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I <br />9-0 <br />r <br />.APPLICATION FO^ 1§CYOvFgrmt <br />-CONSTRUCTION' <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259 8745 <br />EVERETT. WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />(IN'NIR MATT ADURI SS 6 (11, - — 21P PIII TNI <br />R <br />FACTOR <br />ADDRESS <br />21P <br />y i <br />MIOUNIGAL CONTRACTON nIMI ADURf 15 CITY ZIP PHONE IK Ns R <br />PI OAIBIhII CONTRACTOR MAlt ADDRESS C.III 21P THOM LICINSI4 <br />0 i <br />Ct A1SS OT NURK <br />UlAll SV ❑ADDII ION ❑ALTF RAT ION ❑REPAIR ❑UTMOLIIION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\AU•k ul NORA <br />0 c cT <br />DICRIRt NORK <br />mu,osi D nH (it <br />l LGstOI SC RIPIION OI PROPIRTI (SNON N RI LOIY UK ATTACH TOUR COPIES) <br />tOi3x_RIOCK—OI 11844cy /il*v E.0 <br />—5 <br />TOR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICAI ION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL HE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY (NTH TATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR !jA PERF RMANCE OF CONSTRUCTION, <br />SIC All OI NTRACTOR OR AUTHORIZED AGENT DATE <br />MECHANICAL L. <br />PLUMBING <br />NO. TIPS OF EQUIPMENT FEE <br />EEE <br />NO. <br />TYPE OF FIXTURE <br />,51 <br />WATER C.051 I ITOLIE II <br />(„� <br />AIR fOhll UNITS - III' lA <br />/, <br />p <br />RIIIHGIRAIION UNITS -TIP EA <br />/ <br />HAIHELIFE <br />IIUIE ITS -TI P EA <br />t AVAIORI (WASH HASIN) <br />GAS ARID AC UNITS- IONNAGII <br />/ <br />SHOWER <br />00 <br />EURCfl) AIR SYSII MS-IIIU MIA <br />KII(HIN SINK A DISP <br />A2 <br />\\At[f11 ATIRS-IIIU Al <br />/ <br />UISWASHIR <br />UMT IIIAIIRS-BTU M <br />t AUNDRI GRAY <br />1A'APORATISI(UOLERS <br />A <br />17U11111 VA'A5N1R <br />('I0111tS DRY[RS <br />N'ATIR HI AILR <br />A'1 NI II AI ION [AN <br />L'R IN AI <br />DRINKING IOLINIAIN <br />RANG1 HOOD <br />AIR IIANUL ING UNIT- C F NI <br />IIUOR DRAIN <br />VA(UUM BREAKERS <br />STOVE <br />ROOT DRAINS-RAINLEADIRS <br />MI IAI FIRE PEACE A CHIMNEY <br />uNA Li$RVJrF—RAR ITT <br />SUB TOTAL <br />S / <br />L�J <br />SUB TOTAL <br />PERMIT <br />S <br />PERMIT <br />S <br />S <br />0� <br />TOTAL FIE <br />S <br />TOTAL FEE <br />SIDI IANY $I. 1111CK <br />SIR[(I St ID1CK RE <br />All IARU St I BACK <br />PLAN(:litG 'UNIFIERPLAN <br />RFCS.11'j�f�C , <br />69� <br />2G�F� <br />20�� <br />�, <br />!j did 7 <br />USE ZLY13 <br />IOT AREA <br />VACANT SIII <br />FL S <br />VALUATION <br />EEE <br />Iir//i, <br />!!<S <br />❑NO <br />TYPE UI (ONST <br />OCCUPANCY GROUP NO <br />OI DUELLING VNIIS <br />PORDING <br />5 53-C 777:—E <br />11`ij <br />SIZE OI HLUG <br />NO OF SIORII S <br />MAX OCC LOAD <br />'Zr <br />NUMBING <br />Q <br />- r•, � S.F. <br />[IRE ZONE <br />BASEMENT <br />III DROOMS <br />IIM SPRINKLERS <br />RIQUIKFU <br />nll (IIANII AL <br />`AY <br />nY15 IA!. <br />APPROVALS <br />BY <br />DATE <br />OIIIIR <br />1 LN%FNO.%Mj NIALCHFCK LIST <br />PINAI II <br />UItC <br />SEC ,Opal <br />2 BUILDING PLANS <br />TOTAL <br />,3 3 <br />Uc <br />) FIRE 1/1 DRAM <br />4 TIRE PRO11C11ONSYSIIM <br />PERMIT VALIDATION <br />WHEN PROPLRLY VALIUAIEU (IN 11115 SPAC[I1111515 YOUR PERMIT <br />APPR FOR ISSUANCE HY <br />S GRADINGIMAVMION A CIE ARINGIGRUEIIHNG <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 HIAFIIIUISTRICI <br />APPt ICAI ION ACC BY <br />PLANS CHECKED BY <br />Y1;n <br />A <br />