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I <br /> M�Ewrpnrn APPLICATION FOR <br /> °'"°� :.ONPERMITTION °"e <br /> everett <br /> DEPT OF COMMUNITV DEVELOPMENT $ERVICE$ <br /> CITY HALL 259-8745 <br /> EVERETT,WAgB201 ��OMBINATION �BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> ONN[R MMle0GNf55 CrtY ZIP PNONI . <br /> �V ID IZ �LO'E 1.1��� �}�_► �-T�'_�[�-e.ET'� q t,2 �U 2S�i 6� <br /> �R[IIi1C1/OR O,f51G IR M l DOR155 CI1Y 21P PHONE <br /> � l <br /> GINlRMCONiN ;IOR MMlA00P6S CILY ZIP YHONF LICEHS[� � <br /> MIINANIUtCORIRACIOR M�ILADONI55 ❑iV LIP PIIONf IICEN$FI <br /> PIUNIIHLCONIR�QON MnIlA0DP155 [ItY ZIP PHONF �I[ENSE� _'I <br /> ClASS UI HOqK <br /> ❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑DE��OLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINC RELOCATION <br /> V�IUAIION OI NUNI( <br /> ) �� <br /> �LS14181 nONA � � " ' �L1 n � /—_� r ,' <br /> � �I�aeW {N Gi�XYY� 'lW� UT�� W1M�O�M� <br /> rxorosiu �s o� xunoi�:c 1 HEREBY CERTIFY THAT I HAVE READ AND EAAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br /> ucu ntscairuovor vAorianisrwwrv n[to�ros ettncr�rouacornsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL ElE COAIPLIED WI1H WHETHER SPECIFIED HEREIN <br /> wt�_niocr, or OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO <br /> 3�'I�3S�9(o�1�7 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIQNS OF <br /> ANY OTtiER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SICNATUHE OF CONiRACTOR OR AUTMOBIZED AGENT OATE <br /> ���A,�,��W�22 - . <br /> �� x � I 13 <br /> PLUMBING MECHANIUL <br /> i <br /> NO. TYPE OF iIXTURE FEE NO. TYPE OF QU MENT FEE <br /> 14A7FRCtOSfi�1011kT) AIRCOnp UNITS–HP A <br /> 11M117U0 HEIRIG[XATIONUNI75–MP FA <br /> lA\'AiVRY�\VASH OASIN� ItOILLHS–N P kA <br /> SIIO1\'IN CASfIH[DAC UNIT$–TONNACEEA <br /> RItC11tN51NKbp15P IONC[UAIHSY51EM5–OTU M!A <br /> DISl�nSREX K'ALlHIA7ER5–�iU M <br /> UU.VDXI 1NAY UNIi HUT[RS-01 U M <br /> CLOI MI S N'ASHI.R I\'APORATIVF COOLERS <br /> 1VA7f H NUiEN ClOT11L5 0RY!RS <br /> UNINAI VLNiILAiION fAN <br /> pRINAINGlOUNTAIN HANCE NOOD <br /> I IOOR Ok�IN AIR NANOLINC UNIi– C F M <br /> VnCUUM ONUI:LNS S70Vt <br /> NUOf URAINS–HAINLFADFHS nICT�I. fBEPLACE 8 CMIMNFY <br /> SINI;ISI8�9CI–NAR.(7C 1 I <br /> SU!TOTAL SUS iOTAI S <br /> �ERMIT 3 ►[lMli f <br /> TOTAI(fF 3 iOTAIiEE f <br /> SI�I tAHO 5i�T11ACK SiRf[i S[TOACK g�AH YA0.0 S1111ACK PU4 C11lCK NUMp[R PUN CHC[K FEE <br /> Rf RK[IPT NO. <br /> USE 20Nk l0I ANkA y���NI 5 L <br /> /^/y'� ❑YES .'O iEES VAIUAiION FEE <br /> l.�.LJ <br /> TVPf OI CONSi OCC 'ANCY GRO NO Of UW ILING UNIi$ <br /> UUILUINC S <br /> $I7f_OF tilOC NU Of ST RI[S MA% OCC LOAD <br /> Q�� ♦ PV'.�UINC <br /> HH( ZOM �)ASfMFNT 111ONOUM} flFl SPRINKILBS � <br /> � /7 RfQUIHED A��[���NIUI <br /> �^" �;VIS f O <br /> APPlOVALS !Y DATF OTMER <br /> 1 LNVINONh1fNULCHLCKLlST U17.0 <br /> PtNALTY SFC 70)�a� <br /> 2 [1UIlDING PUNS <br /> J IIN[ MYDRANT TOTAL <br /> � FINE PNO1fC710N SVSTkM pF�MIT VAIIDATION <br /> 5 GHAUIN(;'f%CAVA710N A QUNINLIGRUHflING ��HEN PROPERLV VAUOAT[D pN 7HIS SPACF)TMIS IS YOUR PERMIi <br /> 6 DBAINAC[ <br /> L [NVINONM[NUl IMPA[75TATfM[NT <br /> fl HUL711�ISTNIC7 <br /> API'LIUTION ACC BY PLANS CMFCKEO OY APPR !OR ISSUANCE BY <br /> 9.1-79 <br />