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AP. AICATION FOR <br />OF <br />Cl" OF CALFCONSTRUCTION ►YIrRH <br />everett PERMIT <br />N'�dEPT OF COMMUNITY DEVELOPMENT SERVICES <br />11TY HALL 25R J745 <br />FVERETT. WA9BPI1 COMBINATION X BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />�Ror6e, Bowe// ; a63o 3/•,ol S.E EvsieH �BzoSi 337-33.70 <br />IANORAI IONHIC FOR It ADDNISS Iur III' PNONI - I-CF-11I z, <br />Day 404sr, ie4or- .3? "Dep SS -or, Euowf+ ye�ov 337-yrx�i a� .,v-c,�-r9yv <br />11111I1NI( AT C O.TFAI TnF MAIL AnnF155 (III ie• rNOM JICINSII <br />MAIL AnnRISS <br />-7a.5 7 <br />IICENIf <br />I I All (11 .,IN. <br />OMtW ❑ADDITION ❑ALTIRATION ❑Rt PAIR ❑DEMOLITION ❑ftNCf ❑SIGN ❑GARAGE ❑EH ILDING RELOCATION <br />\ V l'A1104 TIT KORt <br />I <br />6 Q. <br />nI NI RIRI NOR.. <br />rpON)en I IF or ROnnINI• <br />ie o <br />I <br />I HIREBY CERTIFY THAT I HAVE READ AND !` (AMINED THIS AP- <br />III ICATION AND KNOW THE SAME TO Bf. TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DUES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOI.ATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of NIRACIOR OR A HOR1IFD AGENT DATF <br />K <br />- GC/Q <br />X <br />I MAI DI SI FICTION OF CROPLAD ISNONN MuN, An JIF"Wit I OPnn <br />II''// v' <br />101 f�n(xA-y—Or <br />s <br />sr Com 176" %%s <br />,,I" AMIRI NA IS �/�%' Z <br />1?B./2trll �T. �J•C( <br />PLUMBING <br />`IE CH L <br />NO. <br />TYPE Of FIXTURE <br />111 <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />NAlIR C1051 T 11O111T1 <br />AIR COAL) INIIN III' IA <br />RATHIUR <br />C) <br />REIRIGFRAIIONUNITS-III' IA <br />1 A\'A I OR IN A"I NASINI <br />IN )III RS -H P IA <br />SHONTq <br />(.ASIIRIDAC UNITS-IONNA(A IA <br />AIT(NINSINI. AUISP <br />IOR(IO AIR SYSTIMS-BTU MIADKNANIIIII <br />Z <br />E <br />WAIT 14FATINS-RTUMI <br />At%ONN IRAN <br />UNIT III ATIRS-IT IU M <br />1\AI'URAII\'1 l(X)I1 RS <br />NATIR HIATIR <br />( ICIH1%DRVIRS <br />EL <br />URINAL <br />VI NI ILA LION I AN <br />DRINKING, FOUNTAIN <br />RHOOD <br />FLOOR DRAIN <br />ANDNG UNIT- f F M <br />ToHII <br />Alq II <br />VA('UUM RRIAKIRS <br />STOVI - <br />ROOF DRAINS-RAINII ADIRS <br />MIIAI IIRII I A(HIMNIV <br />SINK 15FRVI(I -PAR ITC 1 <br />SLIP TOTAL <br />SUB TOTAL S <br />/lemll <br />S <br />/T AT R <br />TOTM FEE <br />T <br />TOTAL FEE S <br />SIDE VARTI IF tRArY <br />r <br />NIRIII M TIIA(A <br />O LI /yN <br />RI All VARD SI IIIAI K <br />/ <br />PI AN I III( K NUNIRIR <br />CLAN <br />Fit <br />(HICK fit <br />0.FCFIPI NO <br />USE IONI <br />_ <br />JOT ARIA <br />%'q AN SIII <br />*?IS I -.NO <br />TITS <br />VALUATION <br />ITT <br />— <br />IYPIOF ((INNiw-� <br />e &Jp <br />Oil WPAN(N(.RODP <br />9-3 <br />N11 IAO%ItIINGUNITS <br />III <br />$6, QZd-t <br />SIII OT RTU(• <br />d D <br />NO Of STORES <br />It <br />MAX (N( TOAD <br />I'1 LIMNING14- <br />FIRE 10N7 <br />DASIMFNI <br />III ORIN)MS <br />3 <br />TIRE SPRINKLERS <br />REQUIRED <br />FIVI S <br />MI(IIANICAI <br />I <br />APPROVALS <br />BY <br />Y DATE <br />OTHIR <br />I INVIRONMINTALCIUCKIIST <br />-- <br />PENAITY <br />1'N( <br />N 1 In NI) <br />_ <br />7 BUILDINGPLANS <br />----- <br />TOTAL <br />I LIRE HYDRANT <br />1 Ilpl FROLIC 710N SYSTIM <br />I <br />PERMIT VALIDATION <br />WHIN PROPERLY VALIDATED RN THIS SPACII THIS IS YOUR PERMIT <br />5 pRAIRN .A X( AVAI ION A (11 AR INGIGRURRIN(1 <br />6 DRAINAGE <br />7 INVIRONMF TAT IMPAC 7 STATEMENT <br />7 <br />