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�� <br /> fMEvNprwn APpLiCATION FOR - ����, <br /> �moF C.�NSTRUCTION e <br /> everett PERMIT <br /> DEPT.OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-E715 <br /> EVERETT,WA9E201 ��OMSINATION ❑ SUILDING ❑MECNANICAL ❑PLUMSING PERMIT NO. <br /> OWNEII MAIIADOM[55 ULY ZIP INONE <br /> R�odcr�" �7cCUhSA /l 3/7 t�Jn� S� o/ian�i611 L!%c. cS�Fi4�Y3 <br /> ARCNIT![TORD[SIGNFR MMIAUDLLE55 CITY 21P YNONE <br /> GW[RQCOHiR�C1011 M�ILAOURE55 CITY ZIP VNON[ IICFHSF� <br /> .M[CNnN1Ul CONIR�CIOR MAII AODRESS CITY LIP PNONE IKENSf f <br /> PIUMflIM1G CONiRACiOR MMl AODNkSS UTY 21P IHOH! UC[NSE� <br /> CU55 Oi N'OMK �,� <br /> ❑NEW ❑ADDITION L�J"ALTERATION ❑REPAIR ❑DEMOl1TION ❑FENCE ❑SIGN ❑GARACE ❑BUILDING REIOCATION <br /> V�1U�110NOf^WORR <br /> � � Q"1 . <br /> Ol5CR19t WORR I f . <br /> T iao�C6�' 4 • �n WCY �I ✓ � �s e i Tn� 1 t OV <br /> vRovosto us�or aunou+c I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br /> L�V+w PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> ieeei o�s IPIION Oi PROo[RtY�SNOWN B[lOW OR eItACN IOUM COPI[51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> iai�llr�.e�«K339 0� — OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR �E MANCE OF CONSTRUCTION. <br /> fICNATUR[O TOR A�AUT/H/.�y^IZED ACFNT DATf <br /> Iox�DDNtsi ,J � �/�{'it `� — <br /> G30 ��e .-rT' X � <br /> PLUMlING � MECHANICAL/ <br /> NO. TY►E OF FIXTURf FEF NO. TY►E Of fQU1fMEN� FEE <br /> W�TFR CIOSET(TOLIETI AIR CONO UNITS-M P.EA <br /> BATHTUB REfRIGFRAT�ON UMT$-HP.EA <br /> ��V�TORY IWASH BASIN� 80RC0.5-H P EA <br /> SHOWE0. LAS FINED�C UNITS-TONNALE EA <br /> KITCHFh SIHK 6 DISP FORCFD AI0.SVSTEMS-B.T U. M EA <br /> DISW�SMER WAIIHEATERS-BTU M <br /> lAUN00.YTRAY UNITMEATFRS-PTU M <br /> ClO7Hf5 WASMfR fV�PORATIVE COOLE0.5 <br /> WATfN MEAiE0. CLOTNES ORYFR$ <br /> URINAL VENiIIATION FAN <br /> � ORINKING FOUNTAIN RANGE HOOD <br /> F1000.OBAIN AI0.HANDLING UNIT— C F M <br /> � VACUUM ARFAKERS $TOV[ <br /> ROOf DRAINS—RAINIEADENS MFiN FIRFPUCE 8 CNIMN[Y <br /> SINK�SERVICE—AAR.[tC I <br /> ( <br /> SU�iOiAl SU�iOiAl s <br /> ►EIIMIT f ►f11MIT � <br /> TOTAI FE[ f TOTAI RE � <br /> $IDE YANO 5[IOACR SiRFFT SCTOACK RUR YARD 5f78ACK PLAN CM(CK NW�BER PUN CMEGK FEE <br /> FEf RECEIPT NO. <br /> USE ZO4E lOT AREA VACANT SIIE FEFS VAIUATION iEF <br /> �YfS ji�,O <br /> 1 iY�PE_O�s ON T OCCUPANCV CROUP NO OF OWFILINC UN�1$ <br /> i V—� R- 3 � euiioiNc + <br /> SIZ[ OF BLDG NO OF ST0816 MA% OCC IO�D <br /> / -T3 rJi ./ _�- --... PIUbIBING <br /> �0 rVilt�(�Y <br /> FIRE ZON[ B�S[��ENT :IkbHOOMS fIRF SPRINKLERS <br /> REQUIN D MFCMANIUL <br /> �—� � �'- f`YFS O <br /> ARROVALS �� DAT[ OTHER <br /> 1 [NVIRONM(NTALCMECKLIST pFNALTY UBC <br /> SFC 1011a� <br /> 2 [fUILDING PLANS <br /> iOTAI <br /> 7 FINF MYDRANT <br /> � FI0.f PN01EC110N SYST[M ►FRMIT VAlIOATION <br /> 1v11tN PROPERLY VAII�ATFbON THIS S�ACf�TMIS IS YOUR PFPMIT <br /> 5 GNAOINGi11tUVA71("+BCIfARINGIGRUBflING <br /> h D0.AINAGI <br /> 7 ENVIpONMENTAI IMPACT$TATEMENi <br /> E NFAITN DISTRICi <br /> APPIIUTION ACC AY PUNS CMECKFD OV APPR FOR ISSUANCE 9Y <br /> � �,e . <br /> �� 7 '� <br />