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APPLICATION FOR ��«�„ <br /> '°.E"'°"'° CONSTRUCTION <br /> ��r oF e <br /> everett PERMIT <br /> DEPT. OF COMMUNITV DEVELOPMENT SERVICES <br /> CITY HAIL 259�8745 <br /> EVERETT,WA98201 �COMBINATION ❑ BUILDING ❑MECHAN�CAL ❑PLUMBING PERMIT NO. <br /> OWNrl�N MALL AUUXI55 CIl1 ZIP PHO!�E <br /> r wa. H c;s /�c�wrav ///3 -l�f/�.�h� �" ueNaf� — <br /> ARUIITIC100.0151LtiiR � � M11AllA0pRE55 CIIV 21P PNONF <br /> GLNtN�I COVIRACIOR null n�DR65 ❑fv LiP PMO�[ tICH�SE� <br /> Jrhv�! o .B� � -�..�! �.a.�� .7�e✓ins ?�v-36�3 <br /> Nf01\WUlCOh1RA fON �UIIAD�P155 CIM1 ❑P HOvf IICEN_EI <br /> SNoyoc N�o � Oz <br /> I'1l�n�ql�C CO�vfRnCiOR nuil nDDR6S CII1 ZiP Vb �[ tlC[NSE I <br /> CONEW„UpKC�ADDITION ❑ALTERATION I�REPAIR ❑O[MOLITION ❑FENCE ❑SIGN ❑GARAGE ❑�UILDING RELOCATION <br /> \1WAllOti01\1URR Q U <br /> � .5000 <br /> UISIRIBI \tiORA <br /> eS,de �o�se - �/ih 5,����o <br /> raovustousF ui xunoi�c I HEREBY CERTIFY THAT I HAVE READ AND ERAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br /> uc.0 o�icaivnovo�veoriatrano�4 uowoa+n.n��auacovnv PROVISIONS OF LAWS AND ORDIN�YCES GOVERNING THI$TYPE <br /> � OF�YORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io� ����ocr.�.or � V Q OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STA7[ OR LOC�L LAW REGULATING CONSTRUCTtON <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUHf OF CO'�iHAC10R OR AU7HORIZFD AGENT DATF <br /> IUH�UDNI55 . , /2 y� <br /> ' �. i X U <br /> PLUMBING MECHANIC <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> N'A7FNCl05[TIIOUFiI AIRCONU Ur':�75—MP fA <br /> OAihIlUl7 REfRILERATIONUNITS—HP FA <br /> LA\'ATORY I\vASH OASIN� H011f HS—H P FA <br /> SHOIYER C�SlIRFU �C Uti1T5—TONnACf EA <br /> Yl101fv SINK b DISP FONCIO�IY.SY57[MS—B T U M EA <br /> OIS\1'ASH[R \VAII Mf 11[RS-11 i U M <br /> UUNOMSTNAV UNIIHUi1NS—HTU M <br /> ClO1Hf5�ti'�SMLR f\'APORATIV[ COOlEHS <br /> WA7FR HIA7ER ClO1HE5 OR1lNS <br /> URINAL V[tiilLAiION MN <br /> D0.1NI:ING FOUNTAIN RANLF NOOD <br /> fIOON DRAIN ' AB HANpUNG UNIT— C f M <br /> V'ANUh1 bNUKCRS S70VC <br /> ROOF ORAINS—RAINIFAUERS .VFI�I fIRfPLACE A CHIMNFV <br /> 9�R�5[R\9CL—17AR.(TC 1 <br /> SU!TOTAL SUETOTAI s <br /> �ERMIT S P[LLMIT f <br /> iOTALfFE s T�T��F�E f <br /> SIDFV�RDSIIIIACK Si4F[i51J1UCK RUpYARDSfiUACA PUYCIIICANUMOfR <br /> PIAN�H[CK FEI <br /> ffF 0.[CEIPT NO. <br /> USE ZO`+F LOT AftIA VAUNi Slil �E�S VAWATION F[E <br /> i]YES LNO <br /> TYP[ Of CONST OCNPAN[Y GftOUP NO OV UWFLIING UMIi <br /> OUILUING S <br /> $IZ[ OF PLUG NO O�SiORIES h1A% OQ IOnD <br /> PI VM1IPWG <br /> FIRIZO`1E f1A5FM[NT 11111HOUn1S R[OUREIDNRIERS ��fIHArvICAI <br /> pYf 5 I'NO <br /> A►��OVALS !Y OAi[ OIMIR <br /> 1 fNVIRONII[NiALCH[CKllil PtNAUY UOC <br /> SEC )OJ(al <br /> 2 fiU�IUING�'UN$ <br /> TOTAI <br /> ] fIR[ HIORANT <br /> � FB[ PROTEC710Y SYSTEM �EIIMIT VAUOATION <br /> WMfN PROP[NU VAIID�.iED�1N THIS SPACEI7HI51510U0.PERMIT <br /> � 5 GRAOINC�I%U\'ATIONbQLAHINCILRUtl111NL <br /> 6 DRAINAC[ <br /> 7 ENVIRONMENUL IMPACi SMT[MENT <br /> E HFAUH�ISTRICT <br /> APPl1UTION ACC BY PUNS CHFIXFD BY �FPR �OR ISSU�NCE NY <br /> 9.�.:g <br />