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APRLIC�TION FOR � - <br />C.iNSTRUCT�ON <br />everett PERMIT <br />DEPT. Of COMMUNIIY DF.VkLOPMENT SERVICE$ <br />CITY HALL 259�R745 <br />EVEREti.�vnvazoi �COMBINATION ❑ BUILDING ❑MECHANICAI. ❑PLUMBING PERMIT NO. <br />�—• n�nu nuuxiss rn� zu� ruovi '� <br />"'" d7� <br />,.. i;� � �.� /,,,.... �-� `7 /�F. i�/ Lciiaye 2� 2- <br />mnn <br />00. <br />ss <br />evereH <br />� <br />an� - zir rn��� <br />`y_i� Czu� r��ov� yL��=��"��S` <br />`GO>'C.� /����� •3s�j3�� :•1.C.RXJl1PQ <br />r��ovi <br />Pll' GCONIXACIOR nPIL�00Ri5S fllY <��' •••,..• <br />�'�ao�.►.r� i��G ��v��i•:r S ��� GG rh" <br />QA550f N'OHK <br />❑NEN' lSADDITION ❑ALTERA710N ❑R[PAIR ❑DEAIOLITION ❑FFNC[ ❑SIGN ❑GARAGE FIUILDING RELOCAT:7N <br />* /•U�vv <br />DISC/RN i NJ'Q0. y/ Y <br />/I �U �0�� � ) I �/�r��� � <br />reorosio un <x nunmvc <br />t[Wl otscxlrl�oN oi raortatr ISMON'rv nLLnn' oa niuU1 rOua corn5l <br />�p� �� 9lOCN �� Of <br />Y u�yce �aC%•hv.v <br />ion nooatss � � r� // s �� � <br />/ G <br />PIUMSING <br />NO. IYPE OF FI%TURE <br />\YATLN ClOSET (TOIIfT) <br />BATHTUB __ <br />UVATORV (WASH flA51N1 <br />SHOW[R <br />KITCHkN SINK 6 DISP. <br />�ISWASHfR <br />UUNDRY TRAV <br />fLOTHFS WASNER <br />URINAL <br />ORINKING fOUNTAIN <br />FiooR oaniH <br />vncuuM nncnKrRs <br />ROOF DRAINS—R��NLEAOLHS <br />SINK (SLRVICL —f�AR. f TC 1 <br />SUB 70 <br />iERMIT <br />iOiAl <br />YAND SfiOACK S7RLET 5[ <br />ZONE �D��R�A <br />TYPC <br />517.[ OQF NyVo. `' � <br />/ ✓ K � 8 <br />�IRE ZONF <br />I{i[RkRY C[RTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE S�ME TO 6[ TRUE AND CORRECT ALL <br />PROVISIOhS OF lAWS �ND ORDINANCES GOVFRNING THIS TYPE <br />OF WORK \VILL 6t COAIPLIED \NITH WHETHER SPECIFIED HEREIN <br />OR NOT. TIIE GR�NTING OF A PERMIT DOES NOT PRESUME i0 <br />GIVE AUTNORITY TO \'IOLATE OR CANCEL THE PROVISIONS OF <br />�NY OTHkK STATE OR LOCAL LAW REGULATING CONSTRUCT�ON <br />OR TH[ PERPORMANCC OF CONSTRUCTION. <br />SIGY�i�U � f N1 B OR PU�TI 'I7.fD AGkNT DATE <br />� / /ti��.1:a(�.:� /�— 3 —1 % <br />MECHANICAL <br />FEE NO. TVPE OF EQUIPMFN7 <br />AIN ( OtiD. UMIS—H P f.A � <br />ei i a�c.i ennon uvns—�+ r u <br />noniRs—ur in <br />GAS � BI D A C UNITS— IONY�GL CA <br />fONC1UAIHSI'Slln6—Ii.T.U. ��� <br />W'All MU11R5—IiT.0 .11 <br />Uti1i111A71RS—IRU M <br />1\'nPOHAII\9 COOI.IRS <br />CI OI1115 UB11 NS <br />V9 h I I I Al ION I AN <br />RAhGf IIOOU <br />nie i�n�.nuNc uuiT— c r n+ <br />si�vi <br />� ntl iTl fIRlP1ACl R O9MNLY <br />K 8f AH YAkO 51 l IIAIX <br />VACANI Slil/ <br />i'n�i5 "LaQ <br />rcour no oi u�'ui.irvc u <br />3 <br />5 MA% OCC IUnU <br />1111]HOO�V4 IINI SfftINKLI� <br />3 �,� H�U�,..... <br />1'11'I S <br />� APPROVALS 8� <br />1. fNVIRONMlNTAL CHECK L151 <br />z. nuiiov+c rur+s <br />]. FlRLHYDRANf <br />a FlRl PROTICTION $YS7LM <br />5 GH�DIN(Lla('A�Al1UNACLIANWGGRUItINNG <br />4. DNAINAGI <br />] LNVIRONMINiAI IMf•AQ SiA7LMLM <br />n HInIiHO�S1Rf(1 <br />ItATf <br />.AY CHfCK NVM11f1 <br />��/� ���' <br />f[ES <br />FEE <br />SUBTOT�L s <br />VfRMIT s <br />TOTALiEE s <br />PUN CHLCK fEC <br />rit �6P% Rtccirt� <br />�3 ' <br />VaLUATION F <br />nwioinc S <br />PLUM11111NG <br />MI OUNIUI <br />O7MIN <br />unc <br />riNnur sic imlal <br />ioui <br />p[pMIT VALIDA710N <br />VA'HIN PHOPLNIV C,AI IUnIIU IIN 7MI$ SPAC(I1HI$ IS YOUF PLRMIT <br />