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_� <br /> ,MEWro�.� A''QLICATION F�R ���rc„ <br /> °�TM°F C�DNSTRUCTI(. N e <br /> everett PE RM IT <br /> DEPT OF COMMUNI7Y DEVELOPMENT SERVICES <br /> CITY I�.LLL 25^�8745 <br /> EVERETT, WA9B201 ��UMBINATION ❑ 6UILDING �1MECHANIfAL ❑PLUMBING PERMIT NO. <br /> ONV�R1� '\�� �Q��S` N,NLAODNE55 � C '� �IiY 21V PHONE-_ <br /> r�_ ao 0 -� [�l-...�-� 1`q 2o I <br /> ABCNITFR OA D[SIGNfR MAII�DDRESS C fY ZIP PHONE <br /> -- A�DE-ttc-Na�1e.L <br /> :.tNFR��YIN���pRJ�� ����w �e �DDRCESS ���1� ��Ce1TY ZIP PHONE IICEN5E1 <br /> d� �. wtwa�d av� 3b l,c,y--`t71Z <br /> n401nhi[nl Cpnip�[ipp Me1L�DDNI SS U� 11P PHONF ll[ENSE/ <br /> �1 /T <br /> PlUmI11tiG(pNl ACLOP MAII AU[JN[SS CRY ZIY oHONE llC[YSf/ � <br /> ���55 of w�H� ! <br /> ❑NPA' ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOGTION <br /> vnwnuoh or �.�oxa .(� p (� <br /> f �'`'OO O � 11.L�V'-O0T <br /> DlSlNItl1 WUN� <br /> ruorosiuuv or xwiou+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ueni rnscuiruoti or vxo�ierv isNuwH xei w ox nnnc�+rouH coensi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> (�L S`IS� ��� � C UT �F WORK WILL BE COMPLIED N'ITH WHETHER SPECIFIED HEREIN <br /> wi xiocx__ov OR NOT. THf. GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> I GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION$ Of <br /> V :s b� l0� S �32 ANY C i HER STATE OR LOGL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTIO'•I. <br /> SIGNATt1RE OF CONTRACTOR OR AUTHORIZED ACENi DATF <br /> �pp nuuNtss .'� A�� <br /> �2 �0 S �y � ���L� X ;�� ;-\ , l � � r�, S � -' I � '� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WMER ClOSkT(TOLIET) AIR COND UNIT$—N P kA <br /> flATHiUE1 i1ffRIGEN�TION UNITS—MP EA <br /> LAVATORY�WnSH HASINI NOILFRS—�1 P U <br /> SHOWlR GAS FlRFU�.0 UNITS—IONNACE EA <br /> KITCHFN$INK 8 UISP FORCCD AIR SYSTEMS—B T U h:EA <br /> DISN'ASHFR N'ALLH[q7CR5—dTU M <br /> UUNDRVTNAY UNI7MkA1kN5—NTU M <br /> CLOiH(5 wASHkN EVAPORAiIVE COOLERS <br /> WA1f R HfATI R CIOTHES OR1kN5 <br /> URLtiAI VCNiILATION FAN I� <br /> ORINY.I`1G FOUNLAIN NANGF HOOD 1 <br /> ItOOR�ftAIN AIR HANDLING UNIT— C.FM <br /> VANUM ONUKERS S�OVk � <br /> NOOF ONAINS—RAINL!ADfBi MCTAI FlRFPUCE d CHIMNEY <br /> SINK 6FHVICE—N�N.11C 1 <br /> SUB iOTAL SUB TOUL f <br /> PENMIT S PERMIT S <br />' iOiAIfEF S TOTAIfFE S <br /> $ID( \I.NO Sf T�nCK SiNC[i$CTOACK HUN YANU ffili�CK PUN CIIEIX NUn18LR PLAN CHECK FEE <br /> FEE RKEIPT NO. <br /> USF ZOtiE LO7 ARU y�UNI SIfE <br /> ❑YES ❑NO iFES VAWA710N FEE <br /> TVPf Of IUNSf OCNPANCY GROUP NO OF DWELLING UNITS <br /> IiUIIDING s <br /> SIZE OF NtDG NO OF STORIES �u% OCl LOAD <br /> PLUM9ING <br /> HRf ZO�t BASEMEN7 111I)RUUMS PIRE SPRINKI[RS <br /> RFQUINEU M[CHANIGI � <br /> rnrs nno <br /> AP►ROVALS er DAiF OTHER <br /> 1 ENVIRONMLNIAICHECKllST �p� <br /> PEhALiV SFC 30Ha� � <br /> ? IlUIIUIrvGPIAnS <br /> J fIR[ NYDRnNi iOTAL <br /> d FlNk 1'ROTt.CTION SYS�EM ►ELLMIT VAlIDA710H <br /> WHEN PROPERLY VALIDA�ED(IN THIS SPACEI TN�S IS VOUR PERMIT <br /> 5 CRAUIM1GII%CAVATIJN6QEARING�GRVtlHIN� <br /> b DRAINAGE <br /> 7 [4VIRONMENTALIMPACTSTn!FM�NT <br /> e HEMTMD�SINICT <br /> APPLiGTION nCC. 8Y PLANS CHECKED 6i APPN FOR ISSUANCE BY <br /> g.7.79 <br />