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i � <br /> f11�Ew�DnM �1 <br /> APPLICATION FOR <br /> "'"°F �,ONSTRUCTION `�°"" <br /> everett PERMIT e <br /> DEPT. OF COMMUNITY DEVELOPMENT $ERVICES <br /> CITY HALL 259-8745 <br />� EVERETT,W�g8201 ��OMBINATION QBUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> aN'vfR M�II�DUNRS CII\ ZIP VIION[ <br /> , � j�Jy �olSfci-• „?1 7I �y�h/Q �.�fi 9�'z� i <br /> � �NCNIIf[LOROSICtq nUlt�pDPt55 CpY ZIV PHONF <br /> /G.F�NIqAI COt+tR�CtOP MnIL nDOR[55 CI1V lIP PMON[ (ICPMSE 1 <br /> /Lt Q CGlnSf �a �S �� �^� LuP✓f7� 9p2o / .�5 .2 �`I�/y KEcoc2�JRE <br /> fC A IC�L COMpAC10R MAII e0DP155 ❑I1 21P PHONE �ICENSE� <br /> PlUn11116C CONIR�CION n1uL nDpRl55 ❑IY ZIP PIIONE IICFNSE� <br /> CL�S501 ��OXN —_I , <br /> ❑NEW �ADDITION ❑ALTER�TION ❑REPAIR ❑�EMOLIiION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOGTION � <br /> \'AIUAiION 01 wOxN I <br /> f IS,00 � <br /> o�sczixi �okti <br /> `Q� 6 ' G. h o L`X.'j�in oYY1e �. <br /> VROPOSfOUS! OI NWIUING I HERE6Y CERT THAT I HAVE REAU AND EXAMINED THIS AP- <br /> PLICATION AND KNOW TI1E 5.4ME TO 6E TRUE AND CORRECT ALL <br /> i[Gu ntsc/Airnov or rqoriqir�v�o��"NIION'OR�IIACM fOIIR COPILS� PROV�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> , �S/W (���V�" " OF WORK WII.L 8E COMPUED WITH WNETHER SPECIFIED HEREIN <br /> 'oi,�_nioa OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> /%// ���1d A . ^d lJdd ANY O HEFROSTIATE OR LOCAL LAW ECULATING CONSTRUOCTION <br /> � OR THE PERFORMANCE OF C(�NSTRUCTION. � <br /> SIGnAIUR[OF CONTHACTOR OR AUTHORIZED AGFNT pAT[ <br /> IOU nDoxt s5 <br /> / /'�G t v X � c .� '-��- �Z <br /> PWMBING ME ANIC <br /> NO. 7YVE OF FIXTURE FEE �O. TYPE OF EQUIPMENT FEE <br /> 1\'AIIRClOSFIIIOII[11 � nIRCOND Un175-IIP EA <br /> OAIHIUO / Z7 NIfNIG[NATIUNUNITS-HP fA <br /> UVATORI'1\YASH OASIN� IIUILlRS-M P fA <br /> $Hl7WfR GA$RRFDAC U"11T$-TONNACEEA <br /> KI7CNIN SINK 8 UISP �OHC[D AIB SYSTEMS-B T U M fA ' <br /> DISN'ASMIR \ULLHIAILRS-UTU M <br /> UUNDNI' 1RAY UNII MI Ai[NS-17 7 U M <br /> CLO7H6\YASNlR I1'APONAIttlI COOLfRS <br /> \4A1fR HfMfp CIOTMfS DHYFRS <br /> UNINAI VLN71lAilON f AN <br /> ORINKING 1OUNTAIN RANG[ MOOD � <br /> lIOON pNAIN AIR IIANDIINL UNIT- <br /> C!M <br /> \'ANUN NXUKIRS S10Vk ' <br /> HOOV DRAIn;-gAINIUUlRS ,11LiAl FlRCPLACE E CMIAINEY <br /> SINY ISfR�9C1-NAR.(TC� <br /> SU! TOTAI �YJ SU!TOTAI S <br /> PFIIMIi 3 ►EIIMIT ! <br /> TOTAIFFE S QU TOTAIfEf S <br /> SIU( YAND 51 iUACI: S7R(R S[TMCK NUN 1"ARU 51 i1)ACI; PUN[II[CK NUMOCR PUN CH[CA FEE <br /> uscr.�� �orn2A Z�iF�'� �..2��0 �/�/ rtc ���j fl�IP�OGU <br /> �,- �Z ��r�`�� C71[SNiL+!CO �«S VAIUAiIOH fEF <br /> IYPL Of CONST OCCUPANCY CRDUP NO Of DN'ELLINC UNI7S <br /> :sz- r.l ,arci7,�r� n� i <br /> SIZE OF NIDC NO Of STONIES n1A% OCC IOA� �UIIDIUG 1/�^M 0 1 O � <br /> vL.C.J <br /> �168 S•f: ADDij�•� I — ��iu.�+ninc <br /> (IRL ZONL BASEMENT HIUNOUA1ti flRi SYRINKLtFS � �� <br /> i; NLQUIH('D/ M[CHAMUI r <br /> '--' ' r1VfS �✓�O � <br /> APPpOVALS BY DATE OTMEH <br /> 1 [NVIRONM11LNiAl CMECK ll$T <br /> PENALTY UOC <br /> 7 DUILDING PLAN$ $EC 701�a) <br /> 7 iIN[ H\�RANi TOiAL 1 l� � <br /> l <br /> � FI0.E NRO7fCT10N SYSTEM pE11MIT VAIIDAiION <br /> WHEN PROPEFIV VALIDATCD�IN THIS SPACEI TNIS 151'OUR PENMIT <br /> 5 GHADINGIl�UVA710v6CLkARINCiCRUHIIING -. . J <br /> -�l' //':, ' //i � / <br /> � 6 DRAINAG[ � ' - . <br /> 7 fNVINUNhItN7AL IMPACI SIAIkMkNI <br /> B M[AtTH DISTNICT <br /> APPUCAiION ACE NY PUNS CHFCKED BY APPF fOR ISSUANC! NY <br /> �i {��..11 ., L.. -�. <br /> 9-1 79 <br />