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� ry <br /> APrLICATIQN FOR eV� <br /> I�e Erarpree^ �O N ST R U C�I O N <br /> �,r oF <br /> everet� PERMIT <br /> DfPT. OF CO�'VIMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT,WA90701 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT N <br /> atr <br /> nr Puorvc <br />' Owv[n nu�t nuoultis q <br /> A �� .��,�:� �SO �7 U <br /> '� �-�'Ll� ' f�C`7� .' � �ZN� 5.�. L✓LSZCTT ZIP PHONE <br /> CI1Y <br />' M11eIL ADDPI55 <br /> GR[Illtl R OR O!SIGr�!ft <br /> � j�p PHOHE UCENS[A <br /> �.µ��c/ CIIY <br /> GtM1FN�LCOMIMn('10R <br /> A1At!AOD0.155 <br />' CIIY <br /> LIP PNO4[ IICFNSf Y <br /> VI CII�vICAI CONiRnCtON <br /> nlnll nD00.F5S <br /> Z�p PNOrvF UC[HSF 1 <br /> t11Y <br /> 1 MAII A�DNI51 <br />� PII��II�`.G CONiR�CiOR <br />� CI U>Of KOHK r�1 <br /> i d <br /> ❑NEW �.nDDITION Id1AlTERATION ❑NEPAIN ❑DEMOLI'fION ❑FFNCE ❑SIGN ❑GAR'.�t RUI;DING RELOCAT �•� <br /> I �uonnnno� woa� _ Y� V�j _ 771:�FL <br /> � �-k��J ,t� i i s <br /> L.FzSni� <br /> ❑I�1N111I NOXA <br /> ';,7 ,Q�`rk-t't�[_/�.'C Oi' � iFcSv� <br /> ,• ;,,` "t `.s` i uii Nr. I HERt6Y CERTIFY THAT I HAVE READ AND EXAMINED TH�S AP- <br /> PLICATION AND KNON�THE SAMF TO BE TP.UE AND CORRECT ALL <br /> rc��ipi � r - PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> it��,�� n�scui�uoyai rw��ix���s�an`"�°�°"���x"nnu��ouRa�ritti pF WORK WILL SE COMPLIED WITH WHkTHER SPECIFIED HF.REIN <br /> �/�f-,,,� /'i4C,t OR NOT THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> i���.y7 S2�i>i���r GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �/v �,� Z ANY OTHER iTATE OR LOCAL LAW RFGULATING CONSTRUCTION <br /> f�'70D�T%�•1% OR THE PEKFORMAN�E OF CONSTRUCTION. � <br /> SIGNATURL Of CONiftACTOR OR AUTHOP77.ED AGENT—�D�� J 3r / yFc:� <br /> !.� <br /> ....� � /%���. <br /> iun.nna�« C l,cs<J.> .C.� ;��-c�c.-.0 �� . <br /> 3 17 �L n.J ,S, ccJ tC��:Sc�-� Gt�2. /�<7 C 3 aI_�f <br /> M NANICAL <br /> PIUMBING TYPE OF EQUIPMENT FEE <br /> FEE NO. <br /> NO. TYPE OF FIXT��.^•' nie CONn uw75-�i P kn <br /> WMEHQOSLiITOLIEiI ptfBl(�FRAiIONUN1i5-HP fA <br /> �iA7H7UN 001LER5-��N F� <br /> IAVAiORY IK'ASN I1�SIN1 (}AS fINfD AC UNITS-IONNAGE [A <br /> SHOWfR �� �pgCIUAINSYStCMS-f1TU ��E� <br /> KI1CMf N SIUR 6 OISP � WAII Mf Ai[HS-0 i U M <br /> DISWA$HIR UNI1HlAifNS-117U M <br /> UUhOR1 iNA� f�'APURAiI\'t �OOL[NS <br /> CL0711f S��'�SHEN ��p�Hf 5 I]RYfNS <br /> N'A1FR MI�1FR VENIILnIION UN <br /> URIrvAI NA^�GI HUOU <br /> DRINAINC FOUN1AIn ��g ����p�INC UNIi- C F M � <br /> f I OON nNAIN tiOVt <br /> \'A(UU�1 IiNf AKLftS p��iAl I INt 1'U�k R CHIMNE Y <br /> ROOf DRAINS-R�INLfADFRS <br /> $INK 6FR\'�Cf-�Aft. F iC 1 <br /> SUOTOTAL 3 <br /> OC S <br /> — SU9 TOUL PEAMIT <br /> � PERMIT f TOTAL FEE 3 <br /> TOT�I fii S G pL�N[MfCK FEE � <br /> � p�sR YARD 5[i nCK PLnN CIIICK NU�+10ER Y RKFIPT NO <br /> S�OF ��ROSfiO\CK $TREfi $iTflACK L FF[ / � /Q:(} <br /> 1 ��J'` VAlUA710N FEE <br /> USE ZONE LOT ARkA VAUrvi SI1Li fFEs � <br /> � �]Yt 5 l�f <br /> OCNPANCY CRPUP NO Of DI'LIIING UNIiS � <br /> 7YP�(Oti,57 S 3� <br /> ��V Q� .3 IIUIIDING <br /> NO OFSTO�IIS MA% OCC Lo�U � <br /> 512[ OF OLOC p�UMI11hC I <br /> FIHlZONC � BA$[MENT flll]R�)OM1t} I�IR�f��RI�K�LfBS MICHANICAI <br /> /�jD nYf$ ii+Qo <br /> APPROVAlS BY DATF O7Y.fN <br /> uuc <br /> 1 FNVIftONMENTALCMECKLISt _ PIM1�L7Y SEC 30JIa1 <br /> � �G� <br /> 1 �U�LDINC Pl��'S TOiAI <br /> 7 FlNE HVORAN7 <br /> PFNMIi�ALIDATION <br /> � FBE PROTECTION SYSTEM �VHtN I'ROPERIY VAI�n��F�lIN iM�S SPACEI 7HI5�:�YOUR PERMIT <br /> 5 GN�OWGIf%CAVAIIONBQLARINGIGRUNIIWG <br /> h ORAINAGE <br /> 7 ENVI0.0NMFNTAI IMPACT S7ATEMENT <br /> g MEAITH DISTftICi <br /> ApplIU710N f.CC BY PLANS CAMfCKED OY APPR fON ISSUANCF DY <br /> Y� ` � <br /> q.�.;9 <br /> i <br /> � <br />