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�PPLICATION �F1a .: ���,,.� <br /> fME✓eV� . _ . ��.S,-II-�l��J-�..-1-1-�.J�_—_".__—' _�_ <br /> _._ '_.' _'_._ CITY OF _'_ ____"'_.__'_'._ __.. '_ <br /> everett PERMIT — <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> ❑TY HALL 259�87�5 <br /> EVERETT,WA9B201 �MBINATION ❑ BUILDING ❑MECHAA � ❑PLUMBING PERMIT NO. <br /> OWN[R M�R�DOXftS CpY 21P PNONF <br /> �� � - TG�-I:Fx .�L- '? c4'�'c' �5'r,r' �-r ��rr-?Y 9���( .�5:;, , ,>«:7 <br /> ANCHITlfT00.0fSIGNlR M.11lAUUPISS CIIY ZIP PHONE <br /> GFNFNM CON10.A('lOR MMl�OORfSS CI1Y ZIP PMONE UCENSE I <br /> ���-Cnv� v-����i /% �%��/� Fr ..��C ta �Ja 4 a,/ � vF�'riJ �/�7t1 ���'7.2�1' �Y:ci,.,C_2,srl� <br /> MICH�NIf�lC04IRAC10R MAll�OORl55 �--� CIIY ❑P VNONE IICFN5E1 <br /> Pll'�UU�it CUvtP�C10N M�II ADDRI51 CIIY ZIP VHON[ U[[NSE I <br /> c�l�i �. l'i L, C•C'� 5 /ii'� � -� i t� tr -�i qi��c=� .�s�s-�17I <br /> CI b�OI\\ORK � <br /> ❑NEN' � DA DITION ❑ALTERATION ❑REPAIR ❑DEh10LITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \\ll��iIM01 WOAk !-f <br /> � ���`�, � <br /> I1IKNINI NOqA <br /> -�:� J '«:�_fc.�;� .�. ;! ���9 �i.�,Tt! <br /> rx��rasroi��i oi nvnmvc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> ��k;s� i ���yi�„� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> IIf.V DISCRIP110�0I V0.0Pl0.fYI5110WNq110N'O0.AlUO110UPCOP1IN PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi L'L-x�ocr. G� or ���° J ��� E'� �^''� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONS7RUCTION. <br /> SIGNA,itiNE Of CONiRACTOR OR AUTHORIZED ACFNT DATE � <br /> � <br /> IUN nOpNltt/ `� ' f / / y \ � � �� <br /> .�G'�'�JC L i�'/�`/�> �L'� A l. Ifi � t. � l� <br /> PWMlING 61ECHANIUL <br /> NO. TYPE Oi FI%TUIIF FEf NO. TYPE OF EQUIPMENT FEE <br /> WATER ClOSfT(TOIIFT� � AIN COND UNI75-H P EA <br /> fl�TN.�U9 R[FRILfRA710NUNITS-MP EA <br /> LAVA70RYIWASHBASIN) BOR[RS-HP EA <br /> SMOwER ,�v GAS�IREDACUHIiS-10NNAGEFA <br /> KIiCMFN$INK 6 DISP � �OHCFD AIR SYSTEM$—B T U M EA <br /> DIS\VASHlR W�LIMfAikRS—BTU M <br /> UUNDRY iPA\ UNI7 HfA7ENi—PTU M <br /> CL01Nl5\VASM[N L\'APORATIVE COOLERS <br /> WAIfR MUTER CIOiMtS URVER$ <br /> URINAI VLNIIlAT10N fAN <br /> ORINKINC FOUN7AIN NANCI HOOD <br /> �I fLOOR DRAIN AIR HANDLING UNII— C F M <br /> VACUV�1 flRUKlRS SiOVf <br /> 0.00F U0.AIN5—RAINLUD[RS .�II:iAL FIREPUCf 8 CHIMNfY <br /> S�tiK�SE R\'ICl—flAR F iC 1 <br /> II S 7 TOTAL ,� �(i SU/YOTAL s <br /> N:MIT t ►ERMIi f <br /> TOT�IFEF S .� 1(� TOIAIiFE s <br /> 51DF V�RD SI iOhCK S7REI1 5[TNACK RU0.YAHO SE lOACK PUN CHICA NUMBFR PLAN CMECK FE[ <br /> FEE RECEIPT NO <br /> s� ��� - �s9�� � 3z. �3 -��� <br /> USf IONE LOl AREA VAUNi 5171 <br /> iFFS VALUAT�ON f[F <br /> ��_3 <br /> ❑VIS Gt0 <br /> IYPI OI CON57 OCNPARCY CNOUP NU Of OR't LUNG UNI75 <br /> �UIL[)ING sA ,.�z��ll� O <br /> SIZF Of BLOG NO Of STONIFS h1AX OCC LOAO Y•J/v <br /> riunmiuc �; pd <br /> � HRF ZONf OASfM[NT HIUNUOMS IIRE SPPINKUXS <br /> NIQUIRIU MfC/1AMCAl <br /> flYfS f7N0 <br /> �►►�OVAIi �Y DAt[ OTMfR <br /> 1 fNVIRONMfNTAICMECKL157 PENAL7Y �p� <br /> SEC lOJlal <br /> 7 BURDING P1AN5 <br /> TOTA1 <br /> ) FIP[ MYD0.AN7 <br /> � {IRE P0.0T[CTION SYS7FM /ERMIT VALIDAiION <br /> WNEN PROPERIY VAUOATfD IIN iN15 SPACfI7H15IS VOU0.VERMIT <br /> S GRADINf.IfNCAV�ilONBCIkARINGGRUHHING <br /> jb DRAINAGF <br /> � 7 FNVIRONMFNTAL IMPACT$TATEMENT <br /> E MfALTH DISTNIC7 <br /> APPlIUT10N ACC BV PLAN$CMECKED BY APPR �OR ISSUANCE NY <br /> 9.7 79 <br />