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PEl��� iy. <br /> oITY oP ■. 1 <br /> everett <br /> ❑MECHANICAL ❑PEUMBING PIERMIT NO. <br /> DEPT OF COMMUNITY DEVElOP1AF•'i SERVICES^ 6U1LDING [!"'y=�� <br /> CITY HALL 2S9-674S 0 t'! <br /> ❑CUMBINAITON <br /> EVERET i.WA95201 .-BAR AO <br /> OWNER /va IA�M�—I AE <br /> I1V <br /> CITY <br /> ..KISS <br /> ARCHIHCI OR DR LY 1P PNON[ <br /> yi NSI 1N <br /> r0f/Ny 0ucLNuTw. lA�us PHO . <br /> E <br /> �T 5cow t/ ".+uAOORI ss LICENSE 1 <br /> `� PHONE <br /> MICHAMUICONIR+f tOR CITY IIPOv 3 <br /> �/4• M+u+o0Rl7 L A1d-"t D0 <br /> NUA1Krvr.aoNu+L TOR dw,''Y1111� <br /> a&w4le., ❑BUILDING RELOCATION <br /> SoNJ'�` �= <br /> ❑FENCE ❑SIGN GARAGE <br /> a+ss rw ❑REPAIR ❑DEMOLITION <br /> NE SV <br /> ❑ADDITION ❑ALTERATION <br /> w;uA,ION O '02%k) <br /> s <br /> OIXRIflI ORK C'C /�. <br /> l I HEREBY CERTIFY THAT I HAVE READ AND EXIND CORRECT ALL <br /> �d 4 51-5AMINED THIS ' <br /> PLICATION AND KNOW THE SAME TO BE TRUE 0 <br /> GOVERNING THIS TYPE <br /> PROPOSE0 USI O, 001 SiN}�' r PROVISIONS LAWS AND ORDINANCES HE NOT PRESUME TO <br /> Gl V OF WORK WILL BE COMPLIED WITH <br /> DOES SPECIFIED HEREIN <br /> OR NOT THEIi TY TUING OF A VIOLLATE O° CANCEL THE PROVISIONS OF <br /> uul of scu!urn of r"un RIof--- -- oR AnALH IouA mnlH GIVE AUTH) \TING CONSTRUCTION <br /> to, �BLOCK-��ol - ,/'/ ✓ ANY O1 HEk " ' t' � LOCAL LAW REGU: <br /> 'V E.. -OF CO TRUCTION onT[ <br /> At,/ A- OR THE 4AN� THORIZEDAGENT <br /> R <br /> SIGNATURE Of CUN <br /> X I <br /> ,OR AOORISS FEE <br /> MECHANICAL <br /> NO. TYPE OF EQUIPMENT <br /> PLUMBING FEE NITS-Hp [A <br /> I AIR GOND U <br /> NO. TYPE OF FIXTURE <br /> Rif 0.1GERATION UNITS-Hp IA <br /> WAS,R CLOSET ITDLII II BOILERS-H P LA <br /> BATHTUB GAS f IRIDAC UNITS-TONNAGE EA <br /> MFA <br /> �! IAVAIURY(WASH OASINI IORCFD AI0.SIS <br /> Il MS—BTUM <br /> SHOWER µAL1 MF AlIRS—B 1 U <br /> KI TCHIN SINK 6 015P UNIT HIA/IR$—B 1 U M <br /> DISWASHIR IVAI'ORATIVE CDOIIRS <br /> LAUNDRY TRAY Cj THIS URYt RS <br /> CLOIH(S WASHER VINTILAIION IAN <br /> W Al I R Hl ATI R RANGE HOOD <br /> URINAL AIR HANDLING UNII— C F M <br /> DRINKING IOUNIAIN SIOVI <br /> It OCTET DRAIN MI IAL IME PLACE 6 CHIMN[Y <br /> VACUUM BRI AKERS <br /> ROOT DRAINS—RAINLIADIRS <br /> SINK ISIRVICE—BAR.E 1C 1 <br /> 1 <br /> SUS TOTAL 6 <br /> ►(RMIi f <br /> SUR TOTAL If4 OTAL Ill <br /> PERMIT PUN CHECK{!l <br /> 'PLA R / r A j RECEIPT NO. <br /> TOTAL iIt IpACg fif ! <br /> AI AR YARD SE 7 <br /> STREET SI iBACK `L Ill <br /> SIDE YARn SL IOAfK VAUAl10N <br /> LOT AREA VACANT SITE <br /> {Els <br /> U51 ZONE <br /> �JYIS ❑NO <br /> NU Of USYEILING UNITS f <br /> ONSI OCCUPANCY GROUP ( Rllltl)INC <br /> irvE oT 3 <br /> i MAX OCC At, <br /> UI ITORIfS PIUMI <br /> _ <br /> SIZE OS PLUG <br /> RAST MINI III 0"O1JM$ Stiff SPRINKIFRS MF OIANIC AI <br /> RI QUER <br /> FIRE ZONE nYfs O <br /> III <br /> �— BT OAl[ Ot HIR <br /> UBC <br /> APpROVALf PI NATTY sic SOR.I <br /> I lNVIRONMINTAL CHICK 115E TOTAL <br /> I RUIIDINGNANS <br /> Will VALIDATION <br /> WHIN PROPERLY VALIDATED TIN THIS SPACE''"ISIS YOUR PERMIT <br /> I TIRE HYDRANT <br /> f fill, PROIEC,IONSYSTIM <br /> S CRADINGII KCAVAIION&CLUR INQGRURRING <br /> 6 DRAINAGE <br /> I INVIRONMFNIAL IMPACT STATEMENT <br /> 6 NIAIIH DISTRICT PLANS CHICKID BY MPR WOR ISSUANCE RT <br /> APPLICATION ACC BY <br /> ucl <br /> 9.179 <br />