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, <br /> 4 - <br /> � <br /> ,MEw„�.� AP( �ICATION FOR ���,�„ <br /> "TM°` CONSTRUCTION <br /> everett PERMIT e <br /> DEPT OI'COMMUNITY DEVELOPMENT $ERVICES <br /> CRY HAIt 259�8745 <br /> EVERETT,WA98201 [����yBINATlON� L-�BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> � �— � MAII nnnNl4 Cnr Lr r11oNE <br /> •��� .L/t/h�.,GU�� //��� /.t�Ct�/llt�� �� 9k�Vl <br /> ARCHIi1CiOqUIS 1 MAILADDRISf <br /> y��� [Iiv T.IP PNON[ <br /> n �UOR MAII ApDN155 <br /> y [ItY 21P PMON[ lIC[NSE I <br /> \IICIIINICAI CONIR�CIOR M�II�ODRI55 f11Y LIP PNON[ IICENS[1 <br /> 1'll'��OM1C('UHIR1C10R M1IMI ADONI55 � ('11Y 21V PNON[ �IC[NSF I <br /> IIU�OINO0.K . � . <br /> �JNEN' ❑ADDITION ❑ALTERATION ❑REPAIR ❑DFMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> �uy.nov or wowx <br /> � GDU <br /> unc nnwoar; yy�rc'. �NCSh <br /> G�ncr�+P Slab , � �FPnre� <br /> 1'NOPOqOUq UI PUIIDINL <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> � PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ncv mi iruo�or reor�n�sl5�www puoN�ou nnno� UR fOPp51 PROVISIONS Of LAWS AND ORDINANCES COVERNINC THIS TYPE <br /> 9qy OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �o� nia'��.,.nn or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GNE AUTHORITY TO VIGUTE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RECULATINC CONSTRUCTION <br /> /—� OR THE PERFORMANCE OF CONSTRUCTION. <br /> Q �7'�((„�{ SICNATUHf OF{pNTNACTOR OR A�MORIZED AGFNi DAIE <br /> u�H�OPFIcc p <br /> X .c1 � �-L2� ' c�c l� 19�G <br /> PtUM81NG MECHANICAI <br /> NO. TY►E OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER ClOSFT�TOLIFTI AIN COND UNI15-M P U <br /> AATHTUA REfRIGERATION UNI75-M P FA <br /> lA\'A70RY�WASM flASIN� ItOIL[RS-H P FA <br /> SNOwFR GAS FIRED n C U"+ITS-TONN�GE fA <br /> KITCHfN SIYK 8 D6P IORClD AIR SYS7fA15-9 T U M EA <br /> DISWASNIR \\'All HUiLRS-H 7 U M <br /> � UVNDR� iNM VtillHIAlIRS-HTU M <br /> CIOIMfS WASHEN I\'APUNAIIVF COOIERS <br /> wAIER NEnT[N CIUTHIS DRYFRS <br /> URINAI ylNiIlA710N IAN <br /> ORINKINL fOUNTAIN RANGf MOOD <br /> iLOOR ORAIN <br /> AIRMAN�LINCJNIT— �FM <br /> VACUUM BqE�NF0.5 SIOI'f <br /> � ROOf�R�IN$—RAINLFADERS n1EiAL RH[PUCf 8 CMIMNtY <br /> SINK�SFRVICF—AAR.[TC 1 <br /> SU�TOTAL SU�70TA1 f <br /> rFI1MIT 3 ►ERMIi y <br /> 70TAL iFF f . TOTAI FEE i <br /> SIDF Y�RD SfIA.\IX STRFFT SC7AACK R[AR YAXO Sf TB�CK PLAN�H[CR NUM9ER PUN CMEIX FEE <br /> fEE RECEIPTNO. <br /> USF ZONf LpT ARU VAUNT$liF <br /> ❑YES GNO ��FS �AW�iION IEE <br /> TYPF Of CONSI OCCUPANCY GNOUP NO 01 DWEILING UNIfS <br /> SIZE Of BIDC NO Of STORIES MA% OCC IOAO BVIIDING S DO �''�' <br /> PWMOING <br /> il0.[ 20NE BASEMFN7 flIDNUUMS FINf SPRINKIfRS <br /> 0.FQUIRFO MEOIANIUL <br /> f7Yf5 C7N0 <br /> AMROVA�S /Y DATF O7MfR �J KE+JVII <br /> 1 ENVI0.0NMENTAL CMECK LIS7 <br /> PF�Al71' U.B <br /> 2 BNLDING PUN$ $EC JONaI <br /> ] Flq[ NVDRANT TOTAL % <br /> V -' <br /> � fIRE PNOTEC710N SYSTEM �f�M1T VAIIDATION <br /> S GRAOINLII%CAVAiION b CtF ARING/GRUNflING �vMLN PROPf RLY VALIDATED(IN THI$SPACF)TMIS I$VOUR PFRMIT <br /> 6 DRAINAGf <br /> 7 FNVIRONMFNTAtIMPACTSTATEMENT ' <br /> E HEAITM OISTRICT <br /> APPLIGTIONACC BY PUHSCHfCKfDBY APPN fOe155UANCE PY � <br /> 97 %9 <br />