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=A <br />APPLICATION FOR <br />th <br />e <br />F'°"R" ..ONSTRUCTION <br />everett PERMIT <br />PT OF COMMUNITY DEVELOPMENT SERVICES <br />DE <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT <br />CITY ZIP <br />OWNER MAIL ADORE SS / 77 <br />.-._ .. P ONE <br />Illy OR V151CN <br />5,*/I. <br />RAE CONIRAC101 <br />7• z.Y " <br />MAIL <br />P <br />PNONE LICENSE R <br />PHONE LICENSE E <br />'LASS OF <br />❑ALTERATION ❑REPAIR <br />❑DEMOLITIO_N ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />❑NEWWORK ADDITION <br />S'AILIAIION Of WORK <br />1 <br />DESCRIBE I 67RK <br />v V <br />CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />Paovosm of or flwsolNc <br />// <br />BY <br />ION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />OF LAWS AND ORDINANCES GOVERNING IRIS TYPE <br />1[CAL DESCRIPTION OF PROPfRIYISNOWN fl110W OR IACI�uR CDPI� <br />v, <br />IONS <br />WILL BE COMPLIED W'.TH WHETHER SPECIFIED HEREIN <br />A PERMIT DOES NOT PRESUME TO <br />i-'%T. <br />LOI �!� BLOCK —Of <br />rRK <br />THE GRANTINGOF <br />UTHORITY TO VIOLATE OR CANOE THE PROVISIONS OF <br />F <br />THER STATE OR LOCAL LAW REGULATWG CONSTRUCTION <br />E PERFORMANCE OF CONSTRUCTION. <br />DATEIofl <br />RE OF CONTRACTCR OR AUTHORIZED AGENT <br />ACDa[ss <br />�., ILK- .0 - <br />PLUMBING LI I <br />NO. -iYP' <br />R <br />TRAY <br />AIN <br />LOT <br />SE <br />5}7.E Of 7LDG / ( NO OF �TORIES <br />Al lok8 <br />EIRE ZONE BASEMENT IIIDNUUMS <br />�— 7� <br />APPROVALS <br />1 ENVIRONMENTAL CHECK LIST <br />2 BUILDING PLANS <br />T FIRE HYDRANT <br />I FIRE PROTECTION SYSTEM <br />5 GRADINGIF RCAVA710N6CIE ARINGIGRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT ;TATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY <br />9 <br />:G7 <br />AIR COND UNITS—H P EA <br />REFRIGERATION UNITS—H P EA <br />BOILERS— IT P EA <br />GAS FIRED AC UNITS —TONNAGE EA <br />FORCED AIR SYSTEAI5-8 T U M EA <br />WALL HEATERS—B T U M <br />I;7.1 NIATERS—BTL M <br />VENTILATION FAN <br />RANGE MOOD <br />AIR MANOIING UNIT— I <br />STOVSIOVE <br />METAL FIREPLACE RCHIMN <br />SUB <br />S <br />R[AR YARD SO FLACK PLAN CHECK NUMBER <br />VACANTYTI FEES <br />PLAN <br />3 <br />VALUATION <br />CHICK FEE <br />RECEIPT NO. <br />- <br />IBE <br />F7Y15 AQNO <br />NO Of DWELLING UNITS <br />BUILDING <br />��YY��SSPP�S <br />MAX OCC .OAO <br />PLUMBING <br />FIRE SPRINKLERS <br />REQUITE D MECHANICAL <br />f1YEs O <br />St OAII OTHER <br />UBC <br />PENALTY <br />SEC IDRa) <br />TOTAL <br />74 <br />PERMIT VALIDATION <br />IN EN PROPERLY VALIDATED FIN <br />THIS SPACE) THIS IS YOUR <br />PERMIT <br />APPR FOR ISSUANCE . Y <br />9.1.79 <br />