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- <br /> A�'PLICATION FOR � e�e�e„ <br /> LONSTRUCTION � <br /> everett PE RM IT <br /> DEPT. OF COMMUNITY DEVELOPMENT $ERVICES <br /> CITY HALL�59-8745 <br /> EVERETT, WA98201 �,COMBINRTtON ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> O\VN[N/ �+ M1IVLADOH!/SS�" // ❑15 /.II' VHOh[ / / <br /> �U (7r+Y�i/7a,fCrl�"� IT n`���(�1"� � �,�( J a6,�{��J��N r� �l.�P!"P�I / l!l' ��3 '( \ ) ,�,�„k `7 <br /> �RCHII �i OF Df51GNfN NAII�ppRE�5 Clii )IP PHOVf <br /> �G 0.�L CONIRACiON AIAII ADURLSS [Itt piP 1'llOtiE LICLNS(p <br /> �ut�i,�S R�� � ��f���%!' �ZO�'>rzc 1��ve�rrA' i , 9 Zo3- 2S�/3�/ <br /> M[CMANIUI CONiRACiON � tAlt AU N6S J <It~T� 21W pHOAf IICCNS[K <br /> PLUMBINGCONiRAQOR AIAIIAOpHL55 CIIY /IF PIIOVf LICENSCR <br /> ClASJ OF\\'ORK <br /> ❑N[W ❑ADDITION ARPHATION ❑REPAIR ❑DEMOLITION ❑PENCE ❑SIGN ❑GAHAGE ❑6UILDING RELOCATION <br /> vn�uni wn o��y.�� <br /> s / <br /> U[SCRIffF W qA / <br /> _S a ra v � a�, ��Y � ���-�' �'/�ai�5 �,� 3ri�- e ;�-o��-rrvH .�rr�< ( ��/�X� <br /> raorosr st or nwioin�c � HGREI3Y CERTIFY THAT I HAVE RFAD �ND EXAMI ED THIS AP- <br /> — �0�,� - ��N S IIC�2,i..! -P PLICATION AND KNOW TH[ SAME TO 6E TRUE AND CORRECT ALL <br /> iFcniocscu�rr Horruor�ervmiownnFiawoenivairouNcor�. �ROVISIONSOFLAWS �NDORDINANCESGOVEFNINGTHISTYPE <br /> � OF WORK 1VILL 6f. COMPLIED WITH N'HCTHER SPCCIFIED HEREIN <br /> 1Oi�°1OC °� �'��� � 9 OR NOT. TH[ GRAN7ING OF A P[RMIT DOES NOT PRESUME TO <br /> ��vi='n'j>-2 d'-�i�P-D�' h�t'�-'� ��J' 3��/��'(' 33S�1U GIVf: AUTHORITY TO VIOLATf: OR C�NCEL THE PftOVI510N$ OF <br /> ANY OTH[R STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> � lN�a. r'�. l.t/- dr�-.� � Jf �,-/_ �`� OR TH[ PERFORMA�CE O( CONSTRUCTION. <br /> 1�•.5-27,T'f-uy���S' �_rsS �_;o'j-',r�'�� _-}/„scSo -+ sir,�nivaeo�coNiencroaoRnur��oHizenneeNr onrt <br /> Ion nouR[ .y /\ / JO^ ,� �(p� ,�^ <br /> ��CJE� Q.. . +2 ��1 �'I X � L/1��.�s^'/ ��l ( l �8�� � <br /> PLUMBING ME HANICAL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSCT(TOLIEi) AIH('04'U UNI75–M P I A <br /> BATHTUB RI FRI(.I BATION UNIT$–H P LA <br /> LAA'ATORY(WASII OASIN) IIOIlIRS–IIP U <br /> SHOAVER GAS fIKCU A C UtiITS–TONNAG6 i.A <br /> Al1CHFN5INK�.FT�}fP. �(� IOHC�pnIN5Y5If.�\1S--OTU At[A <br /> DISK'ASHfR \VALLHIAll.kS_IITU M <br /> I LAUNDRV 7NAY V,�'ll HfAll BS–It T U. .V <br /> CLOTHCS WASHER � IVnPOH4IlA9 COOLlNS <br /> WATEkHEATEN � Q UOIHISDItI'IR$ � <br /> UkINAL A'I�alllAllOtv fqN <br /> ,� DRINKINGPOUNiAIN / HAN({I HOOD � <br /> 1 _ <br /> '( FLOOH DNAIN AIB HpNDIJM1G U�'li– C f M. <br /> VACUUAI fIR[AK[RS tiI0\'L <br /> ROOF DHAINS–HAINLI A[)1 RS ,V!lAL I IRI PI.A(1 R CIIIMNEI' <br /> SINK(SCR\'KC–IIAH. I iC� <br /> SUB TOTAI Q� SUB TOTAL S Q(� <br /> PERMIT S PERMIT 3 <br /> IOTAL iFf S 70L1L FFE S QO <br /> SID(YARUSETOAIX $TRlCT5L115��� kLAR]i��I��7�fACk PLANUIFlKN�11�R k������ HKHPi�NO. <br /> � (/ �_� <br /> � U5C 20N[ lGf ANf�� �'h('nNi 511f <br /> ��:����5 ��yn F[ES VALIIATION FEE <br /> ` T1PC Of CON$ OCCUPANCI GNOCP Nn OI Dl1'LLI INC U�'lIS <br /> 1s'e� l�3 Z �,�����,��ti�: ��{/3 '� '6 00 <br /> SIZ[O( NLDG. NO Of S70HIf5 MA% OC[ IOAU <br /> 1 �����,�,���; ao <br /> FIREJONI IUSIh114T IqDNOr]n15 IINf SPHIhAIIBS — <br /> NtQUIHfU �VICIITM('A1 OO <br /> �'� "1lS : �tiU <br /> APPROVALS 11Y DAT[ 07HIH <br /> 1 ENVINO4MINiALCHICKLIST � <br /> I'I NAI.T7 U I7 C <br /> 2 PUILDIr+G PUNS SL( 3��JIaI <br /> 7 FlRL HYDBANT TOTAI /7 �)U <br /> U J <br /> i. flRf PROT[CTION S/SffM pEBMIT VAIIUATiON <br /> KNI N I'ROPkNLY\'ALIf)ATkU(IN THIS 51'ACE)THIS IS YOUN PENh11T <br /> 5 CN�OWCII%CAVALONAILIAkINGif.kJ11NINC �/ . <br /> L. DHAINAGF '/ ✓ . � i/i i ^� � �v J <br /> I <br /> 7. C4VIRONMENUI IMPAC7 STATEA1FNi � <br /> 8. HULTH DISTRICT � <br /> APPLIUTION ACC [iY PUNS CHIIXEU BY APPk ff1R ISSI�nNC! IlY <br /> _ I __ __ .__ . _ _ a <br />