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S <br />:,IV c.Rlpr"rr 7� IN IL ■ t. /Z IF %J I ! R V 1!% ,ev <br />erett <br />CITY OF CONSTRUCTION <br />everett PERMIT <br />DFPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 ❑COMBINATION ,BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADDRI,S CITY llr PHONE <br />AROIDICI OR 111FIR.111i MAII ADDRI SS CITY 71P PHONt <br />GI NI MI (IYV TRMIDq --\ MAIL ADDRISS PITY �Aw TIfDFT >� IICIN51 R <br />SHN�v o�,o� `1�;��1Dg���LT oR�l�ca,E�1,Y ZIP 0G-\i5 R <br />Pip ynlNf. (ONIRAC,OR MAR ADDRi SS (Ih ZIP PHONI LICt NSII <br />l I All I)I N ORK <br />❑NIW ❑ADDITION ALTERATION ❑REPAIR ❑DF MO IT ION ❑FENCE ❑SIGN ❑GARAGE ❑ BUILDING BEE OCATION <br />%All AHO%01 NORK <br />L � DtCi <br />HI,1 RHB 9qK <br />vkkEk\tly, vF oN 3M 'VV\ <br />`kill`T-� DIa uI nl nDly, <br />\](�N \r-ES <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />Pt ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />AUTHORITYGIVE A Y O HERREGULATINGSTPROVISIONS ATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURI OI CONTRACC70IRR �OfR,AAUUTHORI7.ID AGLNT DAf-TT II p\ <br />X_— <br />MECHANICAL <br />upcA1 DI,I NIPtION oI PROrIRD sfIONN RHO,, OR AI A( IDUR IVor_l v <br />��E Ni�O� VF'vC0 <br />y <br />'\�' \'� �3'!A..y' h�'�b �Y��� <br />Ii iI: ADHRI ta-vlu\ RV GKE <br />PLUMBING <br />NO. <br />TYPE OF FUTURE <br />FEE <br />NO. <br />TYPIAtIf EQUIPMENT <br />FEE <br />W All (LOSE T 1701It 71 <br />AIR CONU UNITS -LIP [A <br />BATHTUB <br />RIIRIGIRAHON UNITS -HP IA <br />1 A%'Alf)RN I WASH BASIN) <br />BOB E R%-11 P 1 A <br />SHCPA'IR <br />CA511R(UAC UNITS-IONNAGEEA <br />KITCHEN SINK A UISP <br />IORCI D AIR %N'SIEMS-B I U M U <br />Dl',, ASHIR <br />\%'All HIATIRS-BTU M <br />LAUNORN TRA <br />UNIT HIADRS-II I U M <br />CLOTHS WAlHIR <br />I%'APORADVI COOLERS <br />W AI I R HI ATI R <br />CI OTHI S DRYERS <br />LRINAL <br />%'I NTILA110N IAN <br />DRINKING fOUN1AIN <br />RANCI HOOD <br />I IOOR DRAIN <br />AIR HANOI ING UNIT- C I M <br />— <br />VACUUM BRI AKIRS <br />%TO%'I <br />ROOF DRAINS -RAIN[ I AD[ RS <br />All T Al III PI AU A F 111A1NI Y <br />SINKISIRVICI-BAR ITC) <br />SUB TOTAL <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />SIDE Y ARD SF TRACK <br />STRI IT St TRACK <br />R I AR YARD 51 TRACK <br />PUN CHECK NUMBIR <br />y <br />PLAN <br />Fit <br />s <br />CHECK Fit <br />RECEIPT NO <br />� <br />7,VACANT <br />USE 7.ON( <br />HOT ARIA <br />SI11 <br />CIYES [-,NO <br />FEES <br />VALUATION <br />T[F <br />IYPI Of CONK <br />R.£AAG�FL <br />'Q-I H/Z <br />OCCUPANCY GROUP <br />qiA <br />VL. <br />NO Of DWELLING UNITS <br />`_ <br />BUILDING <br />It od <br />0� <br />SIZE Of BLDG <br />NO OF STORIES <br />MAX OCC IOAD <br />1-1 UMBING <br />FIRE ZONE <br />—� <br />BASIMENT <br />'-- <br />Hi Dil <br />-- <br />FIR1 SPRINKIERS <br />Rf QDIfliD <br />FYNIS �S'NO <br />MI CIIANICAI <br />APPROVALS <br />BY <br />DATE <br />07111R <br />1 [NVIRONMLNTALCIILCK LIST <br />PINAIIN <br />UBC <br />SIC 303A) <br />7 BUII DING PUNS <br />TOTAL <br />1 FIRE 111ORANT <br />A FIR[ PROTLC110NSYSTEM <br />S GRA HINGR XC AVAI ION A CI I AR INGIGRUBBI NG <br />PERMIT VALIDATION <br />WHLN PROPLRLY VALIDAILD (IN IHIS SPACE)IH15 IS YOUR PERMIT <br />N DRAINAGI <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />9 HIMTHDISTRICI <br />APPLICAI ION ACC BY <br />PLANS CHICKFD flY <br />ii w m <br />APPR IOR ISSUANCE BY <br />. <br />9.179 <br />