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�r <br /> � <br /> APPLICATION FOR ` <br /> th�Ewrpmn . �pNSTRUCTiON �ve <br /> cin oF <br /> everett PE RM IT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8715 <br /> FVERETI.WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNLq MAII�UDNISS CI1Y ZIp PNON[ <br /> Charles Stearns 2909 Forest View Dr F PYPYt 98203 �S�i—QR(��, <br /> ARIMITfCiORUISILNlR M�II�OUR6$ CIiY 21P PNOHE <br /> Everett Bld;.s . Inc. 5606 Everqreen Wav Everett 9820'� 35�-71 �t <br /> GFN[R�lCO4tX�C10N MAIADURE55 CI1Y ZIP PNON[ LICENSE/ <br /> (223-OL-EV-ER-EB 301 PH) <br /> M(CIIAMUI CONINACION A1All AOON65 CILY LIP PNONF IICFNS[� � <br /> I� <br /> CIRNNInC tONiNnC100. m;Il AODR6S CITv ZIP PMUNF UC[HS[� <br /> CL�SS Of N'ORI( <br /> ❑NEW �ADDiTION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑iENCE ❑SIGN ❑GARACE ❑BUIIDING RELOCATION <br /> V A W A11 ONrO�1I Np'ORR <br /> f �L1V•OO <br /> Dl5[PINf NOPK <br /> 19 '9" x 22 ' Addition <br /> VROPOSl0U5E OI PWI�ING 1 HEREBY CERTIfY THAT I HAVE READ AND E%AMINE� THIS AP- <br /> res identia 1 PLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> l[G�l OfSCRIPIION Of PROVfRtYpNOWH p(lOw OR�Ii�CH IOURCOPIl51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> LO� OOO Va l ley View OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi_nixa_o� UR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> ��6037-000-107-0006 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OT R STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br /> OR TH RFORMANCE OF CONSTRUCTION. <br /> SILNAT RF Of COYTRACTOR OR AUTHORIZED AGENi DATE <br /> ��N2��d��5 Forest View Dr. Everett, Wn. X � ��(%itL2� (l-2�c�fZ— <br /> PWMEINC MECHANICAI <br /> NO. TYPE OF FI%TURE FEE NO. TY�E OF EQUI�MfNt FEE <br /> wATER CLOSFT ITOLIETI AIN COND UNITS—H P.EA <br /> � BATMTUB �� REFRIGFRATION UNIT$—HP.EA <br /> LAVATORY�WASHBASIN� (J'zJ OOILER$—MPEA <br /> � $MOwFH CAS FIRED AC UNIT$—TONNAGE EA <br /> KIiCHEN$INK 8 DISP FONCFD AIR SYSIEMS—BT U M EA <br /> OISWASMER \4ALl MUTERS—tl T U M <br /> IAUNDRY TRAY UNIT HFATFRS—B i U M <br /> CIOTMES WASHER FVAPORATIVE COOLERS <br /> WATE0.HFATfR CtOTNFS DRYFR$ <br /> U0.1NAl VFNTILAiION FAN <br /> DRINKINC FOUNTAIN RANGE HO00 <br /> FLOOR ORAIN AIN HANDUNG UNIT— C f M <br /> VACUUM BREAKERS S70VF <br /> ROOF ORAINS-0.AINlEADENS METAI fIREPLACE 8 CHIMNEY <br /> SINN�SFR�9C[-9�R,ETC� <br /> � SU�TOTAI Q(� 3U�iOTAI s �� <br /> ►F11MIT f /t�MIT s <br /> 70TAliFF f Q TOTAIi[F � <br /> SIDI YAR/��,SCT0ICK $TRECT 5(iMCK RUR YAND 5[TBACK PL�N CHECK NUMBFR PIAN CHfCK iEE <br /> WFT 7i0/=7 ZO/= '7 �� IIeZOW FEE��� NECI�ZIQ./ � <br /> !j <br /> USF ZONf l0T�NIA VACANT SIi4 <br /> �J UYFS LaG FEEf WLUATION ��F <br /> � <br /> TYPE Of CONST OCCUP�.NCY GROUP NO Oi DWFILING UNIiS <br /> �7.= f�l qDD,)J h�3 � sunoi�c ' 9�/ S � �8 SZ� <br /> SIZE Of 9lDC NO OF STORIFS MA% OCC LOAD <br /> ,�b�'rJ H35 S.F. � --' PlUM01NG <br /> � <br /> FIRE ZONF BASEMENT OtUROOMS ��RE$�RINKLCRS � <br /> — RFQU�RFp/ MECHeNIUL 3 <br /> � -- '- OYES �O <br /> AM�OVAl3 �Y DAiF OIMF0. <br /> 1 ENV�AONMENTAICMECKl15T PENALTY UBC <br /> SFC 1071+1 <br /> I BUILDING PUNS <br /> iOTAI �� <br /> 7 fINC MYD0.AN7 � <br /> f" � FIRE PROTECi�ON SYSTEM ►[LLMIT VALIDAiION <br /> - WHFv PNOPERLY VAIID�TED lIN THIS SPACEI TMIS IS�OUR PERMIi <br /> 5 GRAOINGf%C�VATIONBCIfARINCILRUBflING � <br /> '�� �.v . ... .l: .. . .� ' '_� <br /> 6 DRAINAGF ' � � . <br /> 7. ENVIRONMENTAIIMPACiSTATfMENT <br /> s HCniin DIST0.ICT <br /> APPIICATION ACC BY PLAN$Cri[CKED BY APPR fOR ISSUANCE BY <br /> L_�� ;}-ttr>>1 L � <br /> 91 79 <br /> • � <br />