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FAR EOF <br />C •' I -,CATION OR <br />ST R U�CT I O <br />everett <br />PERMIT <br />e <br />DEPT Of COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />i EVERETT. WA98Z01 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />A Pti <br />2 �(�noy <br />A1AII ADIIHI SS CIll III' <br />/y3a Yl u OR. NE /19a�T/Svl(�i <br />PHONE <br />1 MCHIARC NIR <br />�pIIVI ADDRESS City JIC <br />rroO t <br />1 GI NI KAI CO':! R AC I OR <br />MAIL AODRISS (IIY LIP <br />PHONE <br />IICENS[I <br />I <br />x/A <br />I <br />MECHANICAL CONTRACTOR NAIL ACDRISS (I11 ur Prvm uum[. <br />MAIL ADDRESS 1.1 <br />CLASS Of WORK c�7711"' <br />❑NEW []ADDITIONDZALTERATION %REPAIR ❑DFMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAIUATION Of WORK <br />tenon129 <br />Ols(FIRE WORK ` E <br />T.,"J,/1 A/CIu 11AMA) RFLLFJ/MAr L <br />FxoPDv use a Run DING <br />al�af<�vholEso/g Llo•-e <br />I HERE CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECTALL <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. <br />SIGNAIUNF CONTRACIOR OR AU ORIZED AGENT DATE <br />_ /D^ LI• EY <br />IELAI UIS RIP110N OT PROP( RTv IS'IOWN PITON' OR AT UCII FOUR COMES) <br />LOT _RLMK_ol <br />GG II J ' Q p <br />O D �Y CJ P u DF fR�ERE Ct- ` 0 (1 U ( <br />IOf ADDRESS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />WATER CLOSE T(TOUE D <br />AIR COND UNITS -TIP US <br />BATHTUB <br />REFRIGIRAIION UNITS -HP :A <br />LAVATORY TWASH BASIN( <br />Z <br />00 1 <br />DOILERS-HP EA <br />SHOWER <br />GAS FIRED AC UNITS-IONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED A!R SYSIEMS-B T U M FA <br />DISWASHER <br />WAIL HFATEPS-B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS -BTU M <br />CLOIHIS WASHER <br />IVAPORATIVF COOLERS <br />WATER MAIER <br />CIOTHIS DRYERS <br />URINAL <br />VI N T I I Al ION FAN <br />DRINKING iOUNIAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNII - C I AT <br />VACUUM BREAKERS <br />STOVE <br />ROOT DRAINS-R.AINUADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE -BAH. TICE <br />SW TOTAL <br />L'ZJ" <br />SUB TOTAL f <br />PERMIT <br />IF <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />510E VA T111ACK <br />ILJ'^J <br />SiRETI j. TDACK <br />AAI'RII)AE(EJ <br />REAR Y0 SI IOACR <br />PLC(/I CK NUABIR�/� <br />D <br />II� lAN <br />RECEIPTENa0. <br />USE ZONE <br />C: # Z <br />LOT <br />VACANT SIPy <br />LIVES k'o <br />EEES <br />TIO <br />VALUATION <br />E![ <br />TYPE OI CONST <br />OCCUPANCY GROUP <br />NO OF DWIILING UNITS <br />BUILDINC <br />VLSI <br />SIZE OF BLDG <br />Rr:-MO DEL <br />NO OF SIORIE5 <br />I <br />MAX OTC LOAD <br />-- <br />PLUMBING <br />0 <br />OC <br />FIRE ZONE <br />flA4 ENE <br />IIIDRO(IMS <br />-- <br />IIRI 51`1I11'I'S <br />0. (RID <br />I IS E1N0 <br />MI CIIANIC AL <br />©Z <br />APPROVALS <br />fY <br />DATE <br />OIHIR <br />1 ENVIRONMENTAL CHECK LIST <br />_ <br />PI NAI IV <br />uBc <br />SEC )BuAt <br />2 BUILDING PLANS <br />TOTAL <br />CIE, Z <br />Si <br />J FIREIIYURANI <br />A IIRI PROTECTION SYSTEM <br />PERMIT VALIDATION <br />%MIEN PROPERLY VALIDAI[OIIN 11115 SPACE) 1141S IS YOUR PERMIT <br />5GRADINGIIXCAVATIONACLFARINGIGRUIHIING� <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STA1[M[NT <br />B IIEALIII DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED UY <br />14-1an TI <br />APPR IOR ISSUANCE 10 <br />L- . If', <br />I <br />7 <br />91 79 <br />