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r <br /> tluEwrDres^ APPLICATION FOR ,��,�„ <br /> everett ��NPERMITTION e <br /> DEP7 OF COMMUNITY DEVELOPMENT SERVICES <br /> CITV HALL 259�B7i5 <br /> EVERETT,WA9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> O/N'NlR nlAllnOUNISS /❑f5 [IP PIIONE <br /> f- r. 'Ti°- �. /�n ( �f't!i �� rZ c/.7 � /✓/M-'G �" Y( '.0 ��"— y5'.�!O/ � S y-5��7� <br /> � ANUIIifCIORD[$IGN{p \UILAODR155 ❑iY ZIV PIIONE <br /> GInINAtCOrviRACIOH AUII�DDRl55 CIIY ZIP PNON[ �ICWSE/ <br /> x,acCJ^f)fi:co��C1SLnii� �7DINT.i'i: l\�1�� /��/'".�%5✓/ttF �ur rnovc ' � ucEnse� <br /> C�A -9��9� / �9-U , j <br /> PILNp16f.COti1NAC10N M1IAII AOORISi ❑ Y 21P PIIONE llC[NSF I <br /> RASS Of NORA <br /> ❑NE\v ❑ADDITION ❑ALTERATION CREPAIR ❑OEMOLITION ❑FENCE ❑SIGN GGARAGE ❑9UILDINGRELOCATION <br /> \'�IUAI Ou OI N'ONK <br /> � ?dr'ov <br /> „�scuini woxc � <br /> �/✓s:nttc�fY-.�T.sN�i.✓G C�'nn1� � ' .z.G <br /> ruoi�yo usi or nmmitic I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> \'l5 Df/✓C _ PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IIGAt UlSCMIPfION Of CR01'IRIY�SIION'N P[IOIY OR�IUCN IpUR COPII51 PROVISIONS OF LAWS AND ORDINANCE$GOVERNING THI$ TYPE <br /> OF�NORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> 1O�—P1OC"—Of OR NOT. THE CRANTING OF A PERMIT OOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. � � <br /> SICNATUR[O/CONiRACTOR UR AUTHORIZED ACENT OATF,;,�/j�/6'3 <br /> ion nonx�ss � <br /> `� �c � �/_'�3T— �i� .rL �.Zr.: ACL� <br /> PWMBING �CHANICAL <br /> . NO. 7YVE Of FIXTURE FEE NO. TYPE OF FQUIPMENT fEE <br /> N'NfNQO$L1ITOUETI AINCOND UNIiS—HP EA <br /> OA7N7UB NEfRIG[RAiIONUNITS—hr EA <br /> LAVA70RY�WASN NASIN� HOILCRS—H P U <br /> SMOWI R CAS f IRE D A C UYIT$—TONNAGE EA <br /> KIlO1IN SINK 8 �ISP IORCED AIR SV57lM$—tl i U M EA <br /> DIS\VASMlF \\'ALl HfA7FR5—U1 U M <br /> UUNDRY iNAV UNIT HI.ATfNS-17 T U M <br /> lIOiHES\VASN[R [VAppRATry( COOLERS <br /> �v���H M��7�R CLOTNES DRYFRS <br /> UR'�V AI V W 11lATION Mu <br /> pRII:RINC IOUNTAIN qANGE HOOD <br /> I IOOR DNAIN �IN HANOIIhG UNIT— <br /> CiM <br /> tlAlUUb1 ORUKERS S70YE <br /> ROOf UNAINS—BAINLfAD[RS A11 TAL 11qfPUC:8 CHIMNEY <br /> SINK�SINVICf—PAk.[TC� <br /> . SUlTOTAI SUl70TAl f 1 <br /> IERMIT 3 ►ElMIT f 'U i D <br /> TOiAt F[E S 70TA1 FFE S $7j <br /> SIDf Y�RO 5[711ACK STNECT 5[TOACY. RUR YARD 5t 10ACA PUN CN[O:NUMUlH PUN CHECK FEF <br /> fEE pECEIPT NO. <br /> USE ZOUI l07 ARU ���UNT SITf. <br /> C7YC5 ❑NO IEES VAIUAiION iFF <br /> IYPf OF CONS7 OCCUI'ANCY GFOUP NO OI DWLILING U�RS <br /> 9UILOING S <br /> 512[ Of t7LUG NO OF STORI[5 MAY OCC IOAU <br /> PWMOING <br /> fBFZONC IIASEMCNT BIf)HOOMS IIRLSPNINKLFNS <br /> HIVUIRI1l MfCNANIUI <br /> r!VIS r'NO <br /> A►►IIOVALS er OAT[ p7��[p <br /> 1 [NVIRONM[NTAL CH[CK L15T <br /> V[NAl1Y UBC. <br /> $ OUIIpING PUN$ SEC 70J(a� . <br /> I <br /> 7 fB[ HVDRnNT TOI�I <br />� � FIREPROTlCTIONSYSTfM ►[RMITVALID�TION <br /> 5 GNADINGf 7tU1'�110N A QFANINGIGRUHHING WHEN PROPFRLY VALIDAIED pN iH15 SPACE)TMIS I$YOUR PfRMIT <br />� 6 DRAINACE <br /> � 7 FNVIRONMfNTAI IMPACI SiA1EMENT <br /> 8 MfAl7M�ISiRICI <br />� APPIIUTION ACC BY PUNS CMECKfD BY APPR fOR ISSUANCk NY <br /> •, <br /> l- <br /> 9.1 ;9 <br />