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APPLICATION FOR <br />Fns Ermgrsen <br />GIIY OF C O N S T R U C T I O E aAM Ieverett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259 8745 <br />EVE ETT. WA98701 ❑COMBINATION El BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />AIAII AUUNI SS .� (Ill LIP <br />1 PI1UJ'If �{ <br />Ow <br />CItY ZIP PNONf <br />ARC IIICI UR UI SIGMN \ A t AOORl55 D tee.— `- O Q <br />14A <br />1 AI NINAC ION MAIL AODRIS CITY ZIP PHONE IICTn f <br />c7y_ a GQ�93s�2-�z3-ol- l� <br />nun A-1 SS nt LIP � n Z- � 7 C cf sI f <br />MICHAMLA!(UhIxAC10N 77 L1• t. <br />PILrAINIhI-.CUNINACiOR MAIL AOUNl55 <br />CITY ZIP PHONE LIONSE <br />UI \SUNK <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE DBUILDING RELOCATION <br />r <br />VAIUA, Of Of 'OkK <br />$i37cop_a� <br />r� v 11� I v I I.Se e- <br />rxoPLwl/sl aI Nm RUIN' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />llfil OI SE NIYIION OF PROPI RIY ISHOW NuoACTw ( A AOUR Inxn Sl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />LOT RI(xK_ur� OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE ANY OTHER OSTIPROVISIONSTY TO VIOLATE OR CANCEL THE <br />ATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />o. nl rnNTRACTOR OR AUTHORIZED AGENT DATE <br />/.,2 -'A3 <br />LOB Ay1� IS5 <br />e- <br />x <br />G�- Q <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE <br />(iU <br />AIR COND UNITS-IIP FA <br />WATER CLOSLI M.... I) <br />/) <br />RHIN ER AHONUNIIS-HP EA <br />HATFTTUB <br />BOILERS -HP EA <br />LAVATORY (WASH IIASIN) <br />P� <br />;;AS FIRED AC UNITS -TONNAGE EA <br />SHOWER <br />C <br />FORCL AIR SYSIf MS -BTU MfA <br />KITCHEN SINK &ON' <br />_ <br />WALL MLATERS-H T U M <br />DISWASIIER <br />UNIT Mf All RS-B7U M <br />IAUNORYTRAV <br />EVAPORATIVE COOL IRS <br />CIOIHIS WASHIR <br />CLOTIIII DRYERS <br />WATER HIATIR <br />Vt NIILAl10N f AN <br />(J <br />URINAL <br />tl <br />RANGE 140011 <br />DRINKING IOUNTAIN <br />AIR IIANDLING UNH- C F M <br />7 <br />FLUOR DRAIN <br />STOVI `000 <br />VACUUM BRLAKIRS <br />METAL FIREPLACE & CHIMNEY <br />ROOF DRAINS-RAINLE ALTERS <br />SINK ISERVICI -LIAR. E lC I <br />SUB TOTAL <br />% <br />.v <br />SUBTOTAL <br />P[RM17 <br />i <br />PERMIT <br />S <br />'TOTAL <br />FEE <br />i <br />TOTAL FEE <br />SJ, <br />1096 <br />RECEIPTNO <br />SIDE YARD SLIHACK <br />STREET SETBACK REAR <br />YARD SETBACK <br />PLAN CtACKN Bt <br />L� Q� <br />` <br />PLAN CHECK <br />FEE �- <br />_ <br />C3 <br />//6 <br />LOT AREA <br />VACANT SIIE <br />USE ZONE <br />FEES <br />VALUATION <br />FEE <br />LIVES LINO <br />TYPE Of CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />7Y-. N <br />NC3 I M <br />I <br />BUILDING <br />SIZE DF BLDG '} <br />/ UG <br />NO OF STORIES <br />MAK OCC LOAD <br />f�=�4$•$. -f, <br />s <br />I <br />..�. <br />PLUMBING <br />MECHANICAL <br />FIRE ZONE <br />BASEMENT <br />HE DROUMS <br />1 ' <br />flRt SPRINKLERS <br />RfQUIR:D� <br />-- <br />rIYFS BT O <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTALCHECKUSI <br />PENALTY <br />UBC <br />SEC 703(+1 <br />2 BUILDING PLANS <br />TOTAL <br />Ell <br />flRf HYDRANT <br />A FIRE PROTICIION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDAIEO DN IHIS SPACE) THIS IS YOUR PERMIT <br />5 GRAOING9 KCAVAI ION& CIE ARINGIGRUBBING <br />& DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 HEAITII DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />.tjw�n <br />