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� <br /> tMEvapn�n A-�PLICATION FOR<��, <br /> �;ONSTRUCTION ` °�°"" <br /> cm oF <br /> everett PE RM IT e <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> FVERETT, WA9B201 �COMBINATION ❑ BUIIDING ❑MEfHANICAL ❑PLUMBING PERMIT NO. <br /> � ow,�r�Aia JI , n . n�sn noox�ss urr ziv , rHOH[ � � rl� � <br /> �'Ylf�l-K�u� /�/1 CJ�A�'V ��e�y nA�� �Vl= F 1Cl�e-tfi 9g,ao � <br /> ARCNII[fiORO[SIG (R MAllApppF55 CIiY 21P PNONE <br /> GENIReICOviRACiOR MAIt�DORE55 fI1Y ZIP PHON[ IICENSEI <br /> T�n(�mSeb. �..�r�nn�ct+c Ibly/ 2rc�.�a cp1 ov c-3� 5uift ,�o� B� o�15)�/ d] S ol v/ai3 <br /> lCH4 C t CO 10.�CIpR � UT ADD0.(SS CIiY CIP PHON[ ���FMSL 1 <br /> � — c�r��nnh� l.'h �RClS7 <br /> PIVSIPI\f.CpNlqnCtOR MnII�DDRtSS CIIY ilP VHON[ IICENSE/ <br /> ❑AS501\\ORK <br /> ❑NEW �DITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑$IGN ❑GARAGE ❑BUILDING REIOCATION <br /> 1'AIUAiION OI N�ORK /�� • <br /> f �� O�JOi �V <br /> U( 41 ! WOXA <br /> r 4�,, ecs �'o � <br /> vaoros�u usr r nmiuivc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �-�IIWI.O�f/S57X�1�V110NOVP0.0PlRiV�S110W4fl[lON'ORTAl1�Cf�1(;URCOVIf51 PROVISIONSOFLAWSANDORDINANCESGOVERNINCTHISTYPE <br /> �m�ptOCK 33gor VF_1^ � VIJISl0V1. ��I�(�� OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEREIN <br /> , OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> Reco�l,• �YL �Q�(JYY�� ` U� �L(.1�5 A YEOTHEROS7ATE OR LOCAL L WR ECULA`71NC CONSTRIUOCTION <br /> ��� � OR TI1E PERFORMANCE OF CONSTRUCTION. <br /> SILNATURF OF CpYTqAC7pR OR AUTH00.12E�ACENT DATE <br /> IOfl nIJORf SS <br /> QJCes GL✓e. �L.relT WQ, Q8�.0 � X ." �'� <br /> PIUMCING MECHANICAL <br /> NO. TY►E OF FI%TURE FEE NO. TY►E OF FQUI►MENT FEE <br /> \VATFR ClOSET�TOIIET� AIN COND U�u175-H P EA <br /> PATHTUB R[fNIGFRATION UNI75-HP fA <br /> UVA70MY�WASN BASIN� OOIlIRS-H P EA <br /> SMOwFR WS FIREO AC.UNITS-TONNAGE FA <br /> KIf01lN SINK b UISP fORClD AIN SYSTEMS-B T U M FA <br /> DISN'ASNER \\'ALL Hf�TERS-B T U M <br /> IAUNORV TR�V� UNII HFAIFRS-BT U M <br /> CLO7Hf5\VASMfR [VAPORATIVF COOLF0.5 <br /> N'AifR NEATER CLOiHlS DRYFRS <br /> URINAI VFNIILAiION fAN <br /> DRINKING fOUNTAIN qANGI HOOD <br /> fIOOR DRAIN AIR HANDLING UNIT- C F M. <br /> VACUUM BREAKEBS SIOVE <br /> ROOf DHAINS-HAINIEADERS MItAL FBEPUCC 8('NiMNEY <br /> SINK ISFNVICF-BAR.FTC� <br /> SU�TOTAL SU�TOTAI S <br /> rE11MIT f rERMIT { <br /> TOiAI iFF f 70TA1 FE[ f <br /> SIDE YARD SFTflACK STRF[T SCTPACK HCAq YARD SRBACK PUN CMLCB NUMBEN PUN�HECK FEC <br /> ZE7C /) ,J FEE J�'� RECEIP NQ_�� <br /> USE ZONE LOT ARFA . �jI v��V a�^ 1 <br /> VAUNf$Ill -� <br /> rZ'?� ❑VES CiM'f iE[S VAWATION iEE <br /> 7YP[O(CONST OCCUPANCYG0.0UP NO OI OWELIINL VNITS <br /> � � M eunoiNc s /���� d2) <br /> SIZf OF BIDG NO OF STON�E$ MA% OCC lOAO ��LS(J' L�.¢. � <br /> 3 �O $,� � — PLUMPING <br /> fIRE ZONf BASFMENT OLDROOMS FIRE SPNINKlENS <br /> i — ___ RrEQ51RFD/ MfCNANIUL <br /> � — ' [PN <br /> AM�OVALS �1' DATE OTHFR <br /> 1 FNVIRONMFNTALCNfCKl15T U.BC. <br /> 7 BUILDING PUN$ PENAITY $FC 70AaJ <br /> 7 fIRF NYORANT TOTAI <br /> � FIRE VROTFCTION SYSTEM ►F�MIT VAIIDAiION I <br /> 5 GRAOINGIf%GVAT�ON6 CIFARING/LRUBHING WNEN P0.0PENLY VAUDATED pN TMIS SPACf�TM�S IS YOUR PERMIT <br /> 6 DRAINAGE <br /> 7. ENVIRONMENTALIMPACTSTATFMENT <br /> D HF�LTH DISTqICT . <br /> APPtIU)ION ACC BY PLANS CHFCKED BY APPR iOR ISSVANCE AY <br /> � y�-,.,� L �c� <br /> 91�79 <br />