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• V� <br /> 7 � I <br /> AI .' LICATION FOR eY[PPR <br /> CITYOF 'R CONSTRUCTION e <br /> CITY Of <br /> everett PERMIT <br /> DEPT OF COMMUNITY OI VELOPMENT SERVICES <br /> CITY HALL 159-8I45 <br /> EVERETT,WA96201 'COMBINATION El BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWN1R MMI AUUKIES fill /11• rnUNl <br /> ra R coax-r ri - S�S''_SLS� Am t,lY �' Df+ t2� 3< _2212 - <br /> P ONE <br /> ARS MITI IRR D151f.Mp MALI ADDRESS <br /> LIMMI CONIMf DI MAIL ADDRIES CITY /u• PIIONI LICINSI R <br /> C - - / <br /> n <br /> +11 CIIANIQI RNl MC TOR MAIL ADDRISS CITY LIP PNONI llCl NSI 1 <br /> ^ I J ,CITY ZIP ZONE OU NSE B <br /> PII'\191NC(O41R+CIOR MMI ADORESt <br /> CI U\Rf MORK <br /> ESV ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \MU+ZION III WORK <br /> 111 ACMIRI WOtK <br /> PROPOWD PEI Of RU MM I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> CELL IIUI nI ECRIPII OI PROPIRII ISNOWN RIIO RR MI+(n muR mvn Yl PROVISIONS OF LAWS AND ORDINANCES COV ERN THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SP FIED HEREIN <br /> IOL �R,IxA__RI OR NOT THE GRANTING OF A PERMIT DOES PRESUME TO <br /> ONS OF <br /> ANY 07HERGIVE OSTATF R LO ITY TO VIOLATE <br /> AL LAW EG C AT CONSTRROVISUCTION <br /> OR THE PERFORMA E CONSTRU 10 <br /> -7 %1f.NAtURE OF CO OF IORIZ AG DAFT <br /> IRn.nnRlt\G.O r / -2- <br /> �/ h' MI(H A <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE I I[ NO TYPE OF EQU MENT <br /> \VACIOSIIIIOIIFiI (90 AIRCONO UNITS-IIP [A <br /> fl—AIIRuR RIFRILIRATIONUNIIS-HP IA <br /> BOUIRS-HP U <br /> I AVAIORN III ASN BASIN) <br /> O <br /> Q BO ILC UNITS-IONNAf.E IN <br /> SHOWIR _ <br /> KIICHIN SINK A DISP -� f9 O IORCAORCIIC AIAIF SYSTEMS-BTU M(A <br /> DISWASHIR _ OD IV Ll ITHIHUATf RS-O7 LI M <br /> I:ND Tf 75-B 11: M <br /> IAUNDRI IRAN <br /> ClOI1115 NASNIR Z (9/J I\AMIRAII\I COOLIRS <br /> I I rtn15 ONYIRS cm:) <br /> WAIIR IHAILR .1'.111+IIOV FAN <br /> URINAL a LSa <br /> ORIu "C <br /> )CID <br /> CID <br /> MOOORR ODRAIN FOUNTAIN <br /> AIR HANDLING UNIT- C 1 M <br /> R <br /> C/Vf <br /> VACUUM DRAINS-RAIHl1ADI Ri R BRIAKFRT <br /> ROOT <br /> "Il IAL IIREPUCF L CNIMNfY <br /> - <br /> SINKISIRVI(I-BAR.I ICI <br /> SUB TOTAL It <br /> SUB TOTAL I[RMI1 E <br /> PERMIT IF f L9i <br /> L IOTAI III <br /> TOTAL I[[ PLAN CHECK FEE <br /> SIDI N.RD 11 TRACK STRIA SI TRACK REAR YARD SI�LflAfk PIAN CHICK NUMBER III RECEIPT NO <br /> (eq Zor-r .f��O -7-793 ep ' 7 <br /> USI 70NI TOY ARIA VAC fT SITE fits VALUATION rtIF <br /> .W'EGNO <br /> .,pl Or NSID(CUPANCY GROUP NO OF O/kAHtINCNIT <br /> US pP� �Y <br /> r/Aj EG^ '3 • BUILDING S{.8���s I(�7 eu <br /> SIZE OF N1f1L NO 01 SinRl15 MAR OC—CLLOAD <br /> I P.UMBING Z(a nV <br /> FIRE ZONERf' BASEMENT III IIN(N)M\ IRID IIRS ego <br /> T I E SPIUM MIC/IANIGI <br /> ills ILTIIf <br /> — <br /> APPROVALS DATE OYHIR _ <br /> I'111 <br /> 1 INVIRONMINTAL CHICk LIST PINAIIY NII Ul r,nl n <br /> I BUIIDINGPIANS TOTAL <br /> I FIRE HYDRANT <br /> PERA FIRE PRUIICTION SYSTEM WITINPROVAIIRLY VA <br /> WHIN PROPERLY VAIIDAlfO TIN THIS SPAC111H15 IS YOUR PERMIT <br /> S GRADIN01 A(AVAT ION A(I E ARINGICRUBBING <br /> 6 DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT STAI[MtNT <br /> B HEALTH DISTRICT <br /> APPLICATION ACC BY PLANS CHECKED BY APPLE FOR ISSUANCE BY <br /> v ev <br /> 9.1.79 <br />