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IY (YJBNA A"PLICATION FOR <br />LIII Jf CONSTRUCTION e <br />everett PERMIT <br />111 :'I OF COMMUNITY DIVLLOPMENT SERVICES <br />I I I 1 HALL 259-8745 <br />1',IRLTt. WA98201 YCOMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />MAII ADDMI SS CITY ZIP PHONE <br />;%'�,��s �dlNES�NL. �d4 S•6 ryEXe��1hL'� lGAY �t/�ed1l q�oy 3s.�-s�yyz <br />II' 1 .)R III SN:41Y MAIL ADORNS CITY ZIP PHDN1 <br />1K, C(.'IRA( 1001 MAII ADDRISY CITY ZIP PHONE IICINSI Of <br />r.1;A IONI +(IOx <br />;f_ll• � %�-j�7rrtJLN <br />MAII ADORE SS CITY <br />/USU �� Al.c(%• �SSiiCA�UIJtf <br />(11 <br />�%8cad7 <br />IHONI <br />yS3-8B(oU <br />IICIN5�11,/ <br />� 3-Av�� <br />~ 11..'1)4IRA( IOR <br />..I(ADDRI YY (II\ <br />ZIP <br />PHOM( <br />^I (•IIL)� <br />/1 ;(Ns�P� puM,5rA14 <br />(od7 s,CFCVf'_)r1M*' Limy 6V6:et <br />/J <br />711 <br />,3S-V &171 <br />a% -(Pr <br />Ir I.'1RY <br />i . •I lA i_]AUDI I10N ❑ALI ORATION (IRE PAIR ❑DEMOLITION OFF NCI <br />❑SIGN <br />❑GARAGE ❑BUILDING RELOCATION <br />S CJ Itiy <br />w1/CG lvdLZ A/ <br />A 71i< <br />_' <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />NL BE G COMPLIED <br />OF OR NOT HEGRANTIOFF A PERMIT DOES NOT SPECIFIED <br />DSUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANC OF CONSTRUCTION . <br />SIf,N �Rl CON1RACi F JN AUTN RIZ[D ACINT OAT[ <br />,'1f„ xlPr��4.� 1'Yi a'IYI .II11 4 xuoN ox An+01 roux corn Y1 <br />�'1 6� n �• _'1 ��htME FW7 C� <br />"'— <br />RILA11MG <br />M CHANICAL <br />NO <br />r <br />/ <br />TYPE OF FIXTURE <br />WATIR(1011 I11011111 �• <br />FEE <br />NO. <br />TYPL OF EQUIPMENT <br />FEE <br />OO <br />O <br />AIR CONTI UNITS —TIP IA <br />HAl11TUN <br />Ki!^I1fRAII0N UNITS -TIP EA <br />_ <br />.._i <br />IAVAIORY (WASH NAAINI <br />f1011l RS-TIP [A <br />-'— <br />SHOIV!R <br />CAS FIRED AC UNITS-TONNAGI EA <br />/ <br />KITCHEN )ILK A DISH <br />ob I <br />IORCED AIR SY.IEMS-FL 1 U M FA <br />IIISWASHIOf <br />06 1 <br />WALL ITT All RS -UIU M <br />I ALINDRY TRAY <br />UNIT NIATERS-I:IU M <br />(1O1IIIS AASrHR <br />IS'APORAIIVF COOLERS .. <br />IV'Al! R HIA I I N <br />C101HE S DRYERS <br />_- <br />IIRINAI <br />VINTILATION FAN <br />—_- <br />DRINK1Nf. IOI-NIAIN <br />IT <br />RANGE HOOD <br />MOOR ❑RAIL. <br />AIR HANDLING UNIT- CFM <br />eMl1 SI IINI AYI NS <br />S10VI <br />- <br />RUIII ilN Al'.S N+1•.II AUI RS <br />AHIAI IIREPIA(1 L(HIMNIY <br />11NASf N\'� I II+N 111 <br />SUB TOTAL <br />SUN TOTAL f <br />---- <br />PERMIT <br />TO <br />PIXMIT f <br />TOTAL TEE <br />If <br />TOTAL III[ f <br />O <br />IA R0 SI III It <br />SIRIII MTRACK <br />ROAR\ARD smACK <br />PLAN CHICK NUMBIR <br />PLAN <br />CHECK fit <br />RI CIIPi NO <br />I :1141 <br />. (H (041 <br />• � .- T� <br />IIII ARIA <br />S'A(ANI "It <br />xIS I+O <br />Il[f <br />N <br />VALUATION <br />VIE <br />1N(VPANCV GROUP <br />NO Of OWIIIING LINIIS <br />RIIILOING <br />f3Z000 <br />p?a <br />GV <br />_--)r TOLD( <br />NII Of SIORIIS <br />I <br />MAR Off TOAD <br />q- <br />PLUMBING <br />OO <br />1�N1 <br />MINT <br />)41 <br />TIRE SPWNKLIRS <br />RIQU <br />(I I?Hff <br />MI('lAHICAI <br />OOIUM <br />.—)�R(N <br />Arrl(ovAu <br />LOST- <br />DATE <br />onnR <br />I hlfl11hM1 hlAl n1u 1111 <br />PINAl11 <br />U1C <br />Sfc )ORRI <br />_ <br />S IC DING PI ANS <br />TOTAL <br />. -1V1 HYDRANT <br />•IN[ PROMC110N SWIM <br />PERMIT VALIDATION <br />WHIN PROPERLY VALIDATID LIN THIS SPACE) THIS IS YOUR PERMIT <br />(,�`t U✓'"�'�--'— <br />S +AI!IN(:1 Al AVA110N A CI I ARINUGRURRING <br />,RAINAGI <br />1•.0RONMl NIAI IMPACT SIATIMI111 <br />1 II AI TH OISTRICI <br />_ <br />+'rl ICAIION ALL H\ <br />PLANS CHI CKIO FLY <br />APPR FOR ISSUANCE TOY <br />J <br />