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,�.Ewro,„� PPPLICATION FOR ���,�n <br /> °�TM°F �:ONSTRUCTION e <br /> everett PE RM IT <br /> DEP7 OF COMh1UNlT1' DE\'ELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT.wA9eiot ��OMBINATION �BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> O1tiN�p A1�Il�UUNl55 ❑11 ZIP PIIOYF <br /> � /�1 �. a ��� �,�,R� e_ 2,'� A9`C>,I/ �i/���7r Ss� a 3�,7 -`��Fsi <br /> AF�lOVO[SICNIR M11AllnOORI55 CIiV ZIP PNON[ <br /> GININ�LCONi0.AClOq nl�lIADDRl55 CIIY ZIP PNON[ IICFNS[� <br /> � t G t C'�,�,s'Y S�/S so ..�""� ave �v..��/T 9dzo�-! �ss•6(� 79 5'CLiC. /Y1A..� <br /> 'n11C11AnIULCONiRACLOR MAllA0ORf55 ���� LIP PNON! llC[NSEI <br /> PIUNIII\G CONIX�l10N nl�ll ADDC[SS CIIY ]IP PNONF LIC[NSF I I <br /> C1�15 O!NUNK cy <br /> ❑NEW ❑ADDITION uSJALiERATION ❑REPAIR ❑UEA10LITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOUTION <br /> eewennn or NORk <br /> ' �1 bCv• '. <br /> oucuini �soa� <br /> �G �e <br /> rxnrosiousi r xwimYc I NEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> � ` PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ueei uiscairuo+� ruoriarv o�� wv n[ww oR nn onoua corusi PROVISION$OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORX WILL UE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io��xiocr:,�_or OR NOT. THE CRANTING Of A PERAIIT DOE$ NOT PRESUME TO <br /> G�VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �� �(/� � ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> S�GNA7UHE Of CONTRACTOR OR AU7NORI2ED AGENT DATE <br /> IOH�UUNI SS <br /> �.2 �.r� - � x f �/ 7 ,9� <br /> PWMBING MECHANIGL <br /> NO. lYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> 1\'ATLR CLO$[T(TOLIETI AIN CON[7 UN175–M P U <br /> IlA1M7U6 NffHIGLNAiIONU�115–HP EA <br /> IA\'AiORY�N'ASMO�SIN� NOIL[RS–MP tA <br /> $HO\YfH GASIIREDAC VNITS–IONNACf U <br /> FIICMlN$INK S DISP fOHCtO AIN SYS7U15-8 T U M L'n <br /> DISW�SMLR K'ALINlA7FN5–f7iU n/ <br /> IAUN�RYTHAS UNITHU7(RS–I1TU M <br /> CLO711I5\\'ASHLR L\'AP04A71\'f COOLERS <br /> N'Al[N MEA7LN CLO711FS DRYERS <br /> URIYAI Vf NI IlAl1ON FAN <br /> UNINI;IrvG�OUNIMN NANLI IIOOO <br /> FLOOH DRAIN AIR IIANDLII:G UNIT– C F M <br /> \'ACUVM flNf ARI R5 S10Vt <br /> HOOf ONAInS–RAINIEADERS MCTAI FIREPUCE 8 CHIMNEV <br /> Sln��S[RVICf–I{AN.1 iC 1 <br /> W <br /> SUB TOTAI SUB TOTAI f <br /> P[RMIT S PEMMIT f <br /> TOTAL FEf 5 TOTAL FEE f <br /> SIDf1AR05li1f1CK STREETSCTIIACR R[AHIAHOSFTOACR PLANCIItCANC,NIIIR PlANC11LIXFLf <br /> ��/ Ftf NECHPT NO <br /> USI ZONI lOT ARU \'AUNf SI1L <br /> GS[S �NO FEIi VAIUATION F[F <br /> TYPF UI CON57 OCNPANCY GROUP NO OF DN'ILLING U'�Ili <br /> nuuowc 3 �� .S� <br /> SIZE OF NLUG NC OF STORI6 nlnx OCC IOnU — <br /> YWMIIIhG <br /> fIR[ ZO.�'l OASEMEN7 BIDHOUn1) fIR! SPRINKIlXS <br /> BkQUIRfD MlC11AMU1. ( <br /> �,��s ��� J <br /> APPROVAlS BY OATE O7MfR <br /> 1 ENVINONMLN1Al CH[CK IIST plNALTY ���� <br /> SFC lOJlal <br /> z ounoirvc r��Ns <br /> ) RR[ MYONAN7 TOTAL 3� � <br /> � FBE PftOilC710N SV51Fh1 PLRMIT VAIID�TION <br /> WMEN PROPERLY V\IIDATEO�IN 1HIS SPACE)THIS�5 YOUR PERMIT <br /> S GRAUINGif%CAVATIONhQLANINGIGRUBNING <br /> 6 DRAINACI <br /> 7 LNVIRONM1I[N7AL IMPACT STATfMENT <br /> 9 HEAITH D67RICT <br /> APPUU710N ACC OY PUNS CMECKkD BY APPR IOR ISSUANCk BY <br /> 9.1 ;9 <br />