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the Ev,co-greept <br />(:ITY OF (Y4C \I <br />CONJ V <br />everett <br />PERMIT <br />CITY HALL 2-9-0745 <br />EVERETT. WA 90201 ❑ COMBINATION BUILDING MECHANICAL 1 PLUMBING <br />)IVNLM ,f <br />cIMAII PI MIL_L:. II' l'' <br />I'N':tl�/�j/ <br />NI{;IU1LL1 <br />PIIGhf: <br />LI NLIUl Ci1NIM(. NI <br />MAIL A001!L$$ IIIf ]II <br />, / 2 .sue.- <br />I'11'ILL VLCNSLI <br />tru C CUNIRACIOR <br />MAIL ADDRESS I:RY 13P <br />PHONE LKAN:E• <br />I'I UTAbING CANERYO!(pl <br />S,? <br />MML ••DDRL$$ (11" IN <br />"Mint L U',SI • _ <br />'NEW []ADDILION ❑ALTERATION URk PAIR TJDEKIOLIPON I]FENCE LJsIGN L.IGARAGE <br />vA1 LAP K)11 Of <br />v9UPV5EO USE OF BUILDING <br />I HERERY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PUCATIUN AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL HE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHOR! FY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS C;F ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTHII( I ON OR THE PERFORMANCE OF CONSTRUCTION. <br />sM(Nn1HIlln nn^rR un ADn'sPl AI. m �_— Drli' j <br />MECHANICAL <br />DwLDLSCAMI-ONOfFIa)PERTYI$HM_ BELOW ORATTACHF 01,01,Ilsl <br />LOT_o(aK _oF �� --- <br />JOB AnoRLss '� <br />PLUMBING <br />NO, <br />TYPE OF FIXT RE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET TOILET)AIR <br />CpND UNIFS -- H_P I A _ <br />DAIHTL'B <br />ill.I III(J.RATION UNITS -_ I1 IA --- <br />LAVATORY (WASH BASIN) <br />IU)II I ITS - H P 1 A <br />_ <br />SHOWER <br />_ <br />GA!, f V4 LI AC llNliS - TCTNNA_C.L EA <br />—_ - <br />— <br />KITCHEN SINK 3 DI::P <br />1011('I U AIR fiY811 PAS - B F I/ IA It, <br />- <br />CISHWASHER <br />WALL HI ATLRS - B 1 U M <br />LAUNDRY TRAY <br />_UNIT <br />11LAlinS--DTU IA <br />CLOTHES WASHEH <br />I VAK)IIATIVL COOLI PS <br />_ <br />WATER HEATER <br />CLOTIOS DRYLPS <br />LIRINAL <br />_ <br />VI NIII AMIN PAN <br />-- <br />DRINKING FOUNI AIN <br />HA_NUL HLX)D ---- <br />---- <br />FLOOR DRAIN <br />AIII IIANOLING UNIT - C, F M <br />VACUUM BREAKERS <br />%IO_VI <br />_ <br />ROOF DRAINS - IIAINLEADLRS <br />A9 TA1. FIREPLACE d LHIPANI.I <br />SINK(SLRVICE - BAR, ETC) <br />SUE TOFAL <br />SUB TOTAL s <br />PERMIT <br />1 <br />PERMIT S <br />_ <br />TOTAL FEE <br />$1 <br />_ <br />'TOTAL FEE 2 <br />'.IL IL YARLI SLTBACK <br />STRELT SETBACK <br />FILAH YARD SLTBACK <br />PLAN ld l! CK NUMW R <br />ILL <br />RV.LF. N, <br />_._. <br />FEE <br />V SL ZONE <br />LOT AREA <br />VACANT SITE <br />I:YES ❑NO <br />FEES <br />VALUATION <br />1 YPL Of CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDIN(� <br />L <br />:-: E 01 BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING -- <br />— <br />I IHE ,ONE <br />BASEMENT <br />FIRE SPRINKLERS <br />FIFOLIIRED <br />11YE$ (IND <br />MCCHANI(AL <br />— <br />-- <br />_ APPROVALS <br />BY <br />DATE <br />OTHFFI <br />I ENVIRONMENTAL CHECK LIST <br />PL NAI FY <br />U B C <br />SIC 7A 0) <br />_.. <br />BUILDING PLANS ---- <br />I IIRE HYDRANT <br />TOTAL <br />A Pow PROTECTION SYSTEM <br />— --- --- <br />PERMIT VALIDATION <br />4"', ,4l1UAl11l'"I iPl' Si'N .111'n„I� fiIUH PL111A11 <br />' <br />b GRADING <br />L DAMNAGE <br />I LNVLiONMENTAL IMPACT STAIEMENT <br />B HEALTH DISTRICT <br />_- <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FUR ISSUANCE L'Y <br />4 <br />