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, <br />`n``,"b„`° � CONSTRUCTIO�I • <br />CITY pP <br />everett P�R M IT <br />Gn r �Ul l 2bt1-97a5 <br />tvcrv[tt.wn �uzo� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL L� PLUMBING <br />�' YNIN 1.•aq Fl:un�?h � il1 dl' 1'r.JHI <br />cT ; ., � .� oi.s - �;,.:��, ;�;.- _F,��,..{� __ <br />:.PLMiiLCI GH D15�5 LR A�NI ALCR[SG ... � ZIP P��JNE <br />i.11.11U1CO/N19ACiOH/ VAItAi�Pfl!55 UIY ]d. 1'HV'.0 IIC�f1511 <br />)I'lC�i l.e.�HJ`✓��l�.d /s..�. �CG GJ� ✓ � 3 .� :721•e%3� <br />�'l l'1.1(jING <br />�TSS O1 <br />':A1 UAl1Ot <br />t � <br />rnsa+•uc <br />�_ .4.'. <br />' � � ���e✓ l�H.00�Y90 � <br />r.lAiIAUD�il55 t]Ir iiP fNQi�i tCEr15CI <br />C <br />Alql aU:llil$ �I•� � jiV PP(/YC L!CI I ul � <br />^ ❑NC.Y �ADUIIION ❑AIiERA110N }{IliCPA1R ��DEMOlI110N I iFFNCL I.�tiI��N I �OAHPGE <br />�� <br />WONK <br />-�1 / n Q U <br />.1 ::4L UtSCRIP110N Of {'ROV[RiY �Cd W1V DEIOW <br />�1� �n��,p <br />��,i��_niocR7t�o� __"�"� <br />,��� •roi�css <br />1 � �.5���/,i.: !� i E, <br />PLUMBINO <br />NO. TYPE OF FI%TURE <br />KITCHLN SINK 8 D <br />pI511WASHLH <br />UUNDNv THnV <br />CLU1HCti 1'/ASI/FN <br />N'AiC�1 RCA7ER <br />URINA� <br />UHINRING �OUNit <br />fIWN URAIN <br />— faINLEADEl15 <br />— �a�� t tr � <br />SUS TOTAL <br />:.q�I.vn��U5E7NACn SiRLLI5l1 <br />�bL .UNf, l01 4REA <br />t n'L UI CONSi <br />u0. OF S10RIC$ <br />1 IHL :ONE <br />.�PPROVAIS <br />i CNVIHONMENTAL CM[CK LIST <br />: BUILUING PUNS <br />3 FIHE HYU�ANi <br />� PIf1E FHOTECTION SYSTCAI <br />r cn�nu+c <br />4 DRAINAGE <br />7 ENVIRONMENIAL IMPACT $TAlEA1FNi <br />N HCAIiN DISINICT <br />N'P�ICAiION ALC OY PLr\HS CHECKFU UY <br />I HFR[6Y CERIIFV THAT I HAVE READ AND FXAMRJED THIS AP� i <br />PLICATION AND Y.NOW THE S�ME TO BE TRUE AND CORRECT. �� <br />ALL PflOVISIONS OF I.AWS AND URDINANCES GOVEHNIIJG THIS I <br />TYPE OF \1'ORY. WILL B[ COMPLIGD WITH WHETHER SPECIFIED 'I <br />Hf,R[IN OR NC?T Tli[ f,RANTMG OF A PERMIT DOES NOT � <br />PRESU�.1[10GI\'[AUTHORITYTOVIOlATEORCANCELTHEPRO� I <br />VISION; OP ANY OTHFH ;;TAIE OR LOCAI. LAW qEGUL4TING I <br />CONSTHUCTION OF THE PERFORMAIJCE OF CONSTRUCTIGN. j <br />:.��i•bAill�,l��'�+l�I���ln�. U���Ut�,!r • ;.�,t�' DAl[ � <br />�r� <br />X ii _ <br />MECHANICAL — — I <br />__NO. TVPE OF EOUIPMENT FEE _ � <br />__ dIHlO'iU UIIIIG—NP I4 _ � <br />{�!li1LL1IVAlIOHUNIiS-'NP f� <br />HUII ! HS -� N P I h �" —' � <br />_ __ l:A', f IG.111 4 C UN!IS__- TOtlNAfiC FA __ __ I <br />..� Ul+t'I 1' AIN SViil 1.1 i— B f U TA (A <br />1•i411I1�N1l�': IJfU 61 <br />IRJIIH(AiIRF—O7U M <br />I VAI VHAtIYI. CP.`�ll N$ <br />� <br />� C.lpiltl^.h(iIIR� I <br />VldfliNi��NfFN _ � <br />_ _ qqp��C Hd.)D __ I <br />A',H I�AtiUi Mb UNif — C F �d <br />' _ `-.`1`.,— ' __' <br />AI! � al { INCPI AGE S f.HIMNF Y ' <br />S_— — _'—_' <br />RIAN YAliD SCI�3AL.k "LAI! lul l �. NUI.IH! R <br />VACANT SiR <br />( IYES i71�0 iEES <br />NO.OF OW[LIING UN17� <br />DUIID�Nc <br />MAX OCC.LOnD _ <br />PLUMt11NG <br />flf!L SPf11NKllRS <br />Ai'r R (UH IbSUANC(. i7Y <br />P[pMIT <br />PIAC l.nfl.K GFC <br />V Cf fl[CEIPT NO <br />VALU�TION FEE <br />F <br />AI[CIIAqI(;AL <br />Of11FA <br />�'CNAIiY UUC <br />___"_" SCC 3U71�d `_ <br />TOTAL <br />PERMIT VA.IUATION <br />\V�IE4 CNt�Pi III.Y VSiII��'f I� �IN iRlS til�i.f,i � 7�� , i5 Y('�U� ^CH6�11 <br />