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that Emaymn A. PLICATION FOR <br /> CITY OF CONSTRUCTION <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 2598745 <br /> EV[RETT,WA 98201 WCOMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNIR MAII ADDMI I} 0111 /IP PHONE <br /> T�wi 't 9L.tdjlY �LE RON 53 .•Qf'L [✓ „e r* 9d�Awif SS.f O`/; 3 <br /> RrIIID(7 OR DItI IR 0 A1AIl ADDRIU <br /> nD nP r11oN! <br /> LI II 11 11 <br /> I I <br /> (ANUAI CONIRAI IDR <br /> M\II Afl(IPI}} (111 /IP PITON! ll[INyI ! <br /> Et II FY „ 1, 711--0 -AH- 2ghR <br /> rq1 NANq M(ONIRyM:r(1R MALI ADDRI}} ^A(I1\ /Ir PHONE IICINSI P <br /> AZ �t4 NS PO e0% 1831 Lyh4woes lto.?& 779�8(P A1-NE-A1- u&i1L. 0 <br /> .�I ,y /L (111 /IP PHONE LICE N}!/ <br /> I'II VnIVL lUN1RAl lllR MAII ATIDRIIS <br /> •N OYN! PIkIi , Po lent Z.?/ G/ BEL 99oao 91?.f ?nee 09 TNeawo �!e <br /> R <br /> vNIW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> S Ali Al1O\Ili AURA <br /> L 1 ood <br /> 11 1 LIRA <br /> AvEw Or JL. <br /> PRI IN U 1 SI 111 u(HD1N.. <br /> �^1 y� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> *tiw. IAF /Cf A IG/e�l+t L'• PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> I u.M Fill R TION ar PROrIR Dr11)+SN Hr1O1N ON M1SID H 1,R'1 rn li PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> u+1mOIA�DI `v v !.P R 't( OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> S C L• T 2 9 AJ R GAS C 14 ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> �^ / OR THE PERFORMANCE OF CONSTRUCTION <br /> D Ql� ✓ .SNOhO 1 n C 14 (,AJy, SIGNAIURIOiCONTRACIORORAUTHORIZEDALINE DATE 7//y/jq) <br /> Ii IM.D11 R 1.,r 7 .g <br /> _ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FIT NO. TYPE OF EQUIPMENT FEE <br /> }SAAR([')%I I(TOM 11 4 co AIR COND UNITS-HP IA <br /> BAIHTUP _ Iz RIIRIGIRATIONUNIIS-IIP IA <br /> I A}'ATORI M ASIA BASIN) CDC BOII[RS-H P [A <br /> SITON IR CAS FIRIDAC UNITS-TONNAGE EA <br /> 0,11(r11N SINK AUISP I I OR(ID AIR SYSTEMS-RTU MEA <br /> L DIASS ASHIR I}MI HIAIIRS-BTU M <br /> IAUNDRN IRAN I NII IIIAIIRS-BTU M <br /> (IOD11SWASHER �6 -iN OD I}AVORA11VI COOLERS <br /> }NATER HIATIR C12 <br /> tl6 if I (lorrHsnRttRs <br /> URINAL Z VINTIIATION FAN <br /> DRINKING FOUNTAIN 1 RANGE HOOD <br /> FLOOR DRAIN AIR IIAN"IING UNIT- C F M <br /> VACUUM RRIAKERS SII I}I <br /> ROME DRAINS-RAINLI ADH RS III IAT FIREPLACE &CHIMNEY B <br /> SINK IS!RVICI-PAR. TIC) <br /> SUR TOTAL SUBTOTAL OF (Q <br /> PERMIT ! PERMIT f <br /> TOTAL FIT f TOTAL FEE f <br /> 4D1 ukD }I llly) NRI II SI IBM'1. RI ANI ARD SI III-,I. NAN 11111•. NGMBIR PIAN CHICK III <br /> 10 P 7 I &o P A/ 19 15/3 FII 0 g b -pica In NO <br /> USI /ONE IOL AREA RSI <br /> VACANT $ <br /> 0— 1gYIS NIIo F[[S VALUATION FII <br /> � <br /> TYPE OF CONST OCCUPANCYGROUP NO OF DNI I I IN(.1 %11% <br /> q=—" - 3 OFBUILDINGBUIL DING }�y( 2 t <br /> SI/I M BLD(. NO Of SIORIIS MAX OCC LOA <br /> do <br /> R'N L METO NUMBING / a <br /> TIRE ZONE BASEMENT IIIDR(K)MS ITR[ SPRINKLIRS Iv <br /> 3 es '� RIgU1R1 ME(IIANII AI <br /> VIS yNo 20 <br /> APPROVALS It DATE O1HIR <br /> 1 INVIRONMINTAt CIIICK LIST <br /> PENAL II II I <br /> Z BU1101N(,PUNS <br /> ) FIRE HYDRANT TOTAL '253 �d <br /> A IIRI PROEICIION SYSTIM PERMIT VAIIDATION <br /> I I.N AI❑N1.I M AV AI ION A CL 1 ARIN(;IGRURBING SS"IN FROM RI N VAI 10All O TIN IRIS SPAS 1111115 IS LOUR PERMIT <br /> N UU AIN AI.1 <br /> 1 INUR11NN11NlAl IMPACT SIATIMENT <br /> B FEE AL TH OISIRBI <br /> APPLICATION ACC BY PLANS CHECCKID B1 APPLE I OR ISSUANCI B1 <br /> l ` A <br />