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, , <br /> ,�,E�ro,,,� A P.\LI�AT I O N FO R '� ���,�„ <br /> ��n�F CONSTRUCTION e <br /> everett PERMIT <br /> DFP7. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNIN MAII�UDNISS CIl1 ZIP P110N[ <br /> ��ii�j S �ti,-S�i/�vd� G�2� �n tiGi ) w A-r�, <br /> �NCIIItI[TONOt51CNtR MAII�D�RISS r UtY ZIP PNONE <br /> �M CO �l�odl� L��.P. 271 G7 �D�Lc C-4�Tr�j Xulo '7-S2—o oc� Sl-M�-oS �2l ZP3 <br /> Gl�fNnlCOHiN�I'LON M�ILAUURL55 CI1Y IIP PNOHE U�FMSF� <br /> x6C���NICAICOnINA[l0R MMIADURF55 CI1Y LIP PIIONF IICFN5C1 <br /> fIO��N\L IONIR�CiOR MAII AOORBS CIIY ZIP PNONF LICCNSE� <br /> l l Ut Uf NORY. <br /> ❑NEN' ❑ADDITION ❑ALTERATION ❑REPAIN ❑DEMOLITION ❑FENCE IGN ❑GARAGE ❑BUILDING REIOGTION <br /> r+u�+nnn ar woal <br /> � 12va�� <br /> u��,7reini wna�/� <br /> �"l�/ f"\'C?�C� K�`�1� ' . <br /> reurocionsF or xunuwc 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lfGlpi$CPIP110NOfVROP(NiV�5110WNflflON'OR�iIACHfOUNCOP1151 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL OE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> l01 _PlOQ�04 OR NOT. TFIE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURF OF CONTRACTOR OR AUTHORIZED�CFNT DATE <br /> I��H�A�RI55 ' / � l y � <br /> X "" CI'a�t/ <br /> PLUMBING M CHANICAL <br /> Nn. TYPE OF FIXTURf FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(i011Cil AIN COND UNITS—M P EA <br /> PATHTU9 REFRIG[RATION UNITS—H P EA � <br /> IAVATORY IIYASH flALN� 1101LCR5—M P EA <br /> SHOWER GAS fIHED AC UNITS—TONNAGE EA <br /> � KITCMEN SINK 8 DISP FORC[D AIR$VSTFMS-0 T U M I:A <br /> DISWASHER \YALL HEATEHS-6 i U M <br /> UUNDR\ 7RAY UNIT HUTEHS-6T U M <br /> ClO7HEi wASMlF kVAPORATIVE COOLCRS <br /> WAfER HfAT[R CLOTHFS DRYERS <br /> URINAL VLNTILATION FAN <br /> pRINKIVC FOUVTAIh � RANGE HOOD <br /> FLOOR DRAIN AIR HI�NDLING UNIT— C F M. <br /> VACUUM PREAKFR3 S70VE <br /> ROOF ORAWS—RAWL(ADLRS M[TAL FIREPUC[ 6 CHIMNEV <br /> SINK(SERVICI—OnN. F TC 1 <br /> SU6 TOTAI SU!TOTAL s <br /> P[RMIT t PERMIT f <br /> TOiAIfFf f TOiALfF[ s <br /> SIDF YARD SCTf1.1IX 5!REFT SCTflACK RUN YARD SETOACK PUtI CHCCK NUMBER PLAN CHECK FEE ' <br /> FEE RKEIPT NO. � <br /> USF ZONE LaT AR[A VACANT 51T[ <br /> ❑YES GNO IFES �ALUA710N iFE <br /> TYPF OF CONST OCCUPANCY GROUP NO OF DWkILINC UNITS <br /> f1UILDINC s `�� � <br /> $IZE Of 9LDG NO OF STORIFS MAX OCG IOAD <br /> PLUMFlINC <br /> FIREZONf OASEMENT HfUNOOMS REQUIR[DKLERS MECMANIGL � <br /> r1Yf 5 17N0 . <br /> A►►IIOVALS sY DAiE OTMfH <br /> 1 ENVIkONM[NTALCHECKLIST P�N��TY U.BC 1 <br /> SEC.707(al <br /> 7 BllILDING PLANS <br /> J LIRF MYORANT TOTAI � <br /> � FIRf 7ROTFCTION SYSTEM PERMIT VALIDATION <br /> tYlIEN PNOPERI.Y VALIDAT IN T SPACE�THIS IS YOUR PERMIT <br /> 5 GRADINGtXUVAlIONBCIURINGIGNUNHING �� q p/.�O <br /> l 1-.1 <br /> 6 DRAINAGF �� � <br /> : FNVIRONMFNTAI IMPACT STATEMENT � / ,.� J /� <br /> / //11i� <br /> D HEALTH DISTBICT I �� ` <br /> APPUGTION ACC-BY ��NECKED BY APPR FOft ISSWNCE OY <br /> :���-- l�-�cS C�z.d'�.cav <br /> 91 79 <br />