|
,�,�„ro�,� A P P LI CAT i O N F�►R ���,�„
<br /> °�n°� CONSTRUCTIOr� 0
<br /> everett PE RMlT
<br /> DEPT OF CO.'.1n1UYITY DEVELOPMENT SENVICES
<br /> CIT1' IIALL 259�B7J5
<br /> Ev[FtrT,wnvezoi�OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO.
<br /> T nvr.�x N�u .unuin cm nr vnoNt
<br /> f�ic�r s /�m�-s ..� � S,E �d�t�r MRu-w�y E✓c-�zE,� q�-�.v� as�-�S�i Z
<br /> \PCNIIICi OR OfNC�.10. N�R ApORISi ❑i1 21V VHON[
<br /> cistx��co��wu�aw a�n.00Rus ai. zir vHou[ 2.Zi-O�<<H/{a-/N
<br /> �}1!�lL� -,f-,$3/Lb
<br /> „��,,..��, ,�,.,�,�,�. .,,�� .��a�ss �,,, z,� ��o�� ay_,s�,��,y�.
<br /> ��r3 �n�c, i�so /�S'`" ��� . �ss�v� 9�oz� �s3-s�a�o z,��-,�,�
<br /> �u"��nn..iati�xY,WR ����i eUUx115 Uh LP PnOn[ p� �L��N�
<br /> 7�vNSon� rLctntgiNG, �'7 SE. C(/F_�t°ciT�11/lu- [fJ�¢`/ �/�pEZTlf�S� 353�'t/rf�iZ a�a-C�
<br /> �`-�„�� ,� „„�. —
<br /> �[.�'t��' ❑ADDITION ❑AITERATION ❑REPAIR ❑D�c`�OLITION CFkNCE ❑SIGN ❑LARAGE ❑BUILDINGHELOUTION
<br /> !�
<br /> ��u+� ��u� ��uae /' '"J /'� .
<br /> f
<br /> �-/' /j ��C/• ` ,
<br /> ` IJI>ININI 1'.11X1.
<br /> Sl�G�E .� �slD�v«
<br /> �' °"'��`� °' N°101•�: � 1��� I HfRE6Y CEFTIFY THAT I HAVE RFAD AND EXAMINED THI$ AP-
<br /> NGGG ���GY ��5���'��.0 PLICATION AND KNOW THE SAME TO 6E TRUF AND CORRECT ALL
<br /> i�r,unuiwmno�o� veor�qh�v�p� �qiirn�ox �n�t��iuvatorrnsi PROVISIONSOFLA\VSANC �RDINPNCESGOVEFNINGTHISTYPE
<br /> ��c/ ���G �'-"S Of WORK \NILL 6E COMPLIEn W�TH WHETHER SP:CIFlED H[REIN
<br /> i�., O R�i�r._or pR NOT THf. GRANTING OF A PERMIT DOES NOT PRESI.'ME TO
<br /> GIVE AUTHORIT\' TO VIOLATE OR UNCEL iNE PROVISIONS OF
<br /> ANY OTHFR STATE OR LOCAL LAW REGUUTING CONSTRUCTION
<br /> OR 7HE PERFOhri1.1NCE OF CONSiHUCTIOV_
<br /> �- � � Z - Z l�i, - �ILtiA �NI 11 C/OIN1NAf N OR/N O ZED AG[Ni UA7[
<br /> iuH�l)I)alti� c , K// � 7 � Q�
<br /> �,i' � �� riG=�IJL i�l C . SC� X /� ��� cJ � O� �fJ
<br /> PLUMBING ECHANIUL
<br /> NO. -YPE OF FI%TURC FfE NU. TYPE OF EQUI?MENT FFE
<br /> N'Ai�R(LOSt717oL1[il f,L": nINCOvD Uhll',-nl' E�
<br /> IfAIlUUB �", �)�; HfFHIGiRALOI:UNI15-HPU
<br /> UV'AIOXIIN'�SII O�Slrvl CX� IIOILlFS-HP LA
<br /> � SHO�YIN � �'C% CASIINlOA( UNIiS--ipNNAGEU
<br /> 1:11,-HFrvSIVRAI)ISP �.�' iONCID�iN}VSifMS-tliU ME�
<br /> D6N45H{R IL.['C: \\'�IIMIAflBS-11iU M
<br /> IAU�vOki lF,h1 l�till MIA1fH5-117 U M
<br /> ClO1HFSN��S11lN ((�(� QN 2. �%C� 1A'1fuRAIIV IOOlEFS
<br /> � ��_ rinnnsoa��es CU °
<br /> VVnIfR IIIAIIH Z
<br /> UHINAL Vf V1111t10ti{AN
<br /> PRINANG IOUv1Al\ H4NGI HOOO � �J
<br /> (IOON DRAIn �IN IIAhUI I.tiG Utili- C F n1
<br /> \'ACUU�111N1 AK[RS �IU\'f
<br /> NOO� UNAIhS-RAIYLI 1UE YS �11 7�l(IR!FUCE M1 CHIM4f Y
<br /> 514A ISE Pw('f-IIAN,I 1C I
<br /> SU!TOTAI �G�' - � SIIE 70TAL f % ZJ
<br /> IEIIMII f P[RMII f
<br /> TOSAL![[ S ( TOTAIi[E f �/ 7C''
<br /> SiI�Iv�RU511P��1' S14[f1SLll�n(1: 0.1AF�nHD511lInCA Ptn�OUCANUM11lN PUN[M[CKfE[
<br /> `��. ��,' �— - Z.�� ��T p ILf .S> RFCE_ICT NO
<br /> �si toHi i��� �xu ' 0 ?- jo�'�023 /G 9 � 7v G /
<br /> \��(�Y�$Ilf �f�s VALUATION I[F
<br /> ? � � F?t'ES i,NO
<br /> iYPF Of ('UNN O(CUPAHCYGROUP NO O� f)WFIIING UAi15
<br /> �' N ��J � NWIDir�c ��lEl,l'r �� �L�.CJy [�Z,'
<br /> SIZf OF 111�G h0 OF STOkIlS ���� ��« �<»�>
<br /> ;'-'� .�,r � .- PWh1111NG � ��� �CJ
<br /> {IRI ]O4L 0�5[MfNT IIII)NU<)Vti lIBI �PBInAttNS
<br /> _" __ NIpWNtU MICMANiC�L �' �^�)
<br /> �- '. Y!ti :�tl
<br /> � A�MOVALS er D�TE p7���R
<br /> 1 Lh��KO':�MIM1ULCMLCKl6i U0C
<br /> PFNAl1V SEC JOJ�a�
<br /> 7 qUIIDIrvGPlnnS
<br /> J (INI NVONANI TOi�L <�� .��-
<br /> � fIRLPHO7ff710N5\5TlM �EIIMI7YAlID�T10N
<br /> 1ti��F'�i'RUPlNL� tAIIDAIiU Iln 11115 SP�Cf I71�1515�OUR fENMIT
<br /> S (.XAUItiGqxC�VAl10NACUARINQGRUH111RG '
<br /> 6 ORMNACt
<br /> ) [kVIqO4��lN1�� IM�ACT $lA1EMENT
<br /> E NtAIiM D6iRICT
<br /> APPUU110vA(C flY PIA'301(CKFDD\ APP0. {OR65WNCf 1��
<br /> �� �� i'�,�I}t ('_ �_ ,
<br /> '1 i 'n � �� ' . ._
<br />
|