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q <br />APPLICATION FOR <br />the EYsrg. s,I , <br />OF roP -- CONSTRUCTIOk <br />, <br />,/ <br />everen <br />everett PERMIT <br />DEPT Of COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 T-,� <br />EVERETT, WA9B20T f�COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />�AOWNIR MAIL ADDRESS CITY ZIP <br />/_ SILa� is -Lc_. moo, F�sc �ROSz pEx��f.t A2Iz �so� <br />PHONE <br />— <br />PARCHIHCT OR DESIG400. MMLA RI SS CITY ZIP <br />13o LSLOE <br />L15E.1C-fc F/L.IieU.-�KJ-_ASSc^C, suL'rc L= SC�.TTLE g <br />PHONE <br />2-5s3 <br />�KCF FRALCO 1RACIOR /� MAIL ADDRESS CITY ZIP PHONE LICENSEI <br />'C G H. 6Dn1ST, Cb, Po. E� G1413S cv,,A r, c r. i, <br />L <br />MAIL ACTORESS CITY ZIP PHONE LICENSE I �! <br />SC SC ASS OF WORK <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAP,AGE El BUILDING RELOCATION <br />VAIUAiION OF NORI: <br />/ 7Z � <br />>,IDESCRIIII WORK <br />1Rc1'AIL_ 13wa,Ilv� I CEDE STOO-Y _ckAg{P1-CYPt) ),CE .MISo/.IP_V UYAL.L, 2-%t.= 6r: <br />Y, <br />,�PRolrosm vsE OF BUILDING <br />�'FlLl l- -O <br />.as-% F PAP16 APPLlM1C� _ !G <br />Til5 <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 OI' 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 RITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER OSTATE O LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT /Y'DATE <br />/ <br />X �T C QL� 5/� S/ 89 <br />IH)AI DISCRIPIIONOF PROPERIYISHOWN BELOW RAl1ACH UR COME S) <br />LOT -BIOCK-OF <br />SL= QUMZTEFZ of $Vd QL.14TE'1iYt E.Y Wit- G,1 I <br />7 1"' <br />1.WhLS1I1P IJ { PAF_J� S• EAs.T yy M <br />fIB ADDRI55 ��� S•L�. �L/�M./%�c/j%��.../� �M1/p <br />A2ax A ]) C%/r?t3 r MALL (Lk6y <br />PLUMBING <br />Tf <br />F i//i <br />MECHANICAL <br />NO. <br />TYPE Of FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />'L <br />WATER CLOSET ITOLIETI <br />AIR CONE) UNITS—ILP EA <br />BATHTUB <br />RI.IRIGERATIONUNIIS—HP EA <br />Z <br />LAVATORY IWASH BASIN) <br />BOILERS —HP TA <br />SHOWER <br />f., <br />CAS FIRED AC UNITS —TONNAGE EA � <br />�• <br />1 <br />KITCHEN SINK b DISP <br />72 <br />QC) <br />ORCID AIR SYSTEMS-[] T U M EA <br />D15WASHER <br />Z <br />%VALE HEATERS-B T U M <br />%'Z <br />CDC, <br />LAUNDRYTRAY <br />41,. <br />UNIT HEATERS-[; T U M <br />CLOIHIS WASHER <br />EVAPORATIVE COOLERS <br />1_ <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />1 <br />DRINKING FOUNTAIN <br />U <br />RANGE HOOD <br />FLOOR DRAIN _ <br />AIR HANDLING UNIT- CI'M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLEADERS <br />,MITAI FIREPLACE A CHIMNEY <br />SINK (SERVICE -BAR. ETC) <br />O(� <br />SUB TOTAL <br />_SUB TOTAL SJ' <br />PERMIT <br />IF <br />PEP+:!( S <br />TOTAL FEE <br />S <br />TOTU. FEi S <br />SIDE YARD S ETBACK <br />IO' <br />STREET SETBACK <br />+S3` <br />REAR YARD SETBACK <br />F <br />PLAN C IBC 1, NUMBER <br />�Y/13y2'," <br />IET�°� <br />CHUCK FEE <br /><�`9CT r8 <br />USE ZONE <br />l01 ARE <br />yACANT SITE <br />�. )✓Y E5 CINO <br />FFL% <br />VALUATION <br />_ <br />• FEE <br />............................... <br />TYPE OF CUNST <br />OCCUPANCY CROUP <br />NO OF DWELLING UNITS <br />UILDINc <br />1%T� CJfV•CV <br />_•-._ <br />SIZE OF BLOC I <br />I.z /)E 100 <br />NO. Of STORIES <br />I <br />MAX OCC LOAD <br />381 <br />PLUMBING <br />I <br />( <br />Q� <br />�V <br />FIRE ZONE <br />BASEMENT <br />NO <br />BLDROOMS <br />✓ <br />FIRE SPRINKLES <br />REQUIRED <br />S NNO <br />MFCIIANICAL <br />- <br />APPROVALS <br />BY <br />DATE ' <br />OTHER <br />- <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />" <br />IBC. <br />SEC TOHdI <br />I BUILDING PLANS <br />JG.r <br />E,1•t,g %�, <br />1 FIRE HYDRANT <br />TOIAE <br />Z(��U� <br />�..C-•, <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />'VHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS WiUR FERMI T <br />5 GRADINGIEXCAVATION A CLEARINGIGRUBIIINC <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />AFP'_ICATION ACC BY <br />,y 7Jl <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />L_ <br />91-79 <br />