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the EvSrgmn <br />CITY OF <br />PIEPLICATION LOP <br />A\IwTl�■ IlNTBA\I' <br />.VIVJ I KUi, I IVi'V <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />evere0 <br />EVERETT. WA9B201 ElCOMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADDRI1S CITY ZIP PHONE <br />CLi y of ELIETZC- jT Q%OZ 1-,07a/ <br />CITY <br />GENERAL CONE■ACTOR MAIL ADDRESS City ZIP PHONE LICENSE <br />C. m-7-E4L 5 M IT F gels SMirif 5J ;-s5-7%S7 <br />MECHANICAL CONTRACTOR MAIL AODR6S CITY ZIR PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS City ZIP PHONE LICENSE I <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK JI y 3l 9-3' , S-6 L �l 4 <br />OI SCRIBI WORK <br />Rcrzool-- Tos0LN_T_TC- <f _eE-VA%9_ <br />PROPOSED USE Of BUILDING <br />i_ L 6li ARY <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 COMPI-IED 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 />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />/. <br />tt L- 9 3a e 5 <br />LEGAL DESCRIPTION Of PROPERTY (SHOWN RILOW OR ATTACH TOUR COPItSI <br />LOT _RIDCK_OF <br />LOB ADDRESS <br />270 Z <br />PLUMBING <br />MECHANICAL il <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET IIOLIETI <br />AIR COND. UNIT: -HP EA <br />BATHTUB <br />REFRICIRAIION UNITS-H P. EA <br />LAVA70RY (WASH BASIN) <br />BOILERS -TIP. EA <br />SHOWER <br />GAS FIRED AC UNITS -TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS-B7 U. MIA <br />DISWASHIR <br />WALL HEATERS -BTU. M <br />LAUNDRY TRAY <br />UNIT HEATERS-BI U AT <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEALER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M. <br />VACUUM BREAKERS <br />57OVE <br />_ <br />ROOF DRAINS -RAINLE AMRS <br />M17AL FIREPLACE 6 CHIMNEY <br />SINK ISIRVICE-BAR, ETC I <br />SUB TOTAL <br />SUB TOTAL f <br />-- <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />IDEAL RE IF <br />SIDE YARD SETBACK <br />STRELT St TBACK <br />REAR YARD SETBACK <br />PLAN CI(f CK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE Of CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />I IRE ZONE BASEMENT BEDROOMS <br />APPROVALS <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES ONO <br />BY DATE <br />MECHANICAL <br />OTHER <br />— <br />-- <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />o H 1. <br />SEC 10".1 <br />_._ <br />7 BUILDING PLANS <br />TOTAL <br />T PIPE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S GRADINGIEXCAVATION&CLEARINGIGRUBBING <br />—' <br />►IRMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THIS SPACES THIS IS YOUR PERMIT <br />'6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC. FLY <br />PLANS CHECKED BY <br />A.PPR OR ISSLIANLI III <br />94.7S <br />