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FM EYIroF»R <br />CITY OF <br />PNMI,N I TUN Wif <br />�_'ZONSTRUCTION . <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPML NI SERVICES <br />CITY HALL 2S9.8745 <br />EVERETT, WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />pA,RNA L _ MAR ADDRESS ❑TF ZIP PIIONI <br />R�L.nf ICDDL)Fz I2Soy 0,gnNo E�EeEtr 98)D1 :?58-1,2tzl <br />ARCNnra011 OGNIR MAILADDRISS CITY ZIP .^HUNT <br />OINERAL CON•R.ACIOR MAIL ADDRESS CITY ZIP PIIONE LICENSII <br />MECHANIUL CONTRACTOR MAIL ADDRESS CITY III, PHONE LICENSE F <br />NUMBING CONTRACTOR MAIL ADDRISS CITY III, PHONE LICENSE <br />1 <br />CUSS Or WORK II��] <br />T ❑NEW ❑ADDITION RALTERATION gREPAIR ❑DIMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VMUA1ION Or WORK Y 1 KevIl 0 <br />DESCRIBE won K <br />'PhR+Io►7 L- Skin Rock'-Wo alit PLL+7M61 -El. C+RicwI OU+LEf=--Po.161t-IMARL;f*FNSLS <br />PRoll US: Of BUILDING <br />[ &III . IM CQKET <br />LSGAL DISCRINION Or FRONRTY(SHOWN IfIOW OR ATTACH FOUR CO^IIS) <br />� ������ <br />r(or 3�BLOCKJ'5o Or �' <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT 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 THE PERFORMANCE OF CONSTRUCTION. /� �A <br />SIGNATURE OF TRACTOR OR AUTHORIZED AGENT DATE 3-7-p� <br />X <br />LOB ADDRESS <br />804 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />CX) <br />AIR CONO UNITS -HP FA <br />BATHTUB <br />REFRIGERATION UNITS -HP. [A <br />LAVATORY (WASH BASIN) <br />(p <br />�V <br />BOILERS -HP [A <br />SHOWER <br />GAS FIRED AC. UNITS-IONNADE FA <br />—47 <br />KITCHEN SINK I DISP <br />Up <br />FORCED AIR SYSTEMS-8 T U. M EA <br />DISWASHER <br />0c <br />WALL HEATERS-B T I1 M <br />- <br />LAUNDRY TRAY <br />UNIT HEATERS-9 T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VFN711ATION FAN <br />DRINKING FOUNTAIN <br />RANGE MOOD <br />S"C <br />' <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M. <br />VACUUM BREAKERS <br />I STOVE BLEE•TRLC. <br />ROOF DRAINS -RMNLE ALTERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE -BAR. ETC RAng <IBRIe <br />SUBTOTAL <br />O <br />SUBTOTAL S <br />OL <br />PERMIT <br />IS <br />PERMIT <br />TOTAL TEE <br />i <br />TOTAL FEE I <br />SIDE YARD SIIB CK <br />STIl ITS TBACK <br />I <br />REAR YARD SETBACK <br />PLAN CHLCY� NUMBER <br />b c2 /0 O/ <br />p54 <br />FEE 0/ AN <br />�� <br />I[( <br />HECK T NO <br />6 Q <br />USE ZONE <br />C— Z <br />LOT AREA <br />yACANT ITE <br />DYES C31F0 <br />FEES <br />VALUATION <br />IE[ <br />TYPE Of CONST. <br />OCCUPANCY GROUP <br />NO OE DWELLING UNITS <br />BUILDING <br />Sl O <br />(!D <br />oZ <br />SIZE OF SLOG. <br />NO. OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />QG <br />FIRE ZONE <br />BASEMENT <br />BE UROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />APPROVAIS <br />IV <br />DATE <br />OTHER <br />1, ENVIRONMENTALCHECK LIST <br />PENALTY <br />UBC. <br />SIC FUO) <br />2, IUILDINc PLANS <br />TOTAL <br />2. FIRE HYDRANT <br />1. FIR[ PROTECTION SYSTEM <br />S GRAOINGIIXCAVATIONACLEARINGIGRUBRING <br />PERMIT VALIDATION <br />WHEN PROPERLY VA1IDA7ED IN THIS SPACO THIS IS YOUR PERMIT <br />6 DRAINACF <br />7. ENVIRJNM[.VTAL IMPACT STATEMENT <br />I. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />%1 79 <br />