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ACP NSTRUCTIONR <br />M.Ew�pn�n <br />cirr oF <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES � <br />CITY HALL 259�B7/5 <br />EVERETT, WA9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT N. <br />UfY ZIP PHOHE <br />OWNll1 M�IlAO0MI55 ����`'� '")1(��� /1 �� <br />` I%i��,.. � ..,� � 1� " � " ,F CC � .f� ..3 > > <br />�, �,U'Ld. � r ��9L62� 3i�. � vNON[ <br />K <br />everctt <br />� <br />CUSSOf WORK . <br />❑NEW �'ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN �GARAGE ❑BUILDING RELUCATION <br />`' \'�1U�110N..f WONK <br />/l f; _.`, v —�"��� � <br />ui iet wovk - i . ' � . !<fi(R.c�sy. ZUY �O �==�'� �• <br />x��'�'�`-'"""' rY-'�"� "� �� 1 � I HEREBY CERTIFY TNAT I HAVE READ AND EXAMWED THIS AP• <br />PPOPOSlO USI OI NUIIDIVG � � pLIGT10N AND KNOW THE SAME TO BE TRUE AND C��RRECT ALL <br />k � � '�' PROVISIONS OF LAW$ AND ORDIDIANCES GOVERNING THIS TYPE <br />,ucniotscairuoNorraortetr150WNPllON'�RAl1�CN�011RCOP��� �Fy�pRKWILLBECOMPLIEDWfI'HWHETHERSPECIFIEDHEREIN <br />Ll �" f�i .� �f I — OR NOT. THE GRANTINC CF A PERMIT DOES NOT PRESUME TO <br />ioi '�-3 e�oca.�.or GIVE AUTHORITY TO VIOLhTE OR GNCEL THE I'ROVISIONS OF <br />CTION <br />ioe eooatzs . �, <br />� � o �- <br />PIUMlING <br />NO. TY�F OF FIXTI <br />WATFB CLOSET ItOUETI � <br />BATMTUB <br />UVATORY �WASH 1`ASIN� <br />SMOWER <br />KITCMEN SINK 6 DISP <br />DISWASMER <br />LAUNDRY iRAY <br />CLOTHFS WASHFR <br />WAIFR MEAIER <br />URINAI <br />ORINKINC FOUNTAIN <br />FIOOR DRAIN <br />VACUUM flRFAK[RS <br />NOOF DRAINS—RAINLEAD <br />uur iciRVlfF—BAN. F1CI <br />Of <br />FIRF <br />FEE <br />ANY OTHER STATE OR LOC/�L LAW REGULATINC CONS � RU <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR[ OF CONTRACTOF 00. AUTNORIZED AGENi OATE <br />X j� �' �'-7- 9 '��. �� <br />"��r,� �%!Lc `� <br />MECHANICAL <br />iY�E OF EQUI►MENT FEE <br />NO. �T'� <br />��R coNo un�n—n .. �^ <br />REFRILERAiION UNITS—H P. FA <br />IlOLLEHS—HP E� <br />GA$ tIRED AC lNITS—TONNAGE EA <br />FORCED AIN SYSTFMS—BT � M <br />WAIIHEATFRS—BT.0 M <br />uNIiNFAiFRS—BTU M _ <br />�iION FAN <br />MOOD <br />�DLINC UNIT— <br />nciP1ACE 6 Ci <br />TOtAI FEf � <br />STRFFT SCTOACK RUR Y�RD 5[TBAIX PLAN CH[CA NUMBER FEE <br />�3C-'7 <br />l0T AREA VAUNT S�1E iFES <br />OY[5 ❑NO <br />nrcu�ANCY GROUP NO OF DWFLIING UNITS <br />�MlOVAIS <br />7 Ff:V�ItONMENTAI C:ifCK LIST <br />7 BUILD�NG PI�N$ <br />7 FI0.E NYDRANT <br />� F10.E PROTECiION SYSTEM <br />5 GN���NGk%GVATION6ClfARINGIGNUtlHINC <br />6 DRAIN�CE <br />I FNV10.0NMFNTALIMPACTSTAIEMFNT <br />6 HEAITN D1510.1CT <br />�f � UAT[ <br />APPLICAT�ON ACC. BY PLANS CMFCKED BY ! APPR FOR <br />a.1�79 <br />BY <br />� ` I RKEIPT <br />7! � � <br />BUILO�NG s � �i O''� <br />P W h101NG <br />MFCNANIUL <br />OTN[R <br />U8C <br />PfN�ITv SFC ]UHa) <br />TOTAL <br />►FIIMIT V�I�D�iION <br />Wl/FN PROPERLY VALIDATFO IIN TMIS 57ACE1 THIS IS YOUR PERMIT <br />