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� <br />�T _ <br /> 1 <br /> r <br /> � <br /> APPLICATION FOR ���,�„ <br /> thsErupr._n ;ONSTRUCTION O <br /> Cltt OF <br /> everett PERMIT <br /> r DFPT OF COMntUNITY DEVEIOPMENT SERVICES <br /> ❑TY HALL 259�8'45 <br /> E\'ERETT.WA9B701 ��OMBINATION ❑ BUILDING ❑MECNANICAL ❑PLUMBING PERMIT NO. <br /> ownte n�nrt noue�u un Zir v��ou� <br /> UlA�3 �MOA� ,�3ny lrTli ST EU�Rt'� 943�1 aZ�`�" y�5r� <br /> ARUIIIIC10N�fSIGHIH n1All�nDNf55 CI1Y 21P P 0 L <br /> CINIX�lCOu1NAC10R MALLApDql4 Crtl ZIP YNON[ IICFNSl� <br /> r �A�E ��nlsou /�SY /JoaTu Pr�ar Q2 ��e�e.rr qf,'�o3 .� �39s"a �\ <br /> 1UCIIANIGllOvlPnC�ON n1nIlAO0X155 ❑lY LV PHONF IICENSF/ 1 <br /> /�/INSoDC3.1 g 42 <br /> IYIYIOInGCUNINAQ010 n1AILAOpXtSS ��1Y ZIP PIIONF UCENSFI <br /> CINf Uf\WNR ,�/ <br /> ❑NEK' ❑ADDITION ❑ALTER.{TION L7REPAIR ❑DEMOLITIOti ❑FENC[ ❑$IGN ❑GARAGE ❑Bl11LDING REIOCATION <br /> vnw+uov ur�tax� <br /> � �U� _ <br /> u�sc im nos. <br /> ��Z Ngw Rocr- ,� N �W QUR�+a <br /> rxoruvo uu o� xwioi,.r. I HERE(3Y CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> PLIC�TION AND KNOW THE SAME TO BE TRIIE AND CORRECT ALL <br /> uwo�scuivna�orvaorianpuo�.�xuo�rouenno�rouamvnsi PROVISIONSOPLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> (lf WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi_x�oc._ai Oft NOT. THf. GRANT�NG OF A PERMIT DOES NOT PRESUMF TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THF PERfOfiivi.ANl:t OF CONSTRUCTION. <br /> SIGN�iU� �CONiNAfTOR OR�T�OHIZEO AGENT DATE 9_�(�—�3 <br /> nAnuUxt55 (%r]/+� 1 �•�� <br /> �-3 U e/ U T H 5 i l� v�R E'T X �f,.....w-- <br /> PWMBING MECdANIUI <br /> Np, 7yPE QF FI%iURF FEE NO. 7VPE Oi EQUIPMENT FEE <br /> 4VAi[X CIOSE f I1011[il AIR CONU �NIiS-11 P EA <br /> pAT11iUfl RF(RIUHAllOY UNITS—M P [A <br /> UVA100.Y PVA511 NASINI 11UIL1 NS—M P t� _ <br /> SMON'fR GAS FlREO AC UNIi$-70NNACE EA <br /> ARCMfN SINK 8 UISP IOHCL�AIN S�Ff MS—B i U M EA <br /> �6WA)HtN ��'nIIMf471NS—OlU M <br /> IAUNDNY ip�Y UM1II MU7FN5—II I U M <br /> CL011161VASNfN fV�PONAfIVF COOlENS <br /> W�IEN MIATIF CLOIHtS DNY[RS <br /> URIN�I V[NIIULI04 MN <br /> IJNIM1KIrvG FOUN��IN NANG[ lIOOD <br /> fLOOR DNAIN AB HANDIING UNI7— C F M <br /> I <br />� VANUAI ORUKf HS SIOVf <br /> ROOI []Nf.WS—HAINLFADlNS MLT�L FlRIPIACL A CHIMNFY <br />. 9NK 6[HVICf—Hf R,f IC 1 <br /> SU!TOTAL SU�TOTAL 3 <br />� 'E�MIT f �FRMIT f <br /> TOTAI iEE f TOTAI fFf s <br /> SIDfYARO5iT0ACK $TRELiS[iIIACK R[ANYAROS[IUACK PIANCIIICKrvVMIifR PIANCMFIAFEE <br /> FfE RECEIPT NO. <br /> USE ZONE LOi�REA VA[ANT SILL FFFS VALU�iION «E <br /> ❑YES ❑NO <br /> TYP!Of COYSi OCCUPANCY GROUP NO OF UWfLLING UNIiS <br /> tlUII�ING s�j�' ro � <br /> $IZI OF PIDG NO OF$TORIES M1�A% OQ IOAD <br /> L PLUMOING � <br /> fB[ZONE PASEMEN7 BIONOUn1S REQUINIIUKI[NS hIICNANIUI <br />� C7Yf5 ❑NO <br /> AR110VA1S !Y D�T[ OTHEN <br /> 1 ENVINONMLNTALCMfCKLISi PfN�L7Y U.AC <br /> SEC H1Na) <br /> 2 BUIIDING PUNS <br /> TOT�L �Q <br /> � J !IN[ MI'ONANi <br /> � fIRF PHO7[CT�OY$YSTEM fftMlT V�LID�TION <br /> WMEN PROPfRLY\'AlIOATED(IN iHIS SPACEI TMIS IS YOUk VENMIT <br /> 5 GR��IrvG!%UVAilONBQfANING!GNUHPING <br /> 6 ORAINAGf <br /> 7 ENVINONMfNTAL IMPACT STATFMtNT <br /> 8 MEAITM OISTRICT <br /> APPIIUTIqN ACC 9Y PLANS CHECKED BY APPR.fOR ISSUANCE tlY <br /> gq.:9 <br /> L 1 <br /> V <br />