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i <br /> . � thr LrcrRmrn � STRUCTION � • <br /> CiTV OF <br /> everett PERMIT PERMIT NO. 07093 <br /> CITV NALL 259�6745 <br /> evEaerT.wa Qs2o� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> GN'NEH M4q,Pp�WE65 Ciil 21V P��0�1E <br /> SVi 1 l i am .T Alavar l RM Cnl h� Rvar�� gR�m 9F9-1 p9l1 <br /> nnpuiLc�nN['LSGN[a fAh�t nDuaEss ptv I�n Pr+oHE <br /> GFNERALCONiAnQOP AIRILRODFE55 GTY 21P PHOHE LiGENSE� <br /> CPl'P <br /> MEC��4NIGRLCONTRACTpR MAI�ADORE55 LITY LIP R10NE UCENSE� <br /> �'_Uu9iNGCONTRACiOR MPqA�DPE55 GiV 21P PNONE l�C[IJSE1 <br /> ClA'�5 OP 1VORK <br /> ❑NE�V ❑ADDITION ❑AL7ERATION ❑FEPAIR ❑DEMOLITION OFENCE ❑SIGN ❑GAFiAGE Fireplace�+�ut' <br /> VPLUAii�ONy O��Fr yW�OpR�S <br /> 4�a'W�lY�/Y�X <br /> L�ESCqipE WOAK <br /> rncooscu use or euuoiNc <br /> 1 HEREBV CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> �.icni.ocseaienor�ovFno�wr.�sNowe��owouaTrneHvouacoai[s PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVIS�GIJS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior�&2_eiocK��,B' TYPE OF N'ORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN ON NOT. THE GRANTING OF A PERMIT DOES NOT <br /> �� �� PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOP,h��aC55 SIGNAIUREUFGONi11ApTOROR�1110RIZED�GLNi D41E <br /> X r�/�rl� !� !��/-,� ,{l"��. <br /> PLUMBING MECHANICAL �' �� <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER C�OSET QORET) AIF COND.UNITS—H.R EA. <br /> 9ATHTU6 �7EFnIGERATION UNITS—HP.EA 'I <br /> LAVATOFV(WASM BASIN) UOIlERS—HP.EA � <br /> i SNOwFR GAS FlRED AC.UNITS—TONNAGE EA. I <br /> KITChEN SINK L DISR FOACED AIf7 SYST[MS—B i.U. M EA I <br /> DISHWASHER �YALLHEATERS—f3.T.U. M , <br /> LAUNDRV TRAV UNIT HEATEPS— B.T U. �� <br /> CLOTHES WASNER EVAPORATIVE COOLERS <br />' WATEN HEATER CLOTHES JHVERS <br /> URINAL VENTIlAT10N FAN <br /> �RIIJkRJG FOUNTAIN RANGE HOOD <br /> FLOOH DRAIN AIP HANDUNG UNIi— C.F7d. <br /> VACWM l3REAKEFiS STOVE <br /> ROOf ORAINS—RAiNLEADERS MET0.L FIPFP�ACE 8-fM�MN£Y = �,$� OO <br /> SINK(SEf�VICF.—AAR.ETC� <br /> SUBTOTAL SUBTOTAI S O <br /> PENMIT S PERIAIT S 3 O <br /> TOTAL FEE f TOTAL FEE S <br /> SiLE YARD SETBACK 5T(7EET 5[iP4C✓. �EAR YARG�PTOACI: PL�N CHECK NUM�ER PLAN CHECK FEE <br /> FEC RECEIPT N0. <br /> USL ZONE lOT AREA VACANT SITE <br /> .-vE5 .T�O FEES VALUATIOH FEE <br /> TVPE OF CANSi. OCCUPANCY GROUP NO OF DWELLING UNITS <br /> BUILDING �I�(X XAXY � <br /> SIZE OF BLOG. NO OF STOPoES M11AX OCC.LOACI <br /> PLUMOING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> PEOUIRED AIECHANICAL <br /> �.1VES :]NO <br /> APPNOVALS BY DATE OiHER <br /> 1. ENVIRONIdE1JTALCNECKLIST PENALTY U.BC. <br /> 2. BUILDING PLANS S[C.3031a� <br /> 3. FIPEHYDRANi TOTAL �' <br /> 4. FIPE PROTECTION SYSTE1d PERMIT VALIUATION <br /> • WHEN PROP[RLV VALIDATED(IN iH15 SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING n / <br /> _3. OflAINAGE 6 3 h 5 �O U 0.O a �� � , <br /> Z ENVIRONMENTALIMPACTSTATEMENT Q <br /> e Mr�:TH DISTRICT YO U R R�.0 EIPT o <br /> APPLICA'lON ACC.BY PLANS CHECKED BY APPR FOP ISSUANCL BY <br /> THANK YOU <br /> � iv <br /> L 1 o�c l9 <br /> ADDRESS FILE <br />