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tME�+rprMn APPLICATION FOR ���,�n �� <br /> ��ry�F �ONSTRUCTION O <br /> everett PERMIT <br /> D[P7 OF COMMUNITY DEVEIOPMENT SERVICES <br /> CITY HALL 259-8745 <br /> EVERETT.WA98701 �COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWHLR M�II�D�N[SS CIl1' IIP PIION[ <br /> 1�. <br /> I �RCIIIIICiORU1SICK10. M�Il�D1l0.(SS CIIY ]�> CNONE <br /> GINIR�ICONIXeC10R MMIApORt55 C11Y 21P PNON[ IICFNSE� <br /> p/,�h��� � �'A �L�,tJ �7�9 t��Ernio�� �d����rj ZSS�f Z6 � <br /> �IfC11MIUl CO�IR�QOR MAII�UO0.FSS ❑11 LIP PHOY[ IICENSF� <br /> Pll'�IIIi�L<ONIXACION MUlA0ORf55 ❑IY 21P PNONE llC[NSl� <br /> �' <br /> CIASy01 WORK � <br /> ❑NEN' L�ADDITION �ALTERAiION ❑REPAIR ❑DEMOl�T10N ❑FENCE ❑SIGN ❑GARALE ❑BUILDING RELOCATION <br /> \'A:U�I lOti OI 1\UXR <br /> � /�D/) "� GD NS' r� ii C r � Ron�vr 5 - L� 'X �' ' x 7 '.�(AC.n-� -e��u� <br /> Dl$tNllll NO N . � <br /> ` / /' / / <br /> �C�� - /1..�-"� � f � l� ,2.{�C- . .Q 6^r�i'1' c fG�� �Lct,_C � <br /> ranvustuus�or nwmi�.c I HEREBY ERTIFY THAT I HAVE READ AND E%AMINED THI$ AP- <br /> ,� / • i NG �-O � PLICATION AND KNOW THE SAME TO BE TRUE�ND CORRECT ALL <br /> ucu oiscxirnou or raoriai��a�own xuow nu nn�o�rouxcovns� PROVISIONS OF LAW$AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi __xiocr:_or OR NOT THE CRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAIUNE OF CONTRACTOR OR AU7MORI2FD ACENT DATE <br /> IOx n(1pu155 v � ` J�- �� Z <br /> 2-7C-� `' �c/,E l/�� D�i' � , ��� _ i`'T � <br /> PlUFI01NG �HANICAL <br /> NO. TVPE OF FIXTURE FEE NO. TYPE OF FQUIPMFNT FFE <br /> N'A7fRClOStTIlOUC71 AI0.CONU UNITS-NP U <br /> OA7111UN REfNIGLR�710NUN175-MP fA <br /> UV'AIONY IWASl1 NASIN� NOILkRS-H P EA <br /> SHO\\'I N W$1 BE O A C UtiIT$-iONNAGf EA <br /> KIICIILN SINK 8 DISP IONClO AIR SiSTf��1$-N 7 U M EA <br /> D6\YASMfR N'ALIHIAI(NS-IIIU M <br /> UUNUNY iNAI UYII MLA1f H$-17 i V M <br /> CL011115 N'ASM!R 1\'nPORA7IVE COOI[PS <br /> \\'�l[N HUifN ClO1HI50RYfR$ <br /> URINAL VINfIU110N FAN <br /> UNIrvt,ING FOUNiAIN R�NLf MOOO <br /> f 1 OOX ONAIN AIN IIANpIIM1G UNIT- C F A1 <br /> bACUU.+1 NRUKI RS SfOVE <br /> ROUI ORAINS-RMNLf ADIR$ AICiAI FBCPUCE 6 CMIMNkY <br /> SIN1:bE H\9C(-OAN,!IC I <br /> SUlTOTAI SUlTOTAI S <br /> �FIIMIT f �FIIMIT f <br /> TOTAI(EE 3 TOTAI FEE ti <br /> $IDI1'�NOSiI[1�CK $TRII15IIpACK NfAN1'AFD5l1(1ACA Pt�C11`{A%0�1�/ FLE ��ANHKFKP `�� <br /> / <br /> �� J%� <br /> U51 l.OrvL l07 ARU y�[�Ni 91t iEfS VALUATION {EE <br /> ❑YLS ❑n0 <br /> iH9 01 COY51 OCNPANCI�ROU�' NO 01 DN'tlllN'.UNIIS <br /> �: �.y a�lr-FaTl.t F.iG - - s <br /> NUIIDING <br /> 512C OF OIUG NO OF STOR16 AI�X OCC lOAO <br /> - -)jC.TFIrATt1 � — rwn�tur+c <br /> RNl ZOuI flA$tMEN7 111UNUOMI IIRI SVNINKlLRS <br /> RlQUINLD AI(CIIANIUL <br /> �-- __ - ._ �111 S fnNO <br /> A�PROVAIf !Y DATE OiHLR � <br /> 1 LNVIHONAlll:lAICMLCKlISi UIiC <br /> PLNALTY $LC 10Na� <br /> 3 UUIIUInG I'U�1 <br /> TOTAI <br /> ) IIN[ 111UN�N1 <br /> � flNl PNOIIC710NSVSI(M �ERMITV�IIDATION <br /> WMLN PNOPERIY VAlIDA1C�UN THIS$PACFITHIS IS YOUN PENMIT <br /> 5 GR�DING I xUV'AiION 8 Q!ARINGGXUIIHING <br /> 6 DBAINAGf <br /> 7 �NVIHONMINUIIMPACT�UILMENT . <br /> E MUlfll pIS7NlC1 <br /> APPLIU1104 ACC OY PlANS CHLCKtD BY AVPN IOR ISSUANCk 9V <br /> � � . <br /> �-1-:� / /; <br /> 9 1 '9 <br />