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I <br />AP41.I6TION FOR IEYlPl11 <br />CITY OFCONSTRUCTION <br />everett PERMIT %g� In <br />DEPT, OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 25"745 <br />EVERETT, WA96201 PLUMBING PERMIT NO. <br />COMBINATION (BUILDING (MECHANICAL <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />�j✓tTsFYI.PS �(wct rs Sr00 S'o 9►7 Jc1«»Fv .i^c QPY06 7` 7—ZL��Q <br />ARCHITECT OR DESIGNER //I MAIL ADORE 55 CITY�/ ZIP PHONE <br />7-00A P,"4PsoLE/ 4'y * eray si. Ste$ (; -z- / y <br />CENERALCONiRACTOR nII MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />6<94L's 1104 VrPE <br />brhy /5 a r3 0911CIRC r+WY-50 Ste. k `/�/PY Z*If Sf 4679' 6coRcsP; <br />MECHANIC L CONTRACTOR MAR ADDRESS CITY LIP PHONE LICENSE / <br />�— ,/1 mA � G7Sae6:s <br />CI S5S OF WORK <br />❑NEW ❑ADDITION XALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />%AiLiATIDN OF WORK �/ s . <br />DISI'RI14 WORK �dfit\ (�//l !/ �^I�� /\ LAdTG Tn�i� <br />PROPOsLDUSE of BUILDING, l �� n� <br />I„/.0 L p Ir J K <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GR:.NTING 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 />ONTRACTO� U RIZED ENT DATE <br />SIG20-0( <br />qqp <br />%� <br />IIGAI DI SCRIPLION Of PROPERTY IHOWN flflOW OR MUCH FOUR COPIES) <br />LOI _BLOCK__OF <br />G <br />' <br />PLUMBING <br />ME ANII.AL <br />NO. <br />TYPE OF FIXTURE <br />WATER CLOSET(TOLIET) <br />EE <br />I� <br />NO. <br />/ <br />TYPE OF EQUIPMENT <br />AIR COND UNITS —HP EA <br />FEE <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />O <br />REFRIGERATION UNITS —HP EA <br />BOILERS—H P EA <br />`" <br />SHOWER <br />KITCHEN SINK A DISP <br />,,;,;. <br />,>� <br />;--lop_ <br />BBB <br />GAS FIRED AC UNITS —TONNAGE EA <br />FORC[D AIR SYSTEMS —El T U M EA,' <br />B <br />DISWASHER <br />-(� <br />W <br />WALL HEATERS-8 T U M <br />LAUNDRY TRAY <br />UNIT HEATERS —BTU M <br />CLOIHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />Q <br />CLOTHE$ DRYER$ <br />URINAL <br />l� <br />E4.. <br />VENTILATION FAN <br />02 <br />;11� <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />'� <br />Q <br />RANGE HOOD <br />AIR HANDLING UNIT— C F M <br />$LOVE <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE —BAR, ETC) <br />SUB TOTAL <br />PERMIT <br />f <br />SUBTOTAL S <br />PIRM17 f <br />TOTAL FEE <br />f�>E <br />TOTAL FEE $ <br />j1UI Y`n R,U ETB.ACK <br />STREET S[T CK <br />REAR YARD iBACK, <br />'PLAN CHECK NUMBER <br />PLAN <br />FIEO.J GPS <br />CHECK FEE <br />RECEIPT. <br />USE ZONE <br />C 1 <br />LOT AREA <br />VACANT SIT[ <br />❑Yk5 UrE <br />fits <br />VALUATION <br />:FEE <br />V <br />(YPE OF CONS) <br />OCCUPANCY CROUP <br />NO OF DWI �LI.ING UNITS <br />BUILDING <br />$ I� <br />SIZE OF BLDG <br />NO OF /STORIES <br />MAX O�CSC LOAD <br />p( O <br />PLUMBING <br />et <br />FIRE ZONE <br />2-— <br />BASEMENT <br />BEI ROOMS <br />FIRE SPRINKLERS <br />RFQU ED <br />%V ?ID O <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U BC . <br />SEC. 707(a) <br />2 BUILDING PLANS <br />TOTAL <br />I .f <br />/ <br />T FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />lim <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADINGII XCAVATION A CUARINCIGRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC. BY PLAN$ CHECKED BY <br />APPR FOR ISSUANCE BY <br />9-1-79 <br />