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fneEvergroe.� 4PPl.�CATIOh t0° <br />CITVOF �ONSTRUCTI4N <br />everett PE RM IT <br />DEPT. OP COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�0745 <br />EVERETT, WA98201 �COMBINATtON ❑ BUILDING <br />U[ SICNf 0. <br />PVCIEfl <br />� <br />L7MECHANICAL ❑PLUMBING PERMIT R10. <br />� an zir v��ar+[ <br />�.� r,f'.e�T ��z�/ 2S�i- �Oy2 <br />. i1Y ZIP 1'lIONE <br />CEIvlRAlC�N1NAC10N AfAllA0DRf5S UiY ZIP FMUNE �IC[NS[� <br />MICHeFIUI LpNiXACIOX AU�� ADOPf:S ❑iY 21P pMON[ lKFNSE 1 <br />PlPnlplAL COMN,1QpN MAII ADDN(55 CIfY JIP PIIONF IICENSE Y <br />[USS UV N�pqN <br />❑New ❑no�inou <br />V'AWAllOA O� 1AOkK <br />� S�� � <br />�,� 5� Hii,t ,��,k, <br />PNOPO)fU U51 b� OWIOMG <br />�ALTERITION ❑HEPl.IH ❑DEAIOLITION ❑FENCE C�SICN ❑G4RAGE ❑BUILDINGRELOCATION <br />LLCAI Ut5C0.6910N Oi VNOPINII 6110Np 1111UN UN Ali�[II IOUN IOYIl51 <br />lUl �IIIOCN�Of <br />ion nooxiss <br />PLUM�INC <br />NO. TYPE OF FI%TURE <br />R'ARk CLOSE i 110JkT1 <br />HATHTUU <br />_ UVAIOHV(WASIINAiIN� <br />SH01YE12 <br />KI7CHEN SINK 8 UISP <br />OISWASH[H <br />LAVNpH1 ikAY — <br />CLO7HFSlVASNEN <br />WAiIH M(ATEH <br />UIiINA1 <br />URINAINC FOUNTqIN <br />! IOOR OHAIN <br />VACWh1 4RFAKFNS <br />kOOF DNAINS–RAINIEApFHS <br />SIrvR(SF4VIC(–OAR EiCI <br />$IpF YAHU ;[tf <br />US[ 7.OrvE <br />IYPf Of CON57 <br />siu or iiioc <br />iIRC ZONt <br />SU9 TOTAL <br />PERMIT <br />TOTAIiE[ <br />S1RiFi SRl1ACK <br />Ln,l ANEA <br />OCNf`ANCY CROUP <br />NO OF SiORI[5 <br />OASEMENT IIIUHO�)tl• <br />A7PROVAlS <br />1 (NVINONh1LNTALCMFIXl157 <br />2 �UIIDING f'UN$ <br />7 fINF MIUHAN7 <br />4 FIHF VNO7ECTION SYSTIM <br />5 CqAI!INC'f%f:Al'1110N5CffnRlNf.tGNUHNING <br />6 ORAINACf <br />J. ENVIHONMF��UL IMPACT $TATkHENT <br />8 HEnLTH DISiRICT <br />I HERE�Y CERTIFY THAT I flA�i READ AND EXAWP�ED THIS AP- <br />PUCAi ION AND KNOW THE SAML TO BE 7RUE ANU :'ORRECT ALL <br />PROVISIONS v� LAWS AND ORD�NANCES GOVERNING ?HIS TYPE <br />OF WORK WILL BE COMPLIED N'iTH WHETHER SPECIFIED HERFIN <br />OR NOT. THE CRANTIN:; OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO V:OLA E OR CANCEL THE PP.UVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRU�TION. <br />SIChATURE OF CON�ACTOR OR AUTHORIZ4��GENT pATE <br />AECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AB COhll UNIiS–H V kA <br />REiRIGFRATIOu UNIiS–H P EA <br />BOLLERS–HP FA <br />GASfINFDAC UNIR–iONNAGFEA <br />lORC.:J TIR SYSTCMS–[i TU M <br />\YALI HIAILRS -IiiU M <br />UNIlHIA7fH5–OTU M <br />f\'AI'URAiIVF COOLERS <br />CLOiHfS DNVFRS <br />Vf NIILA710N FAN <br />RA4GF HOOD <br />AIN HANULING UNIT– C F M <br />$iOVt <br />MEUL FIHPPUCE A CHIMNEY <br />S <br />S <br />RUH tiARU 5[iOACR 1'LAN <br />vncnNr sirt <br />GyFS LNO <br />VO Uf DY/ILIING UtiliS <br />MAX qCC LOAU <br />FIR[ SPNINKIENS <br />Hf QU18f D <br />�YFS'�' �i!Np � <br />BY I DATE <br />APPLIG710N ACC BY PLANS CHECKED UY � APPR fOH ISSUANCE HY <br />9 1J9 <br />r/T <br />SUB TOTAL S <br />PENMIT S <br />TOTAL FEF S <br />NUMIIFR PUN CHECK FEE <br />FFE 0.tCEIPTNO <br />iEES VALUATION F <br />HUILDINL S <br />YWMOING <br />RIECHAMUL <br />O7NEft <br />PkNAITY U HC <br />SEC )O)�a� <br />TOTAL <br />PfRMIT VALIJATION <br />WMfh NHOPERLV VALIDATfD pN TMIS SPACE� THIS IS?OUR PERMIT <br />FEE <br />r <br />r <br />._J <br />