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ONSTRUCTION <br />Pi <br />everett <br />PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259,8745 <br />EVERETT, WA98201 (]COMBINATION BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />OWNER MAIL ADDRISs <br />9 (nr <br />ZJr <br />rlro�l <br />o5111plk <br />-- <br />ARCIII1fClpgpEWtilR MAIL ADDRESS <br />!/ <br />PHO 1 <br />P0$e?X11103 <br />���Ati6 /ir <br />9W <br />l CI 1151 R <br />GENT RAI COnTRACL > MAR ADDRL 55 <br />Clll <br />ZIP <br />PHONE <br />M[CIIANI(M CONTRACTOR MAILADDRIS', <br />CIIY <br />Lill <br />mall <br />IILE SIR <br />PLUMBING CONTRACTOR MAL ADDRL 55 CITY ZIP PHONE LI(In5 If <br />CLASS Of WORK <br />KNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAI UAHON WORK <br />E �SIG� on <br />DLSCRIBI WORK <br />I THEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PROPOSE Dust Of wuuroc <br />�A^/ <br />PLICA11ON AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />LEGAL DESCRIPTION Of PROPERTY (SIIOWN BELOW OR ATTACH FOUR COPIES) <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT BLOCK__Of <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR 1 HE PERFO Af3CE NSTRUCTION. <br />DATE <br />/ <br />SIGNATURE O ONT T OR THORIZED AGENT <br />X� ei <br />JOB ADORE SS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />TEE <br />NO.SH11RIG[RATIONUNNITS-14P <br />TYPE O UIPMENT <br />FEE <br />YS'ATI R CI0511 110' 11 71 <br />. UNITS —LIP P i A <br />TIONUNITS—TIP IA1AVAIORY(WASHUMIN'I <br />BAIHIUB <br />I1 P. EASHON'CR <br />AC UNITS—IONNAGI [AI:HCHCN <br />SYSTEMS—BT.0 MIAOJSWASHLR <br />SINK & DISPIR <br />T[RS—BTU AlI <br />AUNDRY TRAY <br />TIRS-BTU M <br />CIOYHIS WASHIR <br />IVAPORAIN1 COOLERS <br />-- <br />WAIIR MMIR <br />IIOTHESORWIS <br />URINAL <br />VI NIII.ATION MN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />f IOOR DRAIN <br />AIR HANDLING UNIT— C t Al <br />VACUUM BREAKERS <br />S70VE <br />ROOF DRAINS—RAINLAADIRS <br />METAL HILT PI All &CHIMN1 Y <br />SINK IS[RVICI — OAR, ITC) <br />FEE!-T - •S <br />STIR TOTAL <br />SUIT TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL TEL <br />1 <br />TOTAL TEL _ E <br />SIDE YARD SETBACK <br />SIR[ I1 SE THANK <br />RIAR YARD SI )HACK <br />I'I AN (W 1 K NI NAM R <br />I'I AN <br />CHECK ILL <br />III <br />RECEIPT NO. <br />USE ZONE <br />LOT ARIA <br />VACANT SITE <br />FEES <br />VALUATION <br />TEL <br />-- <br />❑YES DN0 <br />_ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />i! / <br />SIZE OF BLDG. <br />NO Of STORIES <br />MAX. OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASIMENT <br />BEDROOMS <br />REQUIREDKLCRS <br />MECHANICAL <br />C1YF5 LINO <br />- <br />APPROVALS <br />BY <br />DATI <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U BC. <br />SLC, 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />3 FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PI WE VALIDATION <br />S'HLN PROPERLY VALIDATED EN THIS SPACE) 11115 15 YOUR PERMIT <br />P` LA <br />_ <br />5 GRADINGIIXCAVA110N& CIA ARINGfCRUBRING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC. BY <br />KED BY <br />PN f SE!^''.t Ifl <br />_-__RE+SJ'1;{11E <br />91 79 <br />