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DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />tVERETT, WA982u1 [COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OdNI LKA-a'[Arfl �• <br />S. 1 <br />.1- MAIL ADDRESS <br />/7.§'l7 �(1rT nc /�. <br />(II. Lii' PIIONf <br />..t}(z <br />,JawYes� <br />rPl�� <br />CITY ZIP PHONE <br />ARCHITECT OR DESIGNIR <br />-- fTr-CSSI crA <br />MAIL ADDRESS <br />j� -�a -zy .Ta: /.s Ln <br />E/csl• :� <br />l� <br />tV P.c-11 9,�.�0'f 3'�S-.3--ZU6 <br />ADDRESS <br />CITY ZIP PIIONf LICENSE IF <br />GF MRAI CON ACTOR <br />null <br />tG V)L �C'CICIP� <br />CITY LIP PHONE ❑CWSEF <br />MICHANICAL CONTRACTOR <br />AIAII ADDRESS <br />p PLUMBING CONTRACTOR <br />MAIL ADDRt SS <br />CIEY ZIP PHONE LICENSE E <br />~ <br />'t ASS OF WORK <br />KNEW ❑ADDITION <br />❑ALTERATION ❑RF PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION Of WORK <br />jIII SL'RIBE WORK •�- <br />C't,-)�o�✓I.KwY <br />J. /' / <br />C!'C--�—(h. A <br />fA� t7 ^ ✓ S� <br />H4 ( / <br />�/c2 <br />PaolrosmusloremmlHc <br />Ci <br />i E-C.r_ <br />I HEREBY CERTIFY THAT I HAVE READ AND EX MINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TR NO CORRECT ALL <br />S <br />1'c s Lic <br />PROVISION - GOVERNING THIS TYPE <br />ImAL D[scRlPnoN or PROPERTY lsnOwN BELOW oR ATTACH rouR corl[sl <br />- KWILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />BIOCK�OF <br />I'll .c c ' ' " Y <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />.Ul -7 <br />( <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />rr <br />io; <br />Vel. 2 o �- '�-•t F.f 7 <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />h FC -c: cI eA <br />8,,,5— - <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />i2,79 <br />I Ar— SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />S TIC k <br />,LO�HADDR��//IA SS I�7 I �.-/ v ./ <br />OM1 //I(/ Fti. 1P112 Ye orl l�rI VC_ J� vE'4-r 11 <br />MECHANICAL ' <br />'LUMISM15 <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />- <br />FEE <br />NO. <br />TYPE OF FIXTURE <br />pp <br />MRcoND uN1T5_Ilr Ea <br />3 <br />WATER CLOSET IIGLIED <br />00 <br />HfIRI(;ERATION UNITS-11.P. EA <br />.'� <br />BAIHTUO <br />00 <br />8011.IRS—HP FA <br />U <br />UVA,ORY(WAS)i BASIN) <br />GAS I IRED A.C. UNITS —TONNAGE FA <br />511OWER <br />(70 <br />I II AIR SYSTIMS-0 T.U. MIA <br />DO <br />KITCHEN SINK A GIST, <br />U <br />AI I II RS-1 TV M <br />1LAIER <br />DISWASHCR <br />—B <br />UNIT IIEA7fRS—B 1.U. M <br />UNIT <br />LAUNDRY TRAY <br />O <br />IVAPORA COOLC0.i <br />CLOTHE5 WASHER <br />Q <br />DRY <br />CI OIHE$ DRYERS <br />$ <br />00 <br />470 <br />WATER IIIATEN <br />VI NOTATION FAN <br />60 <br />URINAL <br />�.7--, <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT- C.F M <br />HOOR GRAIN <br />Si <br />VACUUM BREAKERS <br />Nitt TAl FIREPLACE A C111MNEY <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC) <br />SUB TOTAL S CP 0 <br />2 <br />SUB TOTAL <br />PERMIT S <br />PERMIT <br />$ <br />TOTAL RE S <br />70TAL FEE <br />$ <br />00 <br />PLA�'1it A NU'AIBIR PLAN CHICK FEE <br />SIRIIT SETBACK REAR <br />YARD SI Ilt Al'K <br />.II7I YARDS[ TBACK <br />li Sb PF(�IPi N�� <br />33•— 5 <br />151 ZONE <br />LOT AREA a{s <br />VACANT Slll <br />FEES <br />VALUATION <br />III <br />I—f I <br />SCJ/Q `# <br />OYES AND <br />'\III OF CONST. <br />OCCUPANCY GROUP NO <br />01 1WILLING UNI IS <br />BUILDING <br />soJp .m <br />�l.Gi� <br />OC <br />—.A/ <br />—7J <br />.Ill OF BLDG <br />NO. OF STORIES <br />MAX OCC LOAD <br />� <br />[ [ <br />� <br />PLUMBING <br />V� <br />IRE ZONE BASEMENT III I7HI7E7M5 <br />HIQUIREDRE KLI ItsMICHANICAI. <br />C+ <br />3 Orl 0, 3 <br />r1Y11 NO <br />APPROVALS <br />BY OATS <br />OTIIIR <br />ENVIRONMENTAL CHICK LIST <br />N A <br />PINAl1Y <br />O TC <br />T 1011al <br />SEC <br />- BUILDING PLANS <br />TOTAL <br />V <br />I IRE HYDRANT <br />_ <br />TIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WIII N PROVE RIY VAT (DATED (IN 1111S SPACE) THIS IS YOUR PERMIT <br />Sd.w�r <br />CRADINGII XCAVA110NA CLIARINGIGRUEIIIING <br />DRAINAGE <br />cojpPn9 <br />[NV10.0NM: NTAL IMPACT STATEMENT <br />// <br />ELL. J(iS'!-aRii 6o) ' <br />IIEALIH DISTR,:T <br />APPLICATION ACC BY PLANS CHICKI D Fly <br />APPR IOR ISSUAN('I TIN <br />J <br />i <br />