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APPLICATION FOR. t. <br />th <br />e `tii;ONSTRUCTION <br />everett PERMIT <br />UT PI Of COMMUNITY DEVELOPMENT SERVICES <br />C17Y HALL 259.8745 <br />[VIREIT, WA9B201 []COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />an ZIP Alan <br />IINNIR MI It ADDRI SS t p� <br />n n...i... .1 .... i....... <br />S '6 L1 Co <br />13190 S%oNF .¢d�• .w- <br />SFAIL�/C- <br />xz <br />c�� `IL <br />LICENSE / <br />IS <br />1.1' f RAY 10N[RM TON <br />MAIL ADDRESS <br />CITY <br />S"///l <br />71P <br />fi�� 9b`/33 <br />r110N1 <br />SSS/�CA(25/PE <br />S#S S/6N Co <br />/3/90 S�tiC /9 N <br />nr <br />r o E ❑ sl a <br />RTC••.•'••^•K I O'IIRAc10R <br />MUL Aooptss <br />c l <br />�I <br />CrJ SS/(yt:iSejON <br />f7fC/I'yAL <br />St s S 6d <br />Co /3/90 Sfn vF ✓F <br />SF Jri/F <br />r <br />r D I I u sn <br />ulr <br />z IP <br />IIIN OI NORR <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE SIGN ❑GARAGE BUILDING RELOCATION <br />�NI.W []ADDITION <br />\1, TEEN OINORK <br />A� <br />U %(RnII 140RA S,vSA'A// /26 5/6N oN El'i3-�i'vjC 8' PoL E� SNS>'�// 223, 5�'i/✓ Ot/E/' iiESTReMI <br />0cor.SEE <br />r11 Womo 111, DI It" 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />��� /tj PLICA1 ION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />III,[III SCRIPIIDN O, PRODRln 15$I0NN PIMA OR AYIACII fOUR corn" OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />Ilse,__ Rlo<A.__ol OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />AUTHORITYGIVE R CANCEL THE PROVISIONS OF <br />ANY OTHERSTATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURI Of CONTRACTOR OR AUIIIORIZtD AGENT DATE <br />IIIR ADORII1 <br />PLUMBING <br />NO. TYPE OF I <br />NATER CLOSET IIOLII I <br />BAT/)IUD <br />WITH SINK A 0151' <br />DISWASH[R <br />LAUNDRYIRAY <br />CLOIIDS W'ASHIR <br />WAIIR IIIATIR <br />URINAL <br />DRINKING, FOUNTAIN <br />IIOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINI <br />SINK ISI RVICI -RAR, I <br />Pl <br />1t <br />SIIII YARD St IB.ACK SIDE <br />USF ZONE LOT <br />IYPE Of CONSI OCO <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />AIR COND UNITS -HP EA <br />R[I RIGLRA710N UNITS -HP EA <br />BOILERS-11 P EA <br />GAS TIRED AC UNITS -TONNAGE EA <br />IORCED AIR SYSTEMS-B 1 U M EA <br />WALL HEATERS-B i U M <br />UNIT I lA71RS-01 U M <br />I VAPURA7I 11 COLOURS <br />CLOIHIS DRYERS <br />VENTILATION FAN <br />RANGE IICOD <br />AIR IIANULING UNIT- C f M <br />S1Nt <br />71F1AL HIREPLACE A CHIMNEY <br />SLIRACK REAR YARD SETBACK I PLAN CIILCK NUMDLK IFIE <br />GROUP <br />VACANT SIZE <br />DYES ONCE <br />""""""" <br />"-- -- - <br />REQUIRED <br />"YTS <br />7T <br />"No <br />DATE <br />APPROVALS <br />ENVIRONMENTAL CIILCK IISI <br />NG PLANSORANTO1If:710NSYSTIMGII <br />gA? <br />XC.AVATION A CIi ARINGIGRURBINOAGEONMINTAL <br />IMPACT St AILMENT <br />A HE tlll DISTRICT <br />APPLICAIION ACC BY PLANS CHECK[D BY <br />APPR <br />fOR ISSUANCE <br />f <br />PLAN C11[CK IFE <br />RECEIPT NO. <br />nI <br />BUILDING f <br />PLUMBING <br />MECHANICAL <br />O111ER <br />URC <br />PENALTY SEC. 10Aa1 <br />TOTAL <br />PERMIT VALIDATION <br />WIZEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR P�RMIT <br />1 <br />