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APF :(CATION FOR , <br />the EVRrp7NR <br />CITY OF CONSTRUCTION w <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259 8745 ,,�/ <br />EVERETT, WA98201 ❑COMBINATION LJ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />21P <br />OWNER MAR AnUR145 CITY — f5 3Y,7 <br />-OoK 4 Zb 1.7771 AVE le ED EKE za b 2APH <br />CITY ZIP PHONE <br />ANCH171 CT OR 01 VIGNI R MAIL A009155 ZS8-366T <br />CITY <br />ZIP <br />?O <br />an PHONE LIp NSE 1 <br />CI NI RAE CONTRAC TOR 6 �7 <br />�O�i�• l L�/K S7 � / D �Q�/ZQ9 oeyee--& % ��-.�iJi 4 lICf N5F1 T <br />C T PxoN[ B <br />%II CHANT( At CONTRACTOR MAll A00RI 55 6 <br />NSE I L <br />IY ('Nxl'.L LV1I Au .tin <br />lIU\OI WORK <br />��,,// <br />❑NEW DKODITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />S µpUIO\/OI /N�ORK <br />F 3C/ no 0 <br />OI SCRUH WORK pI%/✓�' WaY, GG C • a) <br />tA49 R�Orlt NEuV STd/2 uJ Cr E <br />rvnroMulu of nunolNa I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI5 AP - <br />a 047A <br />S� E' C p-� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />�PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />(L(1M OI S('R.PT IDN OF PROP( R TI IHIOWN RF LOW OR AT NCH f00R cnPl{$I OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />�RLocA__or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OFrCONTRACTOR AUTHORIZED AGENT <br />DATE <br />Hlx +nnxl st <br />,OFR <br />Z 7-E <br />T c <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF EQUIPMENT <br />FE_ <br />No TYPE OF FIXTURE <br />FEE <br />AIR COND VN115-lI P EA <br />W' All R CLOSII ITDLIETI <br />RFFRIOERATION UNITS -HP EA <br />BA7 HTUR <br />1101LE R5-11P EA <br />I AVATORY (WASki BASINI <br />GAS FIRED AC UNITS -TONNAGE EA <br />SHOWER <br />FORCED AIR SYSTEMS -BTU MEA <br />KITCF. N SINK A DISP <br />SVAFI MF ATf RS-B i U 'M <br />�' <br />DISWASHrR <br />UNIT HIATFRS-117U M <br />LAUNDR/TRA) <br />_ EVAPORATIVE COOLERS <br />Fy <br />FAN <br />]RINKING IOUNTAIN <br />U <br />AIR HANDLING UNIT- <br />C F M <br />FLOOR DRAIN <br />K <br />STOVE <br />VACUUM BREAKERS <br />E,. <br />.. <br />MFiAI {IRE PLACE 8 CHIMNEY <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR. ETC 1 <br />_ <br />SUB TOTAL <br />SUB TOTAL <br />PERMIT <br />PERMIT <br />S <br />TOTALFEE <br />TOTAL FEE <br />S <br />PLAN CH)[CK NUMBER <br />D SE TIIACK STREET SETBACK <br />REAR YARD SETBACK <br />FFE <br />E LOT AREA <br />VACANT SITE <br />FEES <br />VA <br />OYES GNO <br />.. ....,. wv cxnuP <br />NO OF DWFLI LNG UNIT$ <br />E5 <br />MIMPACI <br />""-" REVUIHtu <br />F1YE5 1N0 <br />APPROVALS BY.__1_ DATE <br />1 <br />NMENT AL CH FC K 11 S7NG PLANSYDRANTOTECTION SYSTEMGII KC AVATION A QI AR INGIG RUNNINGAGEONMENTALIMPACI STATEMENT <br />B HEALTH DISTRICT <br />APPI (CATION ACC BY PLAN' CHECKED BY APPR FOR ISSUANCE By <br />i I RECEIPT NO <br />BUILDING <br />O <br />PLUMBING <br />" <br />MECHANICAL <br />OTHER <br />UBC <br />PFNAITY <br />SEC Ri <br />1 `3 R <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S7n�NG 7171fo <br />9.179 <br />