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, <br /> ��PPLICATION FG �: ��e <br /> fME�+rprNn CONSTRUCTION <br /> an oF <br /> everett PERMIT <br /> DEPT OF COMMUNITV�EVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVErteti.w�eazoi ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PEYtM1T NO. <br /> ON'NI R / �l <br /> M1uu eonxiu cnr 1m r�wr+F � <br /> �lb�^don 8 �CJ.?✓�i HG,t� .CVn.,u.,.slldi' .E✓c��I� 9B.?c3 -�'-s-�4�Q• <br /> M�IL ADpX155 CIIY l P YMO E <br /> AROIIIICTORDISICn'IR p q ,�`! N�(I/ <br /> �✓cr•4.�Ff /?o �ox 3c3 �Jr'�i��O /B/�IS .]JJ' L <br /> L(NEN�tCOM��g���10/V L MAIIAODRf55 CI1Y ZIP PHO [ IICENSF� <br /> �YOP'Gf.tFr /1�vAtRB .233oK <br /> MIfH�vICAI COVIN�CIOR M4l hOOPl55 OiY LIP 1'NONf lIC[N5.� <br /> �'✓� r� S�/� 3�Y// /Y cs �'✓uwf 9A.2o/ Sz•3�/�/ <br /> PID�IpI`�1lONiR♦ OR M�II AODNl15 ❑IY ZIP PIIONf IICENS[I <br /> �,2�a-r✓or,fs dn.6:� GR�o .Ce.,6a-1 �'o•rf 98.�o I .1S3-7as7 <br /> wA rE�',v a�o c�o <br /> (�U�OI NORK <br /> �Nk\V ❑ADDITION ❑AUERATION ❑REPAIR ❑DEMOLITION � ❑Ft�C[ ❑SIGN ❑GARAf,E BUILDING RELOCATION <br /> �uv.nn�:or wouc <br /> s �.'t0000 <br /> ❑I�IN�IPI-\YOPA��y 1 � / /, - / <br /> /i►'o OR'w M�J- ciwr C� � � ' UX�.�"w ittar: �i C� <br /> ruarouui�st or xuuuwc I HEREBY'CERTIFY THAT 1 HAVE EAD ANL� EXAMINED THIS AP- <br /> �I� �� . PLICATION AND KNOW 1-HE SAME TO BE TRU!AND C9RRECT ALL <br /> �9 PROVISIONS OF LAWS�ND ORDINANCES GOVERNING THIS TYPE <br /> ur.0 oiscxirunvor rAorta�riv�oNn nuawoantt cH iouamrrtsi OP WORK VJILL 6E COMPLIED WITH WHETHER S?ECIFIED HEREIN • <br /> �oi n�accLor �✓ '� � OR NOT THE GRANTING OF A PERM�T DOES NOT PRESUME TO <br /> / �J n , GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> f S r �� �G I�IS /► �CS {fw�' ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUR[ OF CONiRACTOk OR AUTMORRED AGFNT DATE��j/eO <br /> O <br /> �on.nnu�s� /!O/� V lI// <br /> �//� I fi �(A:IcO� 110� X <br /> PLUMBING MECHANIUL <br /> NO. TY►E Of FI%TURE <br /> FEE NO. 7YPF OF f.QU1PMENT FFE <br /> WATf0.ClO5lTliOlIR1 O AIRCONU UNITS-��P E� <br /> R(IRILlRATIONUNITS-HP U <br /> BATMTUB <br /> Q LAVATORVIN'ASHflA51N� Q I1011lRS—HPU <br /> GAS fIRLD AC UM1�T$—TONNAGE FA S � <br /> SMOWfR <br /> KIiCMEN SI4K 6 DISP OO �OBC(0 nIR S1'S7[MS—tl T U M U <br /> WA�I ��tA7tR5—OlU M <br /> GISW�SMF0. . <br /> � UNIiHfATIRS-07U M <br /> UUNGRY iRA\ � <br /> — f A'APORAIIVC COOLCRS <br /> CLO7NF5 w�SNEN <br /> wAifRHEA7fR O CLOIMFSDRtiE0.5 <br /> Y�N71UT10Y UN � <br /> UXINAI <br /> pqINKING�OUNTAIN <br /> RANGI MOOD <br /> f IOON ORAIN <br /> AIR MANDLING UNIT— C F M <br /> �UNUM BRfAKE0.5 570VE <br /> Rf�f DR�INS—R�INLlADERS V h1FT�L IBEPUCE 8 CMIMNEY <br /> $INK�SENVICF—H�R,f iC 1 <br /> .L SU�TOTAL � �v <br /> fW tOT�I <br /> �� ►EIIMIT f ffRMIT s <br /> TO7Al iEF S �1Q � TOiAI f[E s <br /> PLAN CHfCK FEE <br /> S�Df YARD SITP.�CK STREFT SLTOACK RU0.YARD SETOACK PLAN CH[CK NUMNEI. FFE � REC"E�P,T,N y <br /> p� �'" S o� Jf� %�i 77 �3 .� ytf �� � <br /> USf ZONE IOT A0.EA VACANT SI71 r �E�y VAlUA710N F[F <br /> f��� / �V15 CNO <br /> � `y <br /> TYPI OF CONSI� OCNF�NCY GROUP NO Of DWtLIING UNI75 <br /> ,� �p� tlUIIOING �� Q nQ .�a�Z O Q <br /> SIZI O� NIOG NO Of STORIES M�% ����R� I� <br /> � p� ��� 1'WMNING �y �L �U <br /> RNEZ NE BASEMfNI �����k����5 R�QUR[IDK��HS , MECNANIUI "� dv <br /> � f7YES r'Nn <br /> A►�tOWlS er D�T[ O7HfR <br /> 1 LNVI0.0NMEHTAL CNfCK LIST U BC <br /> PINAtTY SEC 70J�a) . <br /> : euuoiNc ruNs ¢7� ; vt7 <br /> TOTAL <br /> ] FIR[ N�DFAN7 <br /> � FIRE P0.0TEC710N SYS7EM IElMIT VALIDATION <br /> �y���ry pqpp[NlY VAl10ATED IIN THIS SPACF)THIS IS VOUR PERMIT <br /> 5 GRADIN<;If%LAVA710NACLIARINGIGRUNNINL <br /> 6 URAINAG[ <br /> 7 lNVIRONMFNTALIMP�CTSTATFM[NT <br /> e ncnuN oaraict <br /> APPI�CAT14N ACC BV PUNS CHECKED 9Y APPR fOR ISSU�NCt NY <br /> 9449 <br />