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�r <br /> Fill- IF <br /> APPLICATION FOR PYriCIT <br /> CITY OfF <br /> ,AREOCONSTRUCTION <br /> everett PERMIT <br /> :)11'1 OF COMMUNITY OFVELOPMFNT SERVICES <br /> TIN I IAl l 759-874i <br /> lVIREI I, WA 98701 ❑COMBINATION ® BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> 11NNP MAII AVON INS roil /lr 111041 <br /> Sherstad & Williams, Inc. P.O. Box 419, Kirkland, Wa 98033 827-0494 <br /> JIP PHONE <br /> ANC III If l 10R 01511:NlA AUII AIN)RIM Ilii <br /> 41 <br /> I <br /> %IRM(ONIRM IDR <br /> MAII Af111Rl tt ,Ih JIT• X10111 IICI NSI <br /> same <br /> 1 <br /> MI111ANIl Al I IINI M(1(1R <br /> MAIL 41101181 10V IIP PHONE IICl NS1 <br /> ^41 <br /> 111"'..10NIRM TOR MAIN ADDRISS <br /> 1114 711 PIIf1M IICINSF <br /> 1 MA 111%(INK <br /> x'Nl\A' ❑ADDITION ❑ALT(RATION []REPAIR ❑DIMOIIIION ❑1FNC' ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> New construction <br /> 1 J : - <br /> tl•i YOII X,19• <br /> Single family resiidence R-1285 I HERFIIY I"IRtITY THAT I HAVE READ AND EXAMINED THIS AP- <br /> Single ION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS 01 LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> n.-i 44„Nil•u,N,ll rNNYRi,DIRNNN nu OM nN Ml+ul una(.IrNM OF WORK '/ILL FIE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ,.14 �_4HIY•-_a, OR NOT THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY 01111.R STAT 1 OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR TIII PI RIORMANCE OF CONSTRUCTION <br /> MGNAI UNI ill (,)-.IRA(TOR OR AUIITONI71I)AGLNI OATt <br /> N1 MIIIYI\\ ,JI J 1 281 <br /> 8 77th Place S.W. Everett, Wa 98203 Xi' '' ' L +'� ' •'l' L <br /> fl1AN ICAI <br /> PLUMBING <br /> NO. TYPE OF FIXTURE <br /> ITT NO. TYPE Of TQUVMENT fit <br /> AIN 111'.1 IU' IA <br /> NAII X(lost I Il(, II II <br /> NIINH,IN+1111'.I ' 118 Ilr IA <br /> pA1111Ufl <br /> III III 1 RN <br /> IM'A 10RY HAASH"AMN1 <br /> I',AN I INIP Al U'd IS-IONNAGI TA <br /> `410"Ift <br /> loll 1P+IN 51511 MS-IIID AT IA <br /> 1,11011N SINI, 6 0151• <br /> li All 111 411 N5 -if ill AI <br /> OIS\N'AS T It <br /> IINII IN All NS- Illlt M <br /> IAVNDRY IRAN <br /> 1\4141114110 (III 111 N5 <br /> (IOIHIS N%ASIAN 111)1111111X01%8 <br /> MAtIN IIIATIN <br /> \I'•111+III IN 1 AN <br /> ORINAI <br /> 1 NAVLI 1X1011 <br /> 11111%1 M,,1111.%1 AIN <br /> AIN 114%1)1 IN(.IiN1t- f 1 M <br /> 111),1Y PRAM S11111 <br /> \M 1111M IINI AAI ITS <br /> SII 1 AI 11X1 PI All A CIIIMNI Y <br /> MI)t 11 UN 41X8-NMNII AIII NS <br /> SINI.INT N\'1(l - IIAN I It I <br /> $UB TOTAL S <br /> SUB TOIAI <br /> PERMIT S <br /> PIRMII B , <br /> IOTAI IQ <br /> TOTAL 11! S <br /> r1AN(nn P.111 <br /> \11111-RI151111\fY SINI II SI IRACK kl All 1ARU SI11utA r1AN(Ig1A N118101p Of iHI(IIPI NU <br /> 7 <br /> Al 7ON1 JOT ARIA SAI ANI 5111 TIES VALUATION Tll <br /> ,IS NO <br /> I1PI of <br /> 11011111%4.(N IUPAWNCROUP NO Ill ❑M111 1•1,1 NILS <br /> 11011111%4. S <br /> 0/1 Of FIRM. NO of 510X115 AIAK (N( 111411 <br /> I'I l 141111 Nl. <br /> 11X1 JON1 IIASI All NI III I1NOnSIS N�0WRIIINKII NI Al11 VAN” AI <br /> 1115 'NO <br /> APPROVAIS BY DAiI J7111R <br /> 1 INVIRDPIMINTAI (d111P IIS] t IT( <br /> PINAl10 SIT VOKI <br /> RUIIUIN(.PIAN5 IOIAI <br /> 1 IINI HYDRANT <br /> ' PERMIT VALIDATION <br /> ( ONE PROM IION SYSI(M NVIIIN PROPI 01 VAL IOAII0 RN ILLS SPACII BMS IS YOUR PERMIT <br /> 4 <br /> I.RAIIINT.fi l(AVA I ION B(11 ARINLII:RUIIIIIN(- <br /> 1 <br /> DNAINACt <br /> I INVIRONMINTAt IMPACT SIAIIMINi <br /> I Hl A111101STRICI <br /> AP/I ICAi1pNACC BY PI ANS C]Il CKl011Y APPR ION ISSUANII EIV <br /> i <br />