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.` <br /> ,�p,`.._.Eo APPLICATION FOR ���,�n <br /> everett `� �PE RM ITTIO N e <br /> UEPT OF COA1ntUNITY DEVELOPMENT SCRVICES <br /> t :TY hIALL 259�8745 <br /> E'v:'4TT, Wneazot �COMBINATION ❑ BUILDING ❑MEGHANICAL ❑PLUMBINC PERMIT NO. <br /> ownia� _-. n�uinonxiss / unn zir vHo�+[ - <br /> � .��` � .�L/�.!�I�?�r���� /��� �- yC�f�<( ,��t /l�/fn�il�i��r %��9c ���i- %ilrr�' __ � <br /> �NOIIIICT OR p' IC (N p � All A�RfSS CI 1 ZIP PMON[ <br /> GFNlN.�{,f.OviR4tON bull�ODNfSS Ulv ZIP VNON[ lICW5E1 <br /> // <br /> /% <br /> ��Il 1�ulCel COViR�[100. MAII ADOP[55 ❑�1 LIP PNONF IICEMSf I <br /> i9C'�IU�G(OVINeCLOR buitnpp0.[SS (iiv ZIF PHO`+E ll[EHSFI � <br /> (l OS UI\\ORK,�//' <br /> ❑NRV L"IADDIi�ON ❑ALTERATION ❑REPAIR ❑DtMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINGRELOGTION <br /> t�w�na�or��Ov� <br /> r s -� �O v -. <br /> u�sceio[��oAx <br /> U <br /> � i e i-� <br /> raoi x ��� i or n�noisc , > I HEREEIY CERTIFY TH�T I HAVE READ AND EXAh11NED THIS AP- <br /> ' � PLICATION AND KNOW iHE SAME TO BE TRUE AND CORRECT ALL <br /> .� F�l / .i <br /> ucn�otsce� iov o�PAc r�arr ivwti�v nt �.u/a siucM rauR covnsi PROVISIONS OF LAWS AND ORDIN,\NCE$ GOVERNING THIS TYPE <br /> �i�� Y L mouj��Lu� F�R 1�c�7 Ed2�e�YJ�i'o��Te OF WORK WILL dE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT. THf GR�NTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AU7HORITY TO V�OLATE OR CANCEL THE PROVISIONS OF <br /> �. - �J , f . • , - ' , � ' i - ANY OTHER SiATE OR LOCAL lAW RECULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> � ` SIG4ATUR Of CONTRACiOR 00.AUTHORV.ED AGFNT DI.iF <br /> l <br /> I�1P nOpR 5t y <br /> l � . — .�,, .A� I � — <br /> / <br /> PLUMBING MECHANICA <br /> NO. TYPC OF FI%TURE FEE NO. TYPE OF EQUIPMEHT FEE <br /> 1Yn7EG CIOAi li011Ell f I�CJ AIR COND U�tiliS–IIP U <br /> F1A7117Ufi /LLC= RffNIGFRATIONUNIiS–MPEA <br /> U\'A70RY(N'ASN OASINI <' �(.: flOIlERS–HP U <br /> SIIOWkN USiIRF�AC UNIT$—IONNAGF FA <br /> AI1CMEti51VKADISP IONCfUAIR5i5IFM5—BTU MfA <br /> DIS�ti'ASHEk \4'ALLMEAIENS—UTU M <br /> IW�OHITR�Y U�IiNfA7fNS—IiTU M <br /> QUIMIS WASHFN � („�O E\'APON�II\'! COOlE0.5 <br /> \\'A7ER MfA7fR Cl01HE5 DR1[NS � <br /> URINAL VEN�IIATION fAN <br /> ORINAItiCVOUNIAIN RAtiGF MOOD <br /> FIOOft URAIN 11N 111NDLINL U�'�'ll— C F AI <br /> VANV�\I ONE AKL RS S70\E <br /> ROOf UNAINS—RAINLU�FRS ME Gl IINLPUCE h CNIMN[i <br /> SINK ISENVICf—9AN. E7C 1 <br /> SUE iOTAL ) �,LJ SUS IOTAI s �� � �� <br /> PEIIMIi 3 PFRMIT f � <br /> TOTALiEF S � � TOTAIf[[ s '7 e.-U <br /> SIOIY�PDS[TO\CK STRIfTS[�R•.CR H[nRYARD51i0ACK PIANOI[CKhU.�10IN PUNCM[CKf[E <br /> �j � (J�: �7 , �/ ^ ��� IE[�.�� RECEIPTNO }— <br /> G �f L <br /> USk ZO�+! LOi nNEA y��ANT SIiF S <br /> Y� ,2 �!�)� GYfS �O iFFi �AIWTION �FF <br /> (i <br /> TYPE OF CONST OCCUPANCY LROUP NO OF OV�'(IIINL VNIiS <br /> _Y- tii R' 3 � <br /> auuo�tic '3'�'O, r' �- :sZ; <br /> siu or eioc r+o or sioaics n��x occ iono <br /> ��/X/ � 1 — __ riunnniNc Q C�( % <br /> {IHE ZONF DASFI.IFN7 IffflNOOn15 flRf SPRINKIfRi <br /> �__. �— -- RfQUIREO MFCHANIUL � '���, <br /> ^YFS )b1U . <br /> A�PROVALS SY D�T[ O1NER <br /> t kN\'10.0NMFNTALCHECKl157 e1NAi1Y UBC <br /> SEC 1011a1 <br /> a ouiioinc vun; <br /> 7 fINF MYDRnNi TOTAI `��'j ��� <br /> � FlRE PR01[C710N SYSTfA1 �fRM1T VAl1DAT10N <br /> WIIf N PNOPERLY VAUOATE�(IN TMIS$PACfI TMIS IS YOUR PERMIT <br /> 5 GNAUING4%UVATIONBCIlANIYGIGRUNNINC � <br /> � 6 DRAINAC[ ��/�L('C�t %/✓� P�/�/J/'% I�.� /:�"='`_'L <br /> 7 ENVIROHMINTALIMPACiSTATEMENT <br /> e ��[niT�ioistaicr ,�-�-L�1UC(�'�i� �—OF.'� C:T!/��/�'G� <br /> nPrutnTior+ne� nr rinNs u+[ato er AI'PR IOR ISSUANCf OY � �-Tec°.�c�� �i1�Y� <br /> %�j � �� �C� '� i��� 11IO� I � �� �1. j����.iil l� 1/a�K.'.L ;'�� r <br /> (i <br /> � � ��'_ i. rili "' f:, �'l�j..�. .� jif � �� <br /> q.i.79 �(-!�S/ - _ . <br />