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A PLICATION FOR <br />�NSTRUCTiON • <br />everett PE RM IT <br />DEPT. OF COb1S1UNITY UEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />everett <br />e <br />evear:Tr.wn�azoi �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ow��x nuunonx�ss atr nr — - r�ron� <br />�J Q� )�� l C 2�> j � '� S� J F- � � i P' r <br />.�Gt-t t ' A �v. �F( :'i�l �i � �f- �.,� /� � <br />ANCIIIiLC10H1)(SIGtilH �11AIL�OORE55 (IIS llP PHONf <br />Ll1 f�l�il'��, . � <br />GfMH�LCON(NACIOH ,\IAILAUUHLSS Ull /IP PMON( LICENSfN <br />C-"�[ L'; l ��. I . � !_,�;,-: ' , .; _' _ '�:-i'«GJ iii`� : ilr � t �I'I n�l ,'�� �, � �, -'' II� I <br />.�uau.icnimniennoa �nuunooucss� air ui rHovc uceNziM <br />I-���-� -aa3-oi-zv r-��-�L. �, �r) <br />Ptl!+tnlNC.cONtNnCrou M11nitnonNtss [ir� zle 1'11oNt •• ll[trv5fw <br />CLASS Of 1YOMA <br />❑NP.W ADDITION GALTERATION ❑REPAIR ❑DEINOLITION ❑FFNCF ❑SIGN ❑Gl�RAGE ❑�3UILDING RELOCATION <br />V•nlUAtlOn OI �vONA <br />S I <br />UISCXIIit WONA � , . <br />� � X�[� ��T �L. � �\i' "( � ' _ I /', .�t'i'f' i�'_ <br />ruorostouv oi nunorvc I HEREf3Y CERTIFY TFIAT I Hi\VE R[AD AND [XAMINED THIS AP- <br />;;-� ; PLICATION ANU KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />i.tcni uiscuiruon��a reovtun �viow�,u nno�v ou nnna� iouK mrits� PROVISIONS OP LAWS i1ND ORDINANCES GOVERNING THIS TYPE <br />cc�;. � OF WOf.K WILL UI: COMPLI[D WITH WHETHER SPECIFIED HFREIN <br />ioi ' niorn_oi "'��Y OR yOL THE GR�NTING OF A P[RMIT DOES NOT PRESUME TO <br />GIVE AUTHORIT'f TO VIOLATE OR CANC[L THE PROVISIONS OF <br />ANY OTHER STnTE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PGRFORfv1ANC[ OF CONSI�RUCTION. <br />9GNAIURI OI CONTRACiOR OH AU7HORIZCU AGlNT DATL <br />�on nnoxiss ��., <br />X l I � -, ,.,._. _. I �f-_.� — <br />PLUM87NG <br />NO. 7YPE OF FlXTU0.E <br />USl <br />WATCR CLOSET ITOLif 11 <br />IlA l l�l l U Il <br />IAVn7qR1' IlVA511 I1P5 W) <br />SHO\1'1 R <br />KRCIILN SINK S I)ISP <br />DISN,ASHI H <br />IAUtiDRV INA1 <br />CI.07HI S'.t'ASHCR <br />R'Ai1.N III:AIfR <br />uuinni. <br />DRINKIUG FOUKiAI� <br />i I.00ft URAIN <br />VArUUn1 ItHi 4KI HS <br />ROOI Dft11ti5—RAWLLADfRS <br />SINK 6F¢A9CI —IinN. LT(: 1 <br />SUBTOTAI <br />P[RAl1T <br />TOTAL FEE <br />STNFkI SI lilq <br />LO7 �kM <br />TVP( OF CONSI Ol'I�.UPAM1U' f,ROUI' <br />� �J R- 3 <br />9LL Of BIDG NO Of S70RIf 5 <br />11X/�� <br />IIHF IONL IIASIntI <br />3 A�PROVAL$ <br />t PNVIRC��'htIN7AI IIIIU: Lltil <br />7. FlUIIDING PLnNz <br />7 fINF I1YI)HA.'+I <br />J flHl �'NOifCTION5Y511�V <br />MECHANICAL <br />fEE NO. TYPE OF EQUIPMENT <br />nIRc:OND UtiIfS—HJ' P.n <br />Rf fHIG[NAIION UNIIS—II.N. !A <br />ISOII f RS—II P I.A <br />(;AS 19NCD AC. 11N1T5—�OA14GF EA <br />IORCIU �11K SYS�I:AS—Ii T U. ��t LA <br />\YAI.I IIIA71R5—IiTU �V <br />UVIIHI�VIKS-6TU �V <br />2 i� O n�n��oenri��r moi-tus <br />CfOlntS OR1f k5 <br />�'I Nill�\iION Fi\N <br />wwci ii000 <br />AIN IIAKUI.INC UNIT— C F.ht <br />570\9 <br />.�tkL�l ilHlPtnC[ F UIIn1NfY <br />tJ U <br />S� L #: <br />HI �N YANU SF l ltiACI: <br />\0\Cn\I SII . <br />1' I S U <br />tiU OI UW9l I ING li\IIS <br />' <br />,�tAS OCC LOAU <br />I31UItllflA1� IIHI �1'HINKlIH1 <br />RI()UINt�I] � <br />— �'.115 �tXfl <br />OY DATE <br />5 GRAUING'f %l'AA'A110� A CI.I iAhING:GRUBIfIN(l <br />L UNAINACf <br />] LNl'BOti�VLNITI Ibtf'ACT SIAIFAICNI <br />tl HfN.11l 11151121�1 L <br />AI'I'I I( iAIIUti ACC PP PI.ANS CHfCKtU 11Y ��'�r IOR 65UANCI. Ill' <br />�i �. <br />.,-., -�, <br />PLANf'H/F(( K'�'U�\16fft <br />�7 j � �� �� <br />FEES <br />����� �,�.<; <br />PLU�t101NG <br />nt! CH,\NI(',\I. <br />U7HfH <br />PI NALiI <br />YERMIT <br />TOTAL <br />fll <br />fAl f <br />S <br />[E 3 <br />PLAN CHECK f(L <br />Ci0 <br />NKEIPi NO <br />.1i <br />VALUATION FEE <br />' %L <br />UIiC <br />SlC 30)f�l <br />`'�I -1'J-Z <br />� <br />IOTAL I I S� I� <br />l <br />I'LRMR VALI�A710N <br />�1Hf N Plit)I`I HI1 A'nl IUn:f D PN 111G SPAU 1 iH15 IS YOUN PEHMIT <br />