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AP. LICATION FOR <br />TAa Everyresn <br />OF <br />CONSTRUCTION ei <br />CITY <br />everett <br />PERMIT <br />DEPT OF COMMI'NITY DEVELOPMENT SERVICES <br />CITY HALL 259 8745 <br />EVERETT, WA9B201 DCOMBINATION ❑ BUILDING UMECHANICAL ❑PLUMBING PERMIT NO. <br />ONNIR K•Y'!L(Xy1 NCu. OF <br />ONE <br />MAIL AUI1NI15 CITY [IP PH <br />/7� —IAAOISoTU AVe EVEQ� %VA 9B2o3 353 zl9 <br />WmES <br />CITY ZIP PHONE <br />A TICIOR1l1$IONIN <br />o%wn27 p.n,�[z.L-Yle <br />.No <br />MAIL ADORE SS <br />/Ict e0 ,01�12Gr,.E�i7 WA gyZ3'� <br />72� B0%Z� � $[ <br />/-? IJES/mnt ScL'vice <br />CITY ZIP LICE <br />CPHONE <br />GI h10.AI('ONIRAI'lON <br />�-/ V QC r' <br />MAII ADORI15 <br />IICFNS[ r <br />ABI HANI(Al (IINIRAC TOR <br />MAIL ADDRH$ CITY ZIP. PNON[ <br />�w '� C�� <br />CITY ZIP PHONE ll[[NS[ 1 <br />ELL'A1AIH. CONIRALTOR <br />MAIL ADORN$ <br />($SI�S\.Ill NORK <br />Ip N I%%` ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE OBUILDING RELOCATION <br />S V l'AI�I /OWN O) NORK <br />]JL <br />r/r <br />I U 1, OBo <br />$ <br />UTA NIIII NONA <br />nRK U� C9F <br />ZZJl <br />1W 2,41OC9 <br />�1✓ !s'NCJee/-' -- <br />THAT I HAVE READ AND EXAMINED THIS AP• <br />0l <br />I HEREBY CERTIFY <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />�.�� U r/ <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />IILAI IIIS(RIP110N(11 PROPIRTYISHONN HDONOR ATTACH FOUR COPRII OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />D ✓� OF A PERMIT DOES NOT PRESUME TO <br />( ll __BLOCK_Of P,V1ENu.f <br />r OR NOT THE GRANTING <br />E AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />11111 ADDRISS <br />/-730 14ADISo-J AVE <br />PLUMBING <br />TYPE OF FIXTURE <br />LOSET ITO[ITT)RRY(W'ASH <br />BASIN)RIS <br />MOOSE <br />SINK S DISPHFRRY' <br />TRAY <br />S LV ASH) R <br />2I <br />WATER MIAUR <br />VACUUM FIRE AKERS <br />ROW DRAINS - RANI I ADI RS <br />SINK IS[ RVICI -[FAR. I IC 1 <br />TOTAL <br />GIV <br />_ ALL aF 7 f ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />7 — b _ J" OR THE PERFORMANCE OF CONSTRUCTION. <br />F [O S SIGNATU E OI CONTRACTOR OR AUTHORIZED AGENT DAATE'/ <br />9fJz�3 / ' ���� (sc�C' ) <br />C Y /c-n tT/ ���$ /� n ,�s Wiz/ <br />ODE Y ARDS[ TOACK <br />STREIT SETBACK <br />USE ZONE <br />101 AREA <br />TIP[ Ocf-(•ONSI <br />b(CUPANC GROUP <br />�lf{occR <br />A—z R-3 <br />SIZE OF HIDG <br />NO STORIES <br />APPROVALS <br />1 ENVIRONMENTAL CHECK LIST <br />2 BUILDING. PLANS <br />1 FIRE HYDRANT <br />A FIRE PROTECTIONSYSHM <br />S C RAI)N61[ K( AVAI ION A CL I ARINGIGRUHRING <br />6 DRAINAGE <br />7 1 NVIRONMENTAL IMPACT STATEMENT <br />8 HEM TH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY <br />V, �I <br />91 ii <br />MECHANICAL <br />":.7, TYPE OF EQUIPMENT FEE <br />AIR CONE) UNITS-H P LA <br />RHRIGERATIONUNITS-HP FA <br />ROILLRS-MP EA <br />GAS FIRED AC UNIY-TONNAGE EA <br />IORCLD AIR SYSTEMS -BTU M EA <br />WALL HEATERS-OTU M <br />UNIT HLATERS-BTU M <br />L VAPORAT IVE CODE IRS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT- C F M <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />s <br />s s <br />TOTAL FEE <br />S <br />PLAN CHECK FEE <br />REAR YARD SE TRACK ; <br />PL AN CEII CK NUMBERFEE , <br />RECEIPT NO <br />Y <br />a� <br />VACANT SITE <br />EEE$ <br />VALUATION <br />FEE <br />❑YES L4R6 <br />I- <br />NO OE DWkII LNG UNITS <br />I <br />BUILDING <br />MAK OCC LOAD <br />3 Z <br />qz= 9 <br />PLUMBING <br />` <br />f lRl SPRINKLERS <br />REQUIRED� <br />MECHANICAL <br />11Y1S P NU <br />aY DATE <br />OTHER <br />UBC <br />PENALTY <br />SEC 3011al <br />TOTAL <br />PERMIT VALIDATION <br />THIS SPACE) THIS 15 YOUR PERMIT <br />SVFILN PROPERLY VALIDATED <br />TIN <br />c <br />APPR <br />fOR ISSUANCE tlY <br />