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PP CATION F ' ���,�„ <br />�C STRUCTIO� + <br />everett PERMIT E+ <br />DFPT. Of CO,�1ntUNIIY DFVCLOPAtENT SERVICkS <br />CITY H�LL 259�8?d5 <br />cveH[1r,wneazm �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING FERMIT NO. <br />ONVIN N11f 1UI1N1(l CIl1' JII' I`IUIU <br />/> <br />�v� P�,�.n, P•i� .�.i//-��.('c„�e(�j'...� f_"'�`�et�� <br />cirr nr ruoci <br />GININAI (UViNAC1UN VIAII AOUNISS U1P !II` 1'W1 V IICI�fI � <br />/��� .i3'�—ii'd-� <br />�doli, .lii✓�rL�1�F1�:.,� 1�,�. �ak� �.>�ev<•.�< .21a...�/_-,5.✓vHtil-d3v2G <br />A11C11�\IMl COKiN lON AIAIIAU�RiSti llll LIP 1`Ilt �� Ill]�5! • <br />PIU\1111\LCO\iNnC10R AI�IIAODRISS �lll !�P PIIO�I IICIti51+ <br />❑`1F.\\' ❑ADDITION ❑ALT[RATION �Rf.PAIR ❑DG\10LITI0� ❑FIhCE ❑SIGN �❑G�\HAGE ❑BUILOINGRELOG\TION <br />V'ALUAIIUV UT AA'ONA <br />U <br />S �� �� O <br />UIfCRIIp 1\'ONA <br />rxovosious� o� uunui.�c <br />IIG�I Dt£CNIP110N O{ PROPI RlA (SIION� OFlOAY OR ATIAOI IOUN COPIISI <br />iot�_moc.�_o� F_y i..... F f- �.z..r,! <br />��,���„� �� - � � i� �� ,l <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />lA'NCX QOSIT ITOI lf 71 <br />11ATIRUf1 <br />UV'ATONV l«�nSH UASINI <br />SI IO\\'t H <br />KI7CIIlN �ItiK A U6P <br />Ulti\5'ASN! N <br />I.nl:Nl)Hi iNAI' <br />CIUI111A tA'ASHCH <br />\c�ll N HI Alf R <br />UNINAL <br />IlHI�1.ING fOU.tilA11' <br />f1UGH I]kTIN <br />V'A(:UV V fNi AKI NS <br />HOOF URAIM1S—HNN��AUIH1 <br />SINK 6f N\9( I—IIAH. 1 7C 1 <br />.'�1�I A.ARU 11711At'A <br />I1 PI� OI (O�tiSI <br />SUB TOTAL <br />P[RAIIT <br />TOTAt F[f <br />�IRII I SI IR4CR <br />I�lf:\Nln <br />OCl UI'Atil 1 GNf11J' <br />NU OI S�OHIIS <br />11121 /_(1S1 �OASIntINi <br />APPROVAIS <br />1 IhV9RU'�vftilM (IIIIF.IItiI <br />' UnIIUIVGPInNS <br />1 I IRI 11A DRAA I <br />J HNE I'ROilClll)v S1>il V <br />I Hf.R[UY CERTIII' TIIAT 1 I-IAVE R[AD AND EX�\MINED 7FI15 AP� <br />PLICATION AND KNOW THf. SA��1[ TO 13E TRUF AND CORRIiCT ALI. <br />PROVISIpYS OF LA\NS i1hD ORDINANCES GOVC:RNI\G iHIS TYPIi <br />OF WORK WILL IlE COh1PLIf:D \1'ITH �VHETHfB SPEUFIED HI:RGIN <br />OR NOT. THE GRANTING OF A PFR�'.11T DOES NOT PR[SUhtli TO <br />GIVC AUTHONITY TO VIOL�T[ OR UNCF1. 7H[ PROVISIONS OF <br />ANl' OTHER ST�TE OR I.00AL LA\5' RCGUL�TING CONSTRUCTION <br />OR THL PFRFOR��I�NCE OF CONSTRUCTION. <br />SIGNAIUHLOICONIR.1C70ROHAUiHORIZfU.AGtNI DATI <br />�l <br />X ���- _L�'a-� >�/�/��, <br />.+ucHnNicnt <br />FEE NO. TI'PE OF EQUIPAIENT <br />.AINCU,vU UVIiS—HP In <br />NI I RIGLHAllDR 1!NI15-11 P f A <br />!1itII1Rti—III' In <br />f,.\SIIHIU4( �INI1S-�(11vAGiIT <br />IUItC1041H11ti1f\K—I4iC \1fA <br />VA411 HIA7lNS—ItIU �A1 <br />I��II IIIAIIkV—I11U �t <br />IAAPnR4IlA"I ��)UIINti <br />IIUIIIl� UH11 R� <br />V1 V 1114i1ON FAN <br />H,AAGI IInOU <br />,\IH II:NUIINc: llNlt— C 1 �\1 <br />S11)\'I <br />�VIIAI.IIRfI'In(I SCHIM.VII' <br />�S <br />RI nN 14H1; SI I IfA(T <br />\�4t�nV1 Slil <br />`.I� ���AO <br />n�l t)I Ul1YIIPGt:�I1S <br />�VA� (1(T IOnU <br />lHf1RV� IIHI tiPHINAIIRS <br />RI(lUIRI U <br />11ti "��) <br />BY DATf <br />�, LKAl11�C IA( 4l'AI IUA h t I I �BIAtl � IHI IflllA�, <br />�� UNnlv�ql <br />' IMIHUVMINIAI.IVPACiS7All.\IIN1 <br />n IIInI111UISINICi <br />\!'I'll� \1u11 \ii II\ <br />I'I A':S �III l Al U 111 � TPI'H II)R ISSU41l i I•, <br />PI,AV CHICA Al,'n1111R <br />FFES <br />SUO IOTAL <br />PENAIIT <br />TOTAL FFE <br />tll <br />VALUATIOP <br />S <br />S <br />S <br />PLAN l NI t A I I I <br />� HIi1119'.n <br />11UIIUI\G b <br />I9 V��1111NG <br />U! ('l1AhICAI. <br />��nuu <br />�'I �',V 1P U B C <br />�Il 1011,J <br />IOTAI <br />PIN1111 A-0111�411UA <br />�,v��'.._i ir:l��.`.il.�ill�. .t�u��r��l IiII.I.1�nHi'IftVll <br />rcc <br />Ff[ <br />