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DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2S9.8745 �,/ <br />EVERETT, WA98201 12COMBINATION ❑ BUILDING <br />❑MECHANICAL <br />❑PLUMBING <br />PERMIT NO. <br />ON'NI GAA-q LArc 1 L. `�� MAIL ADORES} <br />S, 11-v1'v%e� tj(.1 c <br />Clir <br />1. �>.:ffiz. <br />LN <br />%,1'i',i <br />PITON! <br />HONE ,��t <br />_JavvYe�J TO IF <br />� <br />ARCIRI[O OR DESIGNER MAII ADDRESS CITY <br />Ja/.sLn EVC.ift <br />TVkl <br />21P <br />9,Y.Qo`3 <br />PHONE <br />\ <br />3,TS-3zoo <br />nrcSS:c^ <br />CITY <br />ZIP <br />PHONE LICENSE a <br />GENERAL CONTRACTOR MAIL ADDRESS <br />t0 ILC je CI (ff C// <br />LIP <br />PHON[ IICEN5E/ <br />Ail CHANICAL CONTRACTOR —L ADDRESS <br />CITY <br />PU.BdBING CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE! <br />.1 .. u <br />S LONEW V^^❑ADDITION <br />❑ALTERATION ❑REPAIR <br />❑DEMOLITION ❑FENCE ❑SIGN UGARAGE LJ BUILDING RELOCATION <br />I <br />VALUATION OF WORK <br />cuo. — <br />` III SCRIBE WORK <br />I HEREBY CERTIFY THAT 1 HAVE. READ AND E% MINED THIS A <br />I-ROPOSEDUSEOf BUILDING <br />4' <br />Y� s 1 �e c <br />L <br />PLICATION AND KNOW THE SAME TO ESE ETNU CORRECT ALL <br />TYPE <br />PROVISION ' OVERNING THIS <br />HGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />K WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />�. BLOCK <br />^ {' ' ' <br />-`0'1 <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />i .o, —Of <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />r <br />I(•-rA <br />V'�• o% „/ / <br />l- , S % <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />c crclfrl <br />c <br />5-28-5 <br />pR THE PERFORMANCE OF CONSTRUCTION. <br />a 7 <br />rectr <br />'.OR ADORE 55 <br />OK <br />C' � SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE JS/ 4/ 9 <br />l la k. L _ <br />l /Ycl <br />J_ b b e 5-, L n L t-1 v G <br />- - <br />MECHANICAL <br />'EUMBING <br />FEE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />NO. <br />TYPE OF FIXTURE <br />00 <br />AIR COND UNITS -HP FA <br />j <br />WATER CLOSET (TO' 11 <br />Qp <br />REFRIGERATION UNITS-H EA <br />-3 <br />BATHTUB <br />(J' O <br />IIOILI RS-H P EA <br />!{ <br />LAVATORY (YVA511 BASIN) <br />C,AS I (RED A.0 UNITS -TONNAGE EA <br />SHOWER <br />KITCHEN SINK A DUI' <br />�O <br />(J <br />II AIR S-1MS-0 T O M f A <br />T.0M <br />WAILHI ATLRS . <br />O <br />UISWASHIR <br />BT.U. M <br />UNIT ((EATERS-11 <br />LAUNDRY TRAY <br />O <br />EVAPORATIVE COOLERS <br />C10T1/FS N'ASII[N <br />Q <br />CI OIIIFS DRYERS <br />3 <br />WATER WATER <br />VINTILATION FAN <br />OD <br />Oo <br />— <br />URINAL <br />,Z <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR ING UNIT- C.F.M. <br />ILOOR DRAIN <br />S10VIV1 <br />VACUUM BREAKERS <br />M[1AL FIREPLACE A CHIMNEY <br />ROOF DRAINS-RAINLEADER$ <br />SINK (SIRVICI-BAR, I TC 1 <br />SUB TOTAL S <br />SUIT TOTAL <br />PERMIT S <br />PERMIT <br />5 <br />TOTAL IEE s D <br />5 <br />TOTAL III <br />PLAN CHI CK NUMBER PLAN CHECK Rk <br />REC IPT N <br />-7t�9� <br />ilSETBACK DE YARD Sf CK <br />STELE SE IINCK HI <br />AR YARD Si IIIACK <br />L' <br />/ <br />/o' <br />1S1 ZONE <br />LOT AREA iJf <br />VACANT $Ill <br />FEES <br />VALUATION <br />FEE <br />OYES AND <br />nTt OF CONST. <br />OCCUPANCY GROUT' NO <br />OI IWIILING UNITS <br />-5t-- — A/ <br />- 3 <br />BUILDING <br />5s?d . °�'OC- <br />dZl DF BLDG NO. OF STORIES <br />MAX FILL LOAD <br />L t � <br />� <br />PLUMBING <br />MECHANICAL <br />lo^L� <br />li <br />C <br />IRI ZONE BASEMENT HE UHIIOAIY <br />IIRI SPRINKLERS <br />RIQUIRIU <br />FTYIS -QNO <br />APPROVALS <br />BY DATE <br />OTHIR <br />PINMIY <br />UBC <br />SEC. TOTial <br />i I NVIRONMLNIAL CHECK LIST <br />N A <br />BUILDING PLANS <br />IOTA( <br />31 <br />Of <br />I IRF HYDRANT <br />I IRE PROTECTION SYSTEM <br />PERMIT VALIDA71ON <br />\YIH N PROP( KEY VMFOATI I) (IN THIS SPACE) THIS IS YOUR PERMIT <br />I1f nOt� �L�/✓ID C� S�W�(^ <br />GRAUINGII XCAVAIION A CUARINQGR0I11I•a. <br />DRAINAGE <br />. <br />!M <br />' LIMPACT STATE M[NT <br />tNVIRONMENU <br />HEALTH DISTRICT <br />�, X;r 1; n j b <br />APPLICATION ACC DY <br />PLANS CHtCkED BY <br />AI'PR IOR ISSO NO I III <br />0 <br />