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�►Pf�LI�AYIOf�I I <br />C"�NSTR°.�CTION <br />everett PERI�IIT <br />L•VCfI'I� <br />� <br />DI:IR OI' COMMUNITY DEVkLONMFNT SF.RVICPS <br />CITY HALL 259�tp-05 <br />[v[Heri.tvn�azot ❑COMa1NATION ❑ 6UII.DING ❑M�CHANiG,it=—�-,Pf�JM¢ING-- PERMIT-{�lO.-------.- .__. <br />�ol�-Ul-C,uCICh t� hUl r� <br />PlV�ll11tiC[O�INACiON n�NLADDR[SS ❑�1 ]II' I`u0`�I LICEvSEp <br />,CUSS Of 11'OFA <br />��NLW ❑ADDITION <br />. AIUAiION QI AVON�K (/� <br />5 ✓� / / _ <br />�.LLJ_J_ <br />IlLSU.111l \YOH <br />❑�LT[ftATION ❑REPAIR ❑UGMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑DUIL��`:C RELOCATION <br />1'xOP051I q Of IIURO \G ^ <br />�� <br />ILCAI UfSC Ir::^V Of : HOPf Nlt �SIIO\YN <br />lOi ,� OIOCA � O! � <br />� , . . - <br />PLUMBING <br />NO. TYPC OF FI%TURE <br />WniEN CLOS[T (IOLI[TI <br />Li\'ATONY �WnSH [7nSIN� <br />SIIO\VEN <br />KIiCNEN SInK R UISP. <br />OISO'ASIICR <br />LAUNDRYTRAY <br />CLOTH[5 WASHfB <br />11'ATEH HFATER <br />URINAL <br />okinKwc FouvrAiv <br />FLOOR OHAIN <br />\'ACUUht I7HEAKERS <br />NOOf UNAINS—NAINLFADENS <br />USF <br />TYPE OF CONST. <br />SUBTOTAL <br />PEPMIT <br />TOTAL FEE <br />STHEkT SETf7ACK <br />LOT AREA <br />OCCUPnNCVGR( <br />NO. OF STORIES <br />I HERE[3Y CERTIFY THAT I I1AVE R[AD AND EXAMINED THIS AP- <br />PLICATION �ND Y.NOW ThIE S�ME TO �E TRU[ AND CORRECT nLL <br />nivru umrits� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 13[ COMPLIED WITH WhIETHER SPECIFIED HEREIN <br />OR NOT. THE GftANTING OF A PERMIT DOES NOT PRCSUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL TFIE PROVISIONS OF <br />�NY OTH[R ST�TE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE Of CONSTRUCTION. <br />SIGNATURE OF CONTRACTON OH AUT110NI7(D AGCNT �ATk <br />� �',�n�n�le�� Y r��N;�� �nr„� 101151�q <br />FEE <br />�S <br />iCAH 1'ANU SL �II�CK <br />VACnNT SITI <br />�;yES ❑ND <br />JO. OP DIVFL:INC UI <br />�tn% OCC. IOAD <br />I3ASLMENT 111DHOO.Vti fIRL9'I <br />NCQUIR <br />APPNOVAlS <br />1 [NVINONMENTnL CHEIX LIST <br />i. E3UILDWf PLANS <br />7 FIRF HYDRANT <br />4. FlRC PROTCQION SYST[M1t <br />5 GHADINQC%CAVATIONBCLIARING�CHUIiItING <br />6 URAINAGf <br />A [NVIftONMENiAL IMPACT STATEStE�lT <br />0 HEALTH [)ISINICT <br />AVPLICATION ACC f1Y PLANS CHkCKI:U ItY <br />V• �� <br />BY I UATE <br />�PPN I OH ISSUANCF IIY <br />MECNANICAL <br />NO. TYPE OF EQUIPMENT <br />Alk COYU UNIiS—HJ'. EA <br />NEFRIGfRh110N UM19iS—IIP LA <br />1101LFk5—HP EA <br />G�\5 FBtU nC UNITS—TO\YAGE En <br />IOHCCDAINSVSTfh15—l7TU. h1 <br />N'M.l IIIAi1R5-11TU .V <br />UUI1111AiIB5—17TU M <br />l\'APOkAIIV[ COOLCRS <br />QO711f5 I]NYLNS <br />vi ��tit nnoti rnN <br />eavci i�i000 <br />AIHIIANULINGU41f— CFAt <br />Si0\'I <br />.�1FTAL FlNFPLACF R CHIMNEI' <br />PLAN CIIfCK NU.�111fR <br />��3 D <br />FEE <br />SUB TOTAL S <br />PEPMIT 5 <br />TOTAL FFF S <br />PLAN CHECK FEE <br />FFE RECEIPT NO <br />VALUATION FEE <br />HUILOWG 5 <br />PLUMIIINC <br />MLCN�\NICAI. <br />OTHfR <br />PF.NAL IY U I7 C <br />SEC.l03�a1 <br />iOTAL <br />PERMIT VALIDATION <br />K'H!N PNOPERLY VAIIDATFU (IN THIS SPACE) THI515 <br />1, <br />� <br />