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I <br />theFBF�BA <br />APPLICATION FOR. <br />«�a <br />ONSTRUCTION <br />everett <br />PERMIT <br />e <br />DEPT OF COMMUNITY DEVELOPMENT <br />SERVICES <br />CITY HALL 25946745 <br />EVERETT,WA90I01 OCOMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />OWNIIF <br />MA"AUUNFSS Cllr 71P <br />r110N1 <br />Harm Hollander <br />2804 Grand Ave. Everett:; 98201 <br />252-1089 <br />ARCHITICT OR DISICNIR <br />MAIL ADDRISA CITY 71P <br />rllo"I <br />Joseph R. Bowen <br />3112 Norton Ave. Everett, 98201 <br />252-3911 <br />Gj Ni MICONTRAf TOR <br />MSIL AUDRI SS nlr llr <br />1,11011 IICINSII <br />owner <br />MI(IIANI(AI IONIRACIOR <br />MAII AOOR SS (IIY 71r <br />r11ONl ll(t NSF R <br />PIDMRINC CONTRACTOR MAIL AD')RISS CITY 71P rHONI UCINSF P <br />'1 <br />CLASS UT WORK .L LI ❑NEW ❑ADDITION kj6LTF RAT ION ❑REPAIR ]DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINC RELOCATION <br />1 VAIVATION OF WORK <br />S 500 <br />I <br />DISOIIRI WORK <br />Additional Fire Extt <br />PROVOST usF OF RuI11)1NO, <br />Retail/Light Mfg. <br />I HEREBY CERTIFY THAT I HAVE RFAD AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME 10 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 CANCtL 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 />�7 "J <br />X T/1 e-t <br />UGM DIACRIrIIoN ITT rROPIRTY I5NOWN M(Ow OR lnACO POUR LOPIFSI <br />22-26 671 Everett <br />toy __III" A -OF <br />FOR ADDRTS <br />2604 Grand Aver Everett <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WAHROOS[IUOLIIII <br />AIR POND UNITS —HP EA <br />BATHTUB <br />REFRIGERATION UNITS —PP [A <br />LAVATORY (WASH BASIN) <br />BOILERS —HP FA <br />SHOWER <br />GAS FIRED AC UNITS --TONNAGE EA <br />KI7CIIF N SINK A DISP <br />IORC1 D AIR SYSTEMS—R T U MIA <br />DISWASHER <br />WALL WATERS—flTU M <br />LAUNDRY TRAY <br />UNIT HIAHIS--BTU M <br />CIDIHIS WASIIIR <br />EVAPORATIVE (DOLLIES <br />WATIA HEATIR <br />CIOT141S URVIRS <br />URINAL <br />VI NTILATION I AN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />I I.00R DRAIN <br />AIR HANDLING UNIT — C F M <br />VACUUM 11REAR RS <br />SIOVF <br />ROOF DRAINS —RAINL FADERS <br />MITAL FIR[PLACf. A CHIMNEY <br />SINK (Sf R\9C[ —BAR. FTC) <br />SUBTOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL LSE S <br />SIDE YARD SO TRACK <br />STREET SETBACK <br />AFAR YARD SLIRM K <br />PLAN CHECK NUMI3IR <br />PLAN <br />FIE <br />CHECK IEF <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES CM0 <br />TEES <br />VALUATION <br />FEE <br />it <br />TYPE of CONSI <br />asny/postl%beam <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />none <br />91111DING <br />S 500 <br />S11E OF BI FIG ' <br />NO OE 57ORIES <br />3 <br />MAX OCC LOAD <br />PLUMBING <br />FIR[ ZONE <br />BASEMENT <br />HITIROOMS <br />n/a <br />FIRE SPRINKLERS <br />RQU1RIO <br />YfS FIND <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 EP,VIRONMLNTAL CHICK LIST <br />P[NAL1Y <br />UDC <br />SIC 107(a) <br />— <br />7 BUILDING PLANS <br />TOTAL <br />8 500 <br />1 IIRf HYDRANT <br />a FIR[ PROTECTION SYSTEM <br />i GRADINGII XCAVATION R CIE ARING/GRUBBING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED(1N THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STAIEMENT <br />A HEALTH DISTRICT <br />APPLICAILON ACC BY <br />SSjCCHHEECCKED BY <br />PLANS <br />APPLE FOR ISSUANCE BY <br />9179 <br />