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f � <br /> r- <br /> i cTMoro�,� 1PPLICATION FOR e��,�tt , <br /> CONSTRUCTIOh e <br /> everett PE RM IT <br /> DEPT OF COh1MUNITY OE\'ELOPMENT$CRVICES <br /> CITY HALL 259�8745 <br /> � EVERETT, \VA9B201 �COMBINATION ❑� BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> o�1��/uia n�ui nuoa�ss cnr nr wro�ut � <br /> j�L'vJ1J�T1� WICKI�Yi � Q1Q �K\'\i�ll: � '�2T 4H eZS'2- 2�''{� � <br /> ANUII1KfURU151CN1R �UIleOIlXF51 ❑iV ZIP PNON[ <br /> I L-'`+Ji�c,y ,3�u�o�^e.� � �V�'�iz7 � ,an 2sk-a-'7�5 � � 3Z.85� <br /> ( G[n(NnlCOuiRnC10N nuR�DOPf55 CILV liP PIIOM[ IICPhF1 <br /> � L�L-nS� p z��-:>, <br /> I .nc�u.icni co.il�cto�-ll 1,171"� S U"e Aoor.tss �-jV c�,Y�-lT7 1WI aSH�[2Z��{ t7v`cxsi B,99 I�G� <br /> I.._ � �7 <br /> 1 <br /> riu+uu.ccan�ennoA men noouist an zip r�iorvi uc[nsn <br /> � <br /> QAY.Of\\ONK <br /> ❑NCIV ❑ADDRION �ALTERATION ❑REPAIR ❑�E�10L�TION ❑FEhCE ❑S�GN ❑GARAGE ❑BUILDING RELOCATION <br /> \'1 W Al l0\Uf\\ONN / <br /> ' 35Uo ! GZuSt�.� er...,�cvcc Te►MOc.w,� . �iu�n �'�tw c�.�e,�� <br /> o�scxm� wou� � <br /> G-q�lt�crL-c <br /> ' rnorosiovsi oi xunomr. I HEREUY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> � STa'4-t/�(�l-_ F'LIC.\TION AND KNOW Th1E SAME TO 8E TRUE AND CORRECT ALL <br /> i�c.nio�sreivno�oivaovtxiris�w�.rvn�mwoa.�ucnrouxmrus� PROVISIONSOFLAWSANDORDINANCESGOVERMNGTHISTYPE <br /> io� � mocr.�or 1C70n-� �+DA"t�� OF WORK WILL 13E COMPLtEO WITH WHETHCR SPECIFIED HEREIN <br /> OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> ( GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � 1 . \ I o �PLJV"�S I O�D �CArt-4)S �I` AN1'OTHER STATL OH LOCAL LAW REGULATING CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. <br /> ; <br /> i <br /> JWG�.� , CJ�T� SIGNn7UN[OF COYTRACiOR OH AUTMURIZED AGENT DnTC <br /> � 10'd e[)I)M(��SS y�� �p,� V ��.�i _ / �2 �� �� ) <br /> � O � IVIVI� L� A TnvC� > <br /> PLUMBING MECHANIUI <br /> � NO. 7YPE Of FIXTURE FEE NO. TYPE OF EQUIPMENT FFE <br /> � lvATtNQ05[TIIOUETI ��HCOtiD UNI75-MP U <br /> p����7�p R[IRIG[RATIO'+VNI75-HP FA <br /> LAtlAl00.\I��'ASH IlA51N1 IIOILf NS-11 P f A <br /> ' $MOWIR GAS fBfD AC UNITS--IONNACE EA <br /> AITGHlNSINKAD15�' fONCIDAINS\S71A15-171U MFA <br /> DISIVASMLN N'All HU7FH5-Il l U M <br /> UJ�UN1' 7NAY UNI7 MtATfRS-Il7U .�1 <br /> CLOIIILS\V�SN[R I\'APORATI\'f COOlEHS � <br /> \\'A7tR Mf A7fH ClO7Hf 5 DRY[RS I <br /> �q�y�� VLNfIU710N fAN <br /> ONINf:ItiG IOUNiAIN HAN�:f MOOU <br /> fLOON ONAI4 A�R HANDIING VNIT- ClAt <br /> 1 VACUUtit f1R!AAf NS S7UV� � <br /> BOOf UHAINS-NAINL[ADf R$ �Vf UL fIN[PI ACF d CMIAIYLY <br /> SINI;�SF H\9C1-BAk,(iC 1 <br /> SUlTOTAI SU!TOTAI s <br /> �(7M�I f PERMIT S <br /> TGiA' fEF 3 TCUIFEE s <br /> SID[ YAMD 51 IIIn/(C��R Slf ft•� "IUCK RIAR Y�RD SI IUACR PIAN CIIECA NU��10LR PUN CMICK FFE <br /> < �.f � ZZ� � n FFE7� � R[CFIPTNO. <br /> ' USf ].O�v( ' , to7 :.su (fJ 'Z � �` <br /> � VACANi 51I1 {EES VAlUAT10N iEE <br /> �.., 'l� [.:YFS iCr:O <br /> TVPI OI CON51 I OCNPANCY GNOUP NO Of i 1\'FLIING UM1I15 <br /> � �^ � � nunoinc s 3�9. <br /> � vzi or uinc NO OF STORIES �tA% OCC IOnU <br /> � i rwnminc <br /> � '' fIN[ ZO�_l DASFMENT IIIUNUOVti flNt SPNINALLRS � � <br /> �--,.1 �- NLQUINfU MICIUNIUL <br /> C1f5 f!NO <br /> A►►IIOVAlS er DATF OL1[N , <br /> 1 ENVI0.0NMlM1lAICMfCKIIST U(IC <br /> .. PfNALTY SCC )O1fa) <br /> 7 OUIIOING PUIJ$ '/ . <br /> J FIR[ HIDRANT TOUI /1/1 <br /> "r"Y <br /> � 1 FIRE PRn7ECTION SYSTkh1 �EIIMIT VALIDATION <br /> i. <br /> �yH[N PHOPkRIY VAIIDATfD pN THIS TPACEI TM1515 VOUR PERMIT <br /> 5 GNADINCII%U\'AIIONbQUNINC�GRUNNING <br /> 6 DRAINAGI <br /> 7 ENVIFONMENiAL IMPACT$TATIM:rf <br /> E MFAUN OISTRICT <br /> APPIIGTION A[C 0Y PlANS CHECKED BV APPR fOH ISSUANC! HY <br /> �.�, '?J� L_ C-. <br /> 9q 79 <br /> � <br /> . � <br />