NO. TYPE OF EQUIPMENT <br /> V WATERCLOSfT�TOUETI AINCOND UNRS—HP EA <br /> REFRIGfRATION UNITS—H P.fA <br /> pA7HTU0 <br /> NOIlERS—HP fA <br /> LA\'ATORY(WASM�ASIT1� <br /> CAS FlRED A C UNITS—iONNACE EA <br /> SMOwfR <br /> fORCED AIN SY57EA15—N T U M FA <br /> KITCHEN$INK 8 UISP <br /> N'All MEATEftS—�7 U M <br /> DISwASMLR <br /> UNII HUT[RS—f7 T U M <br /> IAUNDRY TNAY <br /> kVAPORAiIvf [OOLERS <br /> CLOiNfS WASNER CLOTHFS ORYfRS <br /> 1�A1fR HUTCR OU <br /> •1 VfNTIIAiIOYFAN <br /> URINAL <br /> RANGChOOD <br /> DNINK�NG FOUNTAIN <br /> Alq MANOLINC UNIi— C P M <br /> FIOOR DNAIN STOVE <br /> VACWhI PRUKEH$ <br /> MEML fIREPUCE 8 CHIMNfY <br /> ROOF DRAM$—RAIN�EADEHS <br /> SINK IS[R\9C[—NAR,[TC 1 <br /> � � SU�iOTAI � <br /> � � SU!TOTAt �E1MIT f � <br /> ►FIIMIT s <br /> TOTAIFEE s ' <br /> TOTAL iFF s ./PUN CMECK FEE � <br /> SIDF VARD 5[TOACK STRE[7 SRIfACK NU0.YAND SNfl�CK ��������U���� FEE �� /� RF.C`EIP720�. _/� <br /> 9 ✓ `7 � <br /> US[ ZON[ LOT AREA �ESNT��I,7OE FEFS VALUATIOH ��E <br /> lV <br /> � <br /> iYPE Of CONST OCCUPAN�Y GNOUP NO OF�WELLING UNIiS <br /> �/J �-3 � auiioiNc f� S(.� � <br /> LZF Of IIIOG � NO OF STOkl6 MA% O_CC lOAO <br /> ' � PWMFIhG <br /> , I � K /� <br /> 1 fl0.[ ZONE OAS[MENT BUIROOAIS FINE S�ftINRI(0.1 / �U <br /> ��� � _ REpUIRF� MFCMANIUI �� <br /> �'— ["1YE5 O <br /> A�►�OVALS �Y DATf OTHER <br /> 1 ENVIRO4MENi1LCMFCKliST PFNALTY 5[CC]OJIa� ' � <br /> 2 OUILOING PUN$ .Z �� <br /> 10TA1 <br /> ] fIR[ MYOPANT <br /> � fIRE PNOI[CiION SYSTEM t[IIMIT VALIDATION <br /> WHEN PROPERIY VALIDATED I�N iHIS SPACq TMIS IS YOUR PEFMIT <br /> 5 GRAUINCIL%CAVA710N8CLfARINCIGRUtlflINC <br /> 6 DRAINAGF <br /> 7. lNVIRONMENTALIMPACTSTATEMENT <br /> E NFAUH D157RICT <br /> APPLICATION ACC BY PUNS CHFCKED BY APPR FOR ISSUANCE BY <br /> Y � � ' <br /> 9.7-79 <br />