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[r <br />n <br />e] <br />1►- <br />APPLICATION FO^ tYerFtl <br />IM EYsryresn CITY OF CONSTRUCTION e <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ❑COMBINATION El BUILDING ❑MECHANICAL El PLUMBING PERMIT NO. <br />OWNER MAIL ACCRi SS CITY <br />g <br />6-mor SAME Qs �LoA) <br />..... ... e...�.,.e MAIL ADDRESS C T PHONE <br />GENERAL CONTRA[ TOR <br />Q <br />MAIL ADDRESS <br />CITY ;ir <br />Q�. S-ranwmo <br />rNON! LICENSER <br />98a9� <br />lluucSKV �rn15-riLULTIon <br />Ml CHANICALCONTRACION <br />aG�$► F2nnrc�RTS <br />MAIL ADDRESS <br />CIT / <br />,t�A. <br />tMD'.1 LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY [u' <br />Pru1M LICENSE R <br />CLASS <br />❑NEWWORR❑ADDITION ❑ALTERATION ❑REPAIR <br />KIDEMOIATION ❑FENCE ❑SIGN <br />❑GARAGE ❑BUILDING RELOCATION <br />VALUATION Of WORA <br />S <br />DESCRIBE WORK <br />vF/r\ ES\I iX\5 CYY1�A OUP <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PROPOSED USE of BWLDING <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />LEGAL DESCRIPTION or PROPERTY lsHowN BUOw OR An Aul TOUR <br />corn sl <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />S \ao - a <br />$ <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT BLOCK —Of <br />GIVE TO VIOLATE OR CANCEL THE PROVISIONS OF <br />Y OTHER STATETY <br />OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />°►a COL-ey <br />X <br />MECHANICAL <br />PLUMBING <br />[EL <br />Efl <br />NO. TYPE OF EQUIPMENT <br />NO. TYPE Of FIXTURE <br />_ <br />AIRCLJND UNITS—IIF LA <br />w All R CLOSF T I701 IF it <br />REFRIGERATION UNITS —HP tA <br />BAIHTUB <br />NOIIk RS—HP IA <br />1 AVATORY IW ASH BASIN? <br />GAS fIRIU AC UNITS—IUNNAGf EA <br />SHOWER <br />FORCED AIR SY57(MS-117U MIA <br />, <br />KITCHEN SINK b DISP <br />WAIT lif ATI RS—ISTU M <br />D15WASHIR <br />UNIT ME ATI RS—flTU M <br />LAur+Dlty TRAY <br />E vAPORA . yr corL. as <br />CLOTHES WASHER <br />---- •'� <br />U CIf Hf: ORYI RS <br />ATER HEATER <br />W[R <br />URINAL <br />DRINKING FOUNTAIN <br />\'lNilLAiION TAN <br />RANGE HOOD <br />AIR HANDLING UNIT— CEM <br />i TOOLE DRAIN <br />STOVE <br />VACUUM BREAKIRS <br />METAL 1 IRE PI ACE ISfHIMNI Y <br />ROOF DRAINS— RAIM FADE RS <br />SINKISERVICI—BAR IT.I <br />Sill TOTAL S <br />_ <br />SUN TOTAL <br />PERMIT F <br />PElA11T <br />S <br />101Al r[F S <br />TOTAL <br />TOTALIFE <br />S <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />r <br />BEAR YARD SETBACK <br />SIOC YAPJ St TDACY. <br />STREET`.CTBACC <br />ITT RECEIPT NO. <br />USE .!ON[ <br />LOT AREA <br />VACANT 511E <br />FEES <br />YALUAl1oN <br />FILL <br />[,YES ❑NO <br />T YP[ Of CONS? OCCUPANCY GROUP <br />NO Of DWELLINU UNITS <br />BUILDING <br />F <br />SIZE Or BLDC. NO Of STORIES <br />MA% OCC LOAD <br />PLUMBING <br />iIP.[ ZONE BASEMENT BEDROOMS <br />FIRISPRREQUIRED KLE0.5 <br />MECHANICAL <br />FTYES ❑NO <br />APPROVALS <br />RY DATE <br />OTHER <br />PENALTY <br />U ILL <br />1 WVIRONME M1T AL CHECK LIST <br />TOTAL <br />2 BUILDING PLANS <br />FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />A HEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADING�I%UYATIONa CI URINGIGRUflflING <br />b DRAINAGE <br />7 fNVIRONMiNTAL IMPACT STATEMENT <br />b HFAL711 DISTRICT <br />APPI ICAl10N ACC BY PLANS CHECKED BY <br />APPR TOR ISSUANCE. BY <br />-11 <br />9 1 79 <br />