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`, <br /> • APPLICATION FOR ����„ <br /> fMEwrpn�n � CONSTRUCTIOf� e <br /> CITY OF <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT $ERVICC$ <br /> CITY HALL 259�8745 <br /> EVEkETT,WA98201 ❑COMBINATION ❑ BUILDING L�MECHANICAL ❑PLUMBING PERMIT NO. <br /> O p /CRY ZIP;�� PNONI ^ , <br /> - � nuueooxtss ' �.r'.- �- � <br /> ' .•� � � . �:-`�h.��t J '•'� � i�,' %:: ��ct.f. +� t ;.'���c �� 'IC., �..�.. <br /> AROU1fiiOR�lSiGMR AI�ILe0URF55 ❑IY ZIP PHONF <br /> � S�'-�'r!� <br /> GIHEP�I CON C10N A1ell AOD0.E55 [IIY ZIP PHONF UCENSEI <br /> �.�ICNnn -nlC rv1RAC10R M�IIADDNl55 ❑iY LIP PHON[ IICFNiE� <br /> PIUA1NInL(OM1IR�QON <br /> MAII�OONESS CIIV ZIP PHONE IICENSf� � <br /> CUSS Of NOPK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑UEMOLITIO'� ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br /> V�WILON OI\VORK <br /> � � �J t�..a�" ' <br /> Dlsslt Ilt N�(10.� :.. . . � .•. �i �l l'�� C. <br /> / , !_:l ,' /� t� tf ;!'�� , :"�i.j � 1'� � <br /> 7�" !- : /' J' :r � �ip( ?l. � � � ' <br /> ruon�sious� or xwioinc 1 HEREBY CERTIFY THAT: HAVE READ A EXAMINED THIS AP• <br /> f` PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> � -' PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> itcni o�sceirnouor vxortan isNow�:xuo�+�ou nnnce�ouxcornsi OF WORK WILL BE COMPLILD WITH WHETHER$PECIFIED HEREIN <br /> �o� �niocn_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRkSUME TO <br /> GIVE AUTHORITY TO VIOLATF OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNA1URfOi ONiRACT ROR� ORIZ�AGFNT DATE <br /> ��n •E s yQ�,/�.1� •���� x : �-i`�, '���. +' :��F' �.�i` //� .7- <br /> r �C�L ` • <br /> ,� <br /> � MECHANICAL <br /> PLUMBING FEE <br /> NO. TYPE OF FI%iURE FEE NO. TYPE OF EQUIiMENT <br /> AIRCOND UNITS—MP EA <br /> N'nlfR CLOSL7 ROUfTI <br /> REiRIGERATION UNITS—M P FA <br /> H�7117U0 <br /> I401LfR5—HP FA <br /> UVATORV IWASM HASIN� <br /> CAS(IRFD AC UNI75—lON4ALE [A <br /> SMO�ef R <br /> IORC[D AI0.S�STEMS-0 i U M EA <br /> KIICMIN SINK 8 DISP <br /> 1VALLHUiERS-6TU M <br /> DIS\YASHfR <br /> UNII IIfAIENS—HTU M <br /> LAU�DRS IRAY <br /> LVAI'OBA�Wk COOLERS <br /> ClO1MlS1YASHIN CLO7HfS DRY[RS <br /> 1YAIfR HtAIkR <br /> _. V[NTIUTION FAN <br /> UNIhAI <br /> P .VGIMOOD <br /> DNINNING FOUNTAIN _ <br /> AlµHANOLING VNIT— C F M <br /> FIOOR[)RMN S70VL <br /> \'nCUU��IIH[AKFRS <br /> MIUI FIREPUCE 8 CHIMN[Y <br /> ROO! UNAINS—RA�NIfAO[HS <br /> i <br /> SINK IS(0.YICf—A�R.F IC I � <br /> SU!TOTAL s <br /> � fU!TOT�I r[RMIT s <br /> �IRMIT s f <br /> f TOTAIFEE <br />, 70TA1 FFE pLAN CNfCK FEE <br /> II SIDE V�ND SlTlb�CK STBF[7 SC1��CK RUR VAN�S[1I7ACA PUN r����R NUn117LR FcF RFCEIPT NO. <br />` USF ZOti! l01 AftU yAUNT 517E {EES VALUAiION F[E <br /> ❑Y6 CNO <br /> lYP[ OlCO��Si OCCUPANCI'GROUP <br /> NO OF DWELIING UNI7$ <br /> 17UILOINC s <br /> h0 OF ST081[5 n1A% OCC 'n�D <br /> 5111 'Jf 11lDG p�(���p�NC <br /> fIRLZOYI PASiMFNI Ii1bNOQNti KIQURLUKLLNS MICMAYIUI J <br /> f'Y(5 CNO <br /> A�PIIOVAlS er OAIF OiHFR _ <br /> UBC <br /> �, Ery\'IµpnMENUICHICkL�57 PLNALT� SFC 70Na) <br /> 2 9UILUIM1GPI�'��'S 10TA1 <br /> 7 fINF IIYONANT <br /> t[RMIT VAIIDAIION <br /> � fIHL PRORC710N SVSTIM WHEN PROPENIY VAIIDAT[O UN TNIS SPACq TMIS I$YOUN PERAIIT <br /> S GNAU��G7 ril�V�IION 6 ClI�hING'CRUNIIING <br /> 6 UNAINACE <br /> 7 fNVIqUNn11N7ALIMPAC75TATlM[NT <br /> E HUIT�I DISTRICT <br /> AVPlICA71ON ACC OV PUNS CMEIXED 0Y APPR FOR ISSUANCE flY <br />