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the EvPFOroBa APPLICATION FOR <br />CITY Of CONSTRUCTION <br />everett PERMIT <br />ULPT OF COAIMUNIIY DLVELORMENT SERVICES .. ' <br />CITY HALL 259-874S - <br />LVCRFTT,WA90201 nCOMBINATION RYBUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />MAIL <br />OR HSIGNOt MAIL <br />Ed] <br />I CITY OW2► PHONE <br />r cc� 98n�o <br />W CDTJ �J/7 <br />CI I1 ZIP PHONE <br />CITY ZIP -- PIIDN[ IICINSL IF <br />Tex r A zs Ili 4*v2� w p-mr-15O W <br />`GN • <br />! <br />-- — <br />aN:Ix n�=�/A(1r <br />elms nnoxlss <br />-CITY uP <br />Pno 1-- <br />u0 se R <br />PLUMHING CONTRACTOR r <br />MAIL ADOH155 <br />city�_- ZIP <br />PIIOUI LICENSE <br />NFIWWURK❑ADDITION ❑ALTERATION _❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />IA <br />VA WAIION Otf.WORK <br />T e5rx", - - -- - <br />1115CRIBl WONK <br />yr ... - ♦ / - - _ <br />PNUPOSIo USI OF aUILOINC 'Y <br />zairI� C� (�� <br />LICAL OISCRIPTION OF PROPIRTY OIIOW'N BELOW OR ATIAOI FOUR CONISI <br />LOT _BIOCK_OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP, <br />PLICATION 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 GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />,dY-ATH R STAT OR LOCAL LAW REGULATING CONSTRUCTION <br />O THE AN F CONSTRUCTION. <br />I( NATU E Of ACT O AUTHORIZED AGENT DATE <br />Fir, it'rtm . J {'1 <br />V <br />ION AURA IS$ <br />PLUMBING <br />ME IFANICAL IJ /—t•c�1 Logy S• <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET I IOLHTI <br />AIR COND IINIIS—HP EA <br />BATHIl10 <br />RIIRIGERAIIONUNITS—HP EA <br />LA5'AIORI (WASH RASINI <br />IIOILIRS-H P CA <br />SIICIWFR <br />GAS FIRED AC UNITS -TONNAGE EA <br />KI ICIIf N SINK 6 UISI' <br />fORCTD AIN SVSILMS-BTU M EA <br />DITCHIN%I <br />WALL HEATIRS-BTU M <br />LAUNDRY TRAY <br />UNIT HEAURS-B C.U. AT <br />CLOTIIIS WASHER <br />EVAPORATIVE COOLERS <br />%VAILK HfATER <br />CI0111ts ORYINS <br />URINAL <br />VENTILATION FAN' <br />IIRINKING FOUNTAIN <br />RANGE HOOD <br />MOOR DRAIN <br />AIR HANDLING UNIT- C F M. <br />VACUUM HRIAKINS <br />SIOVI <br />ROOF DRAINS-RAINILADIRS <br />METAL FIRf PIACE & CHIMNEY <br />SINK ISf RVICE—FAR, ETC <br />SUB TOTAL <br />SUBTOTAL B <br />PI RAIIT <br />S <br />PERMIT a <br />TOTAL HE <br />• <br />TOTAL TEf S <br />SIDE YARD SI TBACK <br />` <br />STRI-FT SETBACK <br />/U/i- <br />FLAN YARD SETBACK <br />Nq. <br />PLAN CHICK NUMBER Sy <br />�� / <br />FEE �-7 O <br />V / <br />CHECK FEE <br />-RECEIPT O. <br />USf ION[ <br />C ` <br />LOT AREA <br />V 'ANT 517E <br />RYES ONO <br />-(PLAN <br />FEES <br />VALUATION <br />/lE <br />6 <br />TYPI OF CONST <br />OCCUPANCY GROUP <br />NO. /Off/DDWWEELLING UNITS <br />BUILOING <br />SIZE OF BLDC <br />l c <br />NO. GF STORIES <br />�I�G <br />MAX OCC. LOAD <br />N/9' <br />PLUMBING <br />TIRE ZONE <br />N'p <br />BASEMENT <br />N.p <br />III DR(HJAU <br />LL <br />N'/ <br />TIRE SPRINKLERS <br />REQUIN <br />I'ms NO <br />MECHANICAL <br />_ <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 LNVIRONMINIA! CHICK LIST <br />PENALTY <br />UIIC <br />St C. 701([) <br />Z ULIIIDINGPLANS <br />TOTAL <br />5 <br />1 FINE HYDRANT <br />A 11111 PROTECTION SYSTEM <br />PERMIT YAHDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />/� <br />�s(.f - -M 77,lG <br />S CRAOINCA KCAVAT ION& CL I kNINGIC.RUHI11NC <br />6 DNAINACE <br />T INVIHONMINIAL IMPACT STATEMENT <br />a HIALTH UISIRICi <br />APPUCAI ION ACC. BY <br />PLANS CHECKED BY <br />APPR. FORRIISSUANCt BY <br />7 <br />