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OEPT.OF CO�ti1MUN4TY DEYELOPMENT SEkVICES <br /> CITY HALL 259�8745 <br /> EVERETT, WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMlT NO. <br /> Ol5'ti/'!R � ^ hU1LA00Rf55 [li1 LIP PHONE <br /> �i� �C7o� �QP T/Z�. �QeS :T-�C. �G� J� 3 � s.>3^�.22�0 <br /> ANCHR[CiORD61GNfk M�IlA0DR65 UIl ZIP PNONE <br /> LEtilRAL CONINARUR AUIL ADDRE55 CIIY ZIP PHONE IICFNSE N <br /> - 'S�m/� i¢S :�/s'D U-� <br /> M[CHA'alUl CONIF�CIOF n1Alt�ODRF55 CIIY /IP PHOnC �ICENSE M <br /> PW.ti�FINLC9NTR,1Q0R A�AILADDflESS ❑iY 21P PHONE �ICFNSfI <br /> CUSS JF H'ORR qf <br /> ❑NEN' ❑ADDITION Q/JTtTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARACE ❑OUILDING RELOCATION <br /> VAW�TION Oi\YORK([�' <br /> S 3B'C�c� `��P��x, <br /> �CRIPE 1\'OBK <br /> 6 V /J <br /> � �..eA. �" � � J�2 ��--�.�._,.-a— ��O—t.r , o <br /> �exo oseo usc or ounome I HFRE�Y CERTIFY THAT I HA E READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME i O E3E TRUE AND CORRECT ALL � <br /> �eei o�sca�rrio.uov�eeaTrtv�owH nuowae nirncri vo RCOPIE51 � PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYFF <br /> � OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> idr ^� BLOCK of C �'— OR NOT. THE GRAMTING OF A PERMIT DOES NOT PRESUME TO <br /> GIV[ AJTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER $TATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMnNCE OF CONSTRUCTION. <br /> SIGNAi OF CONTRACTOR 02 AUTIIOftIZFD AGENT DATE _ <br /> �o�R3� e ze J � (� �/ , � <br /> (l 6i c✓� x ✓ �� c�-c-� /—o�� <br /> PLUMBING ry� � <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER ClOSET(TOLIETJ AIR COND.UNITS—HP. EA <br /> ❑ATHTU� RFFRIGERATION�NITS—H.P.EA <br /> !AVATORY pYASH fiA51N) 110RCR5—H,P. EA <br /> $HQ:!ER GAS FlREO A.C. UNITS—TOf�nAGE EA <br /> KI7CHE11 SINK 8 DISP. FOHCED AIR SYSTEMS—O.T.U. M EA <br /> � DISWASIIER lh'ALI HEATCRS—[7i.U. M <br /> LAUNDNf TRAY UNII HFAT[RS-13.T.U. M <br /> i C'.OTHEi WASH(R [VAI'ORATItlE COOlEftS <br /> HUTER i:FqTER CLOTHkS DRYERi <br /> � L'RINAL VCNTILATION FAN <br /> � URINKINC FOUhTAIN RANGE HOOD <br /> I LOOR DRAIN AIR f1ANDlIhG UNIT— C.F.M. <br /> VACUUM ARGAY.ERS 51'OVF <br /> �� ROOP DRAINS—RAINIEADERS METAL FIREPUCE d CHIMNEV <br /> ' SINK�SERVICE-11AR,RC) <br /> SUBiOTAL SUB70iAL f <br /> PERMIT S PFRMIT f <br /> ', TOUI FEE S TOTAL FEE S <br /> � SIDE YARD SETOACK STNEET i[7EIACK REAH YARD SETftACK PLAN CHECK NUAtI7ER p�pN CHECK FEE <br /> FEE REC[IPT NO. <br /> � USE ZONf LOT AR[A VAUNT SRE <br /> ❑Yk5 ❑VO FEES VALUATION iEE <br /> TYPE OF CONST. OCCUPANCY CHOUP NO.OF DWELLING UNRS <br /> SRE OF ULDG. NO.OF STORIES MAX.OCC LOAG ��UILDMG S 3 by 0 0 �� 2 Dd <br /> PI�I,Y.:11NG <br /> FlRE ZC�NE DASEMENT 13(DROOAIS FIRE SPHINKLLRS <br /> NCQUBED MECHANIUL <br /> �� ❑Y[5 ❑NO <br /> APPROVALS BY DATE OTHFR <br /> 1. EN\IRONM[NTAICHCCKL15T UD.C. <br /> PENALTV SEC.303(a) <br /> 2. OUILDING PLANS <br /> 7. FIRE HYDRANT TOTAL <br /> 4. FlRE PROTECTION SYSTE,\t pEPMIT VALIDATION <br /> 5.GRAUINLIlXCAVATIONB CLEAftING/GRUIl01NG �YHEN PHOPfRLY VALIDATED pN THIS SPACE)THIS IS YOUR FERMIT <br /> 6. DRAINACB <br /> 7. [NVIRONMENTALIMPACTSTATEMENT <br /> 8. NEALTH DISTRICT ' <br /> APP4IUTION ACC. OY PUNS CHKKE�OV APPR. fOR ISSUANCE IlY <br /> + � <br /> ��� <br /> � <br /> 9 1-79 <br />