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a AF�LICATION FOR <br />CITYOF CONSTRUCTION <br />everett --' PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-074% <br />EVERETT, WA982D1 ,COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADLIRISS CITY \ LIP PHONE <br />-- 2 / <br />�I �.i•//I i SS.ti•F(Icu�r� 11-,TnIC't'S'S-2/7f') Plctl"r/. 3L/ <br />nll(nnnlllR lllLbrvlR '�/� <br />1 Yv\�Yt'S51 ^ ViiIJ4 <br />MAIL ADORE SSW / <br />3C�.Y7 �( ick-5 <br />CITY LIP <br />[ilf <br />(PHONES �J1� <br />jJ� J.K/ <br /><�IRA( 10R <br />MAIL ADDLE ' <br />'LSS <br />CITY <br />LICENSE <br />6AI <br />� C ,j <br />3u/ ��..•r c7 <br />•iLI <br />�I,LW <br />3;W/S7 <br />1Zj'A`-( .CIO <br />MAIL ADDRISS <br />�.`(17Y / nP <br />P140NI LICENSEE <br />' (CI�1 r` <br />C <br />I'll l{PI\G C(I%IKM IOR MAIL ADDRISS CII1 71P PHONE LFUNSII <br />T-C. <br />/ <br />11411 OI WORK <br />❑NEW ®ADDITION ❑ALTERATION ❑REPAIR ❑DIMOLITION ❑FENCI ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />SMPAl10%Ill WORK ..o <br />' /5 G7Q JT <br />aC,0 <br />I'll, WITH WORK <br />rRurnNln "•°' xtmol"° / <br />t'JC( µ/// i/Lt♦ A� •� <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 COMPLIED 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 E PPEF C , - NCE F CONSTRUCTION. <br />SR. ATURE`OF C TRACTOR OR TMORIZED AGENT DATE <br />x � C- ' /•� •C� <br />L MIT tHWRIPTf6SOI FROM REY DHOW%pI LOW OR AITACHIOUR.COPIISI(; <br />Lol RLocK �' S- a '<' <br />v1R wn Y <br />��L�D /�c•AL%. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />W All R CLOSE I TOW 11 <br />AIR COND UNIIS-H P [A <br />HAmiuH <br />NI FRI(A RATION UNITS-H P IA <br />I AS'ATORY iS%ASH RAS1%I <br />110I11 RS-H P I A <br />SHOW I R <br />CAS f IRL D A C U%ITS- IONNAGI E A <br />K11CHf%SINKSDISP <br />IORCID AIR SYSTIMS-BILL AI fA <br />13151S'ASHI R <br />tJU <br />W Al l HT AI I RS-H I D M <br />LAL%DRY TRAY <br />L%IT HIATIRS-111 L' NI <br />(L OIHI S W ASIII R <br />I VAPORAI VI COOL I ITS <br />SS'Ai1R HE AIf R <br />( 10110S ORYIRS <br />CRI%AL <br />S f %I II Al IO% FAN <br />ORI%kl%G FOU%TAI% <br />RI%(;I HOOD <br />I IOOR DRAIN <br />AIR HA%ULING UNIT- C F M <br />VACUUMBRIAKTRS <br />/ <br />511)%I .C4p- <br />ROOF DRAINS-RAI%LI ADI RS <br />vl i M F WE PI ACI 8 CHIMNEY <br />-13 <br />%I%K ISf RV14I-HAR I IC I <br />(� <br />SUIT TOTAL <br />SUB TOTAL B <br />PERMIT <br />S <br />PERMIT IS <br />TOTAL FEE <br />S <br />TOTAL EEE B <br />SIDE YARpS (BACK <br />/J n <br />STRI II St THICK <br />A —A <br />RI AR Y ARD S11HA(K <br />"(/ <br />PLAN CHICK NUMBER <br />�--S <br />/ �/ <br />PLAN <br />LIE <br />CHECK FEE <br />RICE IPT NO <br />UST 10%1 <br />C• dz <br />LOI ART A <br />VACA%l SITE <br />❑LSD <br />D <br />FELS <br />VALUATION <br />FRI <br />IYPI Of CONST <br />1)(CUPANCY CROUP <br />- <br />NO OI DWI LLING UNITS <br />9 <br />HUIIDINC <br />SC Q G 6 <br />0 <br />Qd <br />SIZi�pppj, / BLOC <br />J 4GLI <br />0 OF STORIES <br />__ <br />%I% OCCJLOAD <br />_300 <br />N UMBING <br />I IRL ZONE <br />HASIAIENT <br />_ <br />III DNIP)MS <br />IIRT SPRINKLERS <br />REQUIRED <br />EVES ETNO <br />MIC/IANICAL <br />APPROVALS <br />BY <br />DATE <br />OILIER <br />1 INVIRONAIENTAL (HECK LIST <br />PT%AITY <br />U BC <br />SLC 301(a) <br />2 BUILDING PLANS <br />TOTAL <br />1 FIRE HYDRANT <br />a FIRE PROTECTION SYSTEM <br />S GRADINGII K( AVAL ON A C if ARINGIGRUNNINC. <br />PERMIT VALIDATION <br />%WB N PROP! FELT VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT <br />.L, �j <br />-T�S� {LET n� � 1'� R I C-T <br />IZII55 QSA I %S /"1 V�-I`•I_C S <br />6 DRAINAGE <br />7 INVIRONMINEAL IMPACT STATEMENT <br />R HEAIIH DISTRICI <br />APPLICATION ACC By <br />PLANS CHECKED BY <br />C <br />APPR FOR ISSUANCE BY <br />91.79 <br />