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Z <br />1AN EYerprfeR Pi I LTA\ A11V1V 1'U1\ <br />CITY OF CONSTRUCTION <br />everett PERMIT <br />mPT OE COMMUNITY OLVTLOPMENT SERVICES <br />CITY HALL 259 6745 <br />LVERETT. WA9B2O1 OCOMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />".SIR MAIL AUUNLSS zip PHONE <br />UHICH QI L eF <^Lt rdfr AA- Lm3 Tea+ C�LI sFN 1,11010- <br />evereM <br />�S <br />AH.iE.uR�.c";,1tP'••'F ..i oc.AIL IDOl3�5 F-/ os city PHONE <br />wI_s•.r"OH1 _ <br />GLNIRAI(UNIIII�CIOII �AII AUURESSO• �� �� - City ZIP 989N ^W`�✓-ice_' �— <br />PLUMRtwtl CUNTKALTOR MAIL A1IDRISS CITY ZIP rlinmt 11CINS1 P <br />1lA S UI MURK <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />P`;7�7 �usl, OI eu�ILDIN�C <br />r� F'�INI�X% <br />PICA, OLSCRIPUON OF PROPERTY(S11OWN RLL OR AIIACH POUR COPIISI <br />lot _DtMK_or <br />31 6G I <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATIUN 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 GRjANTING 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 PERFORM. N _ EE F CONSTRUCTION. <br />r SIG AIURF FCO C RO GTHORIZED AGENT DATE <br />. I <br />IUII AUURI SSA S.�I •�"" �f-i`+// ' >'//+Lii w <br />PLUMBING <br />MEC ANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATIK CIOSI111011111 <br />AIRCOND UNITS -HP IA <br />1 /11UB <br />RIIRRARATIONU1,1115-HP fA <br />IAVAIORY (WASH RASINI <br />BOILIRS-HP EA <br />SHOWIR <br />CASFIRIDAC UNITS -TONNAGE FA <br />KITCHEN SINK N UISI' <br />1URC1 U AIR $Y$TLAIS-R T U M EA <br />DISWASIHC <br />WALL HUIIl RS-II I V M <br />LAUNDRY TRAY <br />UNIT HIAIIRS-B I U. M <br />CLOIIHS WASHER <br />IVAPORATIVI COOPERS <br />WAIIR HFWTER <br />CI01111S ORYIRS <br />URINAL <br />VINIILAIION IAN' <br />IIRINKING FOUNTAIN <br />RANGF HOOD <br />I LOOK DRAIN <br />AIR HANDLING UNIT- CFM <br />VA('UUM,RRIAKIKS <br />STOVE <br />ROOF EIRAWS$ RAINtIADtRS <br />MEIAL FIREPLACE LCHIMNEY <br />SINK ($I RVIC I- BAR, I I C I <br />SUN TOTAL <br />SUN TOTAL f <br />►IPMIT <br />f <br />PERMIT f <br />1UTAL IEE <br />f <br />TO'AI IFE f <br />SIDE YANU St TBACK <br />N <br />STRIEI SIIBACK <br />/F <br />REAR YARD SEIBACK <br />N� <br />PLAN CITE KNUMBER <br />! r�.a�I <br />,/oC %PLA[+CHECK <br />FEE ) lll� <br />FEE <br />JIECFIPT HO.0 �C(L� <br />USE ZONE <br />-/ <br />LOT AREA <br />I/ YA <br />VACAN SITE <br />DYES vNO <br />fElS - <br />VALUATION <br />FEE <br />' <br />TYPE OF CONSI <br />V <br />OCCUPANCY CROUP <br />6, /3-,;1, <br />NO OF DWELLING UNITS <br />-09- <br />BUILDING <br />SIZE OF flIDG <br />- <br />NU. OF STORIES <br />f <br />MAX. OCC'. /TOAD <br />/V ,i>L <br />PLUMBING <br />pp <br />(OpEIOP <br />BAS[M-YINI <br />BI DROOMS <br />FIRE SPRINKLERS <br />RFQU <br />f1r151 E NO <br />Mf CHANICAI <br />APPROVAL$ <br />NY <br />DAIS <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC ' <br />SEC. $OXH <br />2. BUILDING PLANS <br />TOTAL <br />S FIRE HYDRANT - <br />A FIRE PROTECTION SYSTEM <br />S GRADINCli XCAVATIONSCLIARINp(:RC'RIIING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED EIN THIS SPACE) THIS IS YOUR PERMIT <br />rL+ chi .. <br />_ 1 /-7-- L�P7 /16 7�I&PO <br />(�Lj 1,/2�P-;rY1•f) �� ��c�yy) A /...w� <br />S DRAINAGE <br />1 ENVIRONMENTAL IMPACT SIAIEMENT <br />E HIALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CCFOI[CKED BY <br />APPR. FOR ISSUANCE BY <br />7 <br />