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AF LICATION FOR <br />the Ewrp(usn <br />CITY OF CONSTRUCTION <br />CITY <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT• WA9B2D1 ❑COMBINATION El BUILDING ❑MECHANICAL []PLUMBING PERMIT NO. <br />OWNER M AU ne �• _" <br />Dou&LA-t, W. z COam (6 a)ek (pO�Cv )ky-e2 �9a03 355-)Ai� <br />ARCH IT I CT OR Of SIGNER MAIL ADDRI SS CITY ZIP PHONE <br />U. CRohe, N &M6t <br />4�3 �dnt�uf2gPK <br />('Akeff <br />�)'Uo � -S�Dj,avly <br />GENERAI CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />PIP\IRIM! CONTRACTOR <br />MAIL ADDRESS <br />OIY <br />ZIP PHONE LICENSE <br />CI ASt (YI WORK�j�II <br />❑p1 NEW ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\MLAI'0%Of WORK .6�� o <br />I11 S1'NINf \A(1RK <br />/GDD (; <br />PRO rA)SED Dsl of NUµ DING n I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />Ker-kearlm KODUPLICATION <br />AND KNOW IHt SAme Iv oc -I'u . ' •-- <br />THIF TYPE <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING <br />ITC.AI DL SCRIPIION OF PROPlRIY ISIIO � \VN PIIOW OR ATTACH IUUR C ct Its) <br />1��e <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERFIN <br />LOI HlOCK��OI PN Rr of ve <br />FTe(GNr <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />,-(19 <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />C lrcle,e f f ��, <br />_ <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRU(JION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />hL'1 00 <br />UV <br />IU(e0 N ADDRI tS <br />x �2 <br />x <br />PLUMBING <br />MECHANICA - <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />W'AIFR CLOSE T (TOIff Tj <br />(� <br />AIR COND UNITS -HP EA <br />RE FRIGERATION UNITS -HP IA <br />BA7HIUB <br />I A1'ATORI IW'ASII f1ASl NI <br />BOILERS -HP EA <br />GAS FIRED AC UNITS -TONNAGE EA <br />SHOVER <br />FORCED AIR SYSTEMS -BTU M EA <br />KITCHEN SINK S LISP <br />WALL HEATERS -BTU AS <br />DISWASHFR <br />UNIT HEATERS -FIT U M <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />F"JQ <br />I VAPORATIVE COOLERS <br />WATER HEATER <br />CI OIHES DRYERS <br />\'FNTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS -RAINLE AM RS <br />WTAL FIREPLACE & CHIMNEY <br />SINK ISERVICE-BAR. ETC I <br />SUB TOTAL <br />SUB TOTAL 3 <br />PERMIT <br />3 <br />PERMIT 3 <br />TOTAL FEE <br />3 <br />TOTAL FEE 3 <br />SIDF 11PI14 III, I <br />SiRrfl SITHACK <br />REAR YARD SI 111A( K <br />PLAN CHICK NUMBER <br />PLAN <br />If[ <br />CHECK FEE <br />RECEIPT NO <br />S G'7 <br />ov <br />?.Cc' <br />_„�• <br />!19 <br />USE ZQtiI <br />LOT AREA <br />VACANT SIIE <br />FEES <br />VALUATION <br />FEE <br />Z <br />wL <br />1-2V `' <br />OYES F<0 <br />TYPE l <br />OCCUP�CY GROUP <br />NO OF DWELIING UNITS <br />(�/�/� <br />SgpgLt <br />48 <br />I, <br />— <br />'G <br />l/ <br />/V <br />►7 <br />HUII DING <br />/� <br />SIZE OF HLDG <br />NO OF SjfORIES <br />MAX OCC LOAD <br />1 <br />�DSCSz' �ooA� <br />�� <br />PLUMBING <br />— <br />MIT IANILAL <br />QI <br />FIRE ZO'.1 <br />OASEMf NT III 11NfR)MS <br />ND <br />FIRE SPRINKLERS <br />REQUIRED <br />3 <br />OYES nNO <br />r� <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />Pf NAl T1' <br />UBC <br />SEC ,DJ(a) <br />70UL <br />I BUILDING PLANS <br />1 FIRE HYDRANT <br />I FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />W44N PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PER"IT <br />S <br />5 GRADING4 XC AVA I ION& Cl I AR INGIGRU BRING <br />6 DRAINAGE <br />\ 00 vc4a dc" l/LAI� If�� <br />vr'G <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />vet <br />i <br />9,179 <br />