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nrtl(;gyOR CI CJNSTRUCTION <br />everett PERMIT <br />CITY HALL Z`,9R745 <br />EVERETT. WA BBZD1 El COMBINATION <br />❑ BUILDING ❑ MECHAN CAL ❑PLUMBING <br />1wHlN \/ NAZI a.. ". roL :0' NV11L <br />ARCHiII 1 DISIGN(n \� �%ml DUN•'.- LILY SIo 1»!pNE <br />HC�ESC�1—�RS� •��\�� T'\C�Y\C VE ��-0��� <br />— — <br />�����D�1��\r�" ur.lt nUDRI t� Vtr Lr. P•�b[ LKCrG! r <br />�►iF,-1Gi9 39[ I <br />MI UTANIUL GULIIIACIOR MAR ADDRLSS CIII ZIP PHgNI. lK(NS <br />PLUMBING WNIHALIOR MAIL ADDRESS ..1� LIP (»rM'R LKl HSLI <br />LlLAS5 LN W LRIK <br />❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOIIT ION L�iENCC LJ SIGN ❑GARAGE <br />M <br />\= <br />III <br />�. �- \\ 01..E Q'-1 _,..;,c �....!-c_ :L LT.Lcio�� NF� tZ uL<c Si•. r..c\ Accni �.\Lr l F\UE1C- <br />1'IwIKSLD U��sJ/5 OF 9DRDING <br />®RKT\ CCMPV�F� ak�R <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />- <br />PUCATICN AND KNOW THE SAME TO BE TRUE AND CORHECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />SPECIFIED <br />u GAI DLxR�nnDNa I+Kn'!�-.. s0luw1uoA'pR +n PuuFornl cuPasl <br />Q1Y�VY \10O:j N� V--i% <br />h3o\ 3�K �OV <br />�-I� D, \\� <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER <br />HLREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />'�C -� --1� �-5 �S XV <br />�I <br />PRESUME E OR CANCEL THE PRO. <br />VISIONS OFOANY OT HER STATE R LGIVE AUTHRITY TO AOCALL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMA14CE OF CONSTRUCTION. <br />SI(;NAIUNI Of Clp ILA - ORAul FL) A',[ AL DE <br />PLUMBING <br />MECHANICAL — <br />N0. TY E OF F.OUIPMENT FEE <br />NO. <br />TYPE OF FI%TURF OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />_. _ <br />—_ <br />AIR COND UIIIIS — H P FA <br />_ <br />HIT IUGLFAIION UNITS -- H P. CA <br />UAT HIUB <br />LAVATORY !WASH BASIN) <br />DOTTER$ — H P CA <br />GAS FIRED AC UNITS — TONNAGE CA <br />SHOWER <br />FORCED AIR SYSTEMS — B T U M Fl• <br />KITCHEN SINK A DISP <br />WALL HEATERS — B T U M <br />DISHWASHL14 <br />TRAY <br />UNIT HCAl l ITS — FIT U IA <br />_ <br />LAUNDRY <br />__ <br />I VAPORATIVL COOLERS <br />CLOTHES WASHER <br />WATER HrAILR <br />CIOTHI S DRYIRS _ <br />VI N111 ATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT — C F IA <br />_ <br />FI"In DRAIN <br />VACUUM BPEAKIRS <br />SI OVL - <br />ROOF DRAINS — RAINLEAUIRS <br />MLIAL T IRLP(AGI ,t UHIMNLY <br />SINK (SERVICE -- BAR. ETC) <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT f <br />PERMIT S <br />TOTAL FEE { <br />TOTAL <br />FEE f <br />LIDL YARD SETBACK <br />STRELT SETBACK <br />RLAI! YARD SETBACK <br />PLAN L II CK NUMBER <br />PLAN Uq <br />(,K FILL <br />ILEl_0 <br />N <br />USE ZCA6L <br />LOT AREA <br />VACANT SITE <br />AYES MNO <br />—=� <br />VALUATION <br />_ FEE <br />— <br />_FEES <br />I YPL OI CONST. <br />(1LJPANCY GROUP <br />NO. OF DWELLING UNITS <br />RUILDRIG <br />UU <br />S— i%FC <br />fZE.N <br />- 2— <br />bIZE OF BLUG <br />LU O, STORItS <br />MA% OCC. LOAD <br />--- <br />— <br />_ <br />PLUMBING <br />— <br />I IBC ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRE <br />MECHANICAL <br />---- <br />— <br />'�. <br />AYES I. <br />OIHCR <br />APPROVALS <br />my <br />DATE <br />I ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC. 70] lal <br />-- <br />_ <br />! BUILDING PUNS <br />TOTAL <br />"f FIRE HYUHANT <br />A FIRE PNOTLC11ON SYSILM <br />__ _-- <br />PERMIT VALIDATION <br />WHEN PRUPI PLY VALIDATED (IN THIS SPACE) I I'''- �'. "'.'" :'I IVIT <br />4 GRADING <br />G DRAINAGE <br />_ <br />7 E NVIRONMENTAL IMPACT STATEMENT <br />H HEALTH DISIRICT <br />APPLICATION ACC BY <br />PUNS'fTCHHECYK-�ED� BY <br />ll I'�I1 <br />APMI FOR 15SUANCL BY <br />