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'APPLICATION FO► <br />, <br />CMIT ITYEOFfptPltl C O N S T R U C T I O N <br />E [ R <br />everett PERMIT <br />DI III OF COMMUNITY DEVELOPMENT SERVICES <br />CITY IIML 2596745 <br />EVLRLTT.WA98201 OCOMBINATION BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />O"MIt MAll A00RI SS CITY 1'IP <br />HIO(EVYon + 4Ssoc w;'-S 9-/)-57 iY'e ItT_ SzLY(1/e 28/IS <br />I'110NI <br />5-2.7-.2C�3'i <br />_ <br />ARC I IIII CI OR IF 5I(;NIR ,Z� MAIL ADDRVS CITY LIP <br />c,TLl�btrt rJfGLJC'leif Icf'Tse IICDp 1eI�C;n tuiiIq 54,10e /y/,z5 <br />PHONE <br />34,z3�i <br />UNITIM CONMAIIUR MAIL ADDRESS CI IY ZIP <br />�11CuN _77 ?o /fix (}/�`/ lA+y�Iu,c9 9xy <br />PIIUNE HONSE <br />775 X`i�y llvcE'AY�7s <br />MI C114NICAL CONTRACTOR MAIL ADDRESS • CITY LIP <br />MONT LICENSE <br />1'IUMRINII CONTRACTOR MAIL ADDRESS CITY ZIP <br />MOM LICENSE f <br />CUSS OI "ORK <br />❑NEW ❑ADDITION ❑AT ERAT IOlNN ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />%A�:I,110N 0I. NORK <br />DI )I RIRI \YLI K �7 <br />_I_ � ,I-f, r..o.'/-1 111.1'%/ I �uyA <br />PROPOSEpI_l01 OF Runowc <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO HE TRUE AND CORRECT ALL <br />1`Q <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />lILA1 UI SCNIYIIUN OF PR(1PlR0ISOUIVN NIIOW OR Al1AC11FOUR <br />COPa 51 <br />OF WORK WILL HE COMPLIED WITH WHE I'HER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />tol _RIOCK_Of <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVI5IONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />Q <br />SIGNATURE OF CONTR CTOR // QIF AUTHORIZED AGENT DATE <br />% � � G <br />x2%�4� b % <br />ItlII ADDNI ss / <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />\VAIER CI OSII IIOIIl 11 <br />AIR COND UNITS -HP EA <br />REFRIGERATION UNITS -HP EA <br />UAIII(UB <br />TOkY;\VASII IIA51N1 <br />FOLLIES -II' EA <br />LAVA <br />SILO\VTR <br />GAS FIRED AC UNITS-TONI.AGE EA <br />AIR SYSIk MS-BI MEA <br />KIICHkN SINKB CASE, <br />WALL TIE All R5-U I U M <br />WALL <br />OISN'ASHIR <br />UNIT IIIr.TERS-B 1 U. M <br />I AUND FLY 7RAY <br />CLOIIILS WASIIEN <br />EVA�ORA I EVE COOLERS <br />_ <br />1YAlIR IILAI(R <br />CII.TllFS DRYERS <br />URINAL <br />VENULATION FAN <br />DRINKING IOLINIAIN <br />RANGE HOOD <br />FLOOR Dk>I`1 <br />AIR HANDLING Uf!H- C FM <br />VACUOM BREAKERS <br />ROOF DRAINS - RnLNtI ADE ITS <br />M[iAl FIREPLACE 8 CHIMNEY <br />SINK Ig RVICI -LIZ. L IC I <br />7 <br />SUBTOTAL f <br />SUB TOTAL <br />�— <br />PERMIT f <br />PiR};li <br />7 <br />-TOTAL FITf <br />TOTAL FEE <br />f <br />SIDE YARD SETBACK <br />STN[Ti S[7RrACK <br />R[AR YARD SETBACK <br />PLAN CII[CK NUMU[R <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT_NO. <br />93CG <br />USE ZONE <br />IOt AREA <br />N.tF <br />VACANT. IF <br />❑YES 40 <br />fEE:i <br />VALUATION <br />FEE <br />-- <br />IYPi O I�=T / <br />OL.CUPA CY GROUP <br />NO OF DWELLING UNITS <br />UUIl01NC <br />f <br />SIZE Of fll l)G <br />NO OF $TORS <br />MAX OCC TOAD <br />PLUMBING <br />FIN[ ZONE <br />UASE MF NI <br />_ <br />EEL OROOMS <br />[IRE $PR INKLLR$ <br />REQUIRED <br />MECHANICAL <br />C]YES O <br />APPROVALS <br />RY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC. <br />SEC. )0F(1) <br />2 BUILDING PLANS <br />!1 <br />-2 <br />G <br />TOTAL <br />2 FIRE HYDRALIT <br />_ <br />- <br />1 FIRE PROTECTION SYSTEM <br />WHEN VALIDATION <br />\YIIEN PROPERLY VALIDATED TIN THIS SPACE) T1115 IS YOUR PERMIT <br />_ <br />5 CRAOINCIE%CAVATION&CLEARING(GRUIIIIING <br />6 DRAINACt <br />_ <br />7. ENVIRONMENTAI. IMPACT STATEMENT <br />E HE ALHI DISTRICT <br />`APPI IIAIION ACC BY <br />PLANS CLUCKED BY <br />APPR. FOR ISSUANCE BY <br />114.4 <br />9.1 79 <br />