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Kid <br />11 <br />Y <br />I! <br />APPLICATION FOR <br />CPYO`°�'" ZONSTRUCTION <br />everett PERMIT <br />DEPT Of COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2598745 <br />EVERETT. WA982O1 ❑COMBINATION XBUUDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OKhI A\All AUDNIU (III ZIP Ptl(Ihl <br />lean r" �L�arvn � � 6 £E 1 do <br />vt IOICT OR Ins'CNIq KUIL ADU SS CITY LP P O E <br />PIL)MRIhI;CONIRACTOR NIML ADDRISS CITY ZIP PHONE LICENSLI <br />CI US OF NORK ❑ ❑ <br />BUILDING RELOC/TION <br />NIW ❑ADDITION El At TF RATION ❑REPAIR ❑DEMOLITION ❑FENCE SIGN GARAGE <br />S'ML'Al1pN 1 NORv <br />f <br />DISCRMI W1141 <br />PRulRnnuol oI xlmI I HEREBY CERTIFY THAT 1 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 />tc AT DI)r TION DI PROPIRn ISIIOK 81 iO oR AT ACII IOUR COP' SI OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />rr�J ��E /-� 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 />r SI(:NATO I OF CON IP'CIOR OR AUTHORIZED AGENT DATE <br />Iox ADORE SS ^ <br />^ s f <br />MECHANICAL <br />PLUMBING <br />fFf <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE <br />AIR COND UNITS —HP [A <br />5S'ATER CLOSE I LIOI IF 71 T <br />W <br />RF FRICl RA710N UNITS -HP EA <br />BATHTUB <br />E10IIIRS-HP fA <br />t A\'AIORY (WASH flASINI <br />CAS WIRE D A C UNITS- 7(7NNAGE EA <br />SHOWER <br />I ORCFD AIR SYSif MS-tlill MIA <br />KITCHEN SINK MiMSr' <br />'A'ALI M AlIRS-tl T U M <br />DISWASHI R <br />UNIT llt All KS -BTU M <br />IAUNORYIRAY <br />COOIERS <br />CIOTHEVAPORATIVE <br />S WASHER <br />CLOTHES DRYERS <br />WATER Hf AIFR <br />WATER <br />Vl Nlit AIION IAN <br />URINAL <br />RANCF HOOD <br />AIR HANI1lINC. IINII- CEM <br />DRINKING i(IIINIAIN <br />HOOR DRAIN <br />SIOVI <br />VACUUM BRI AKE ITS <br />Nil IAA fIRF PI ACF &CHIMNEY <br />RIX)f DRAINS - RAINLUDI RS <br />SUB TOTAL & <br />SINK ISFRVICE-OAR TIC) <br />SUN TOTAL <br />►[RMIT i <br />PERMIT <br />S <br />TOTAL HE f <br />TOTAL EEE <br />• <br />PLAN CHECK FEE <br />PLAN CHICK NUMBERPLAN <br />y� RECEIPT NO. <br />MRD SE THACK STREET Sf TflACK REAR <br />YANf>S iB K <br />SIDE <br />5'ti;- 2oF <br />(^i(�JF <br />S'3 /� a a <br />USE ION[ LOT AREA <br />VACANT Sill <br />EEES <br />VALUATION <br />FEE <br />OYES ONO <br />TYPE Of (ONST OCCUPANCY GROUP NO <br />Of DWHIINC UNITS <br />-\Z- I K s <br />BUILDING <br />tit J7 <br />3 <br />�• <br />OC <br />SIZE Of HID(; NO OF STORIES <br />MAX OC.0 LUAU <br />PLUMBING <br />14- <br />Q <br />RIIn �.F 1 <br />3 <br />M[CHANICAL <br />EIRE ZONE BASEMENT HEDH)O,% <br />TIRE SPRINKILR5 <br />R�QUIRED� <br />IIYFS (f?FO <br />APPROVALS <br />RY DATE <br />OTHER <br />PfNAITY <br />UBC <br />SEC SEC Xllltl <br />I ENVIRONMENTAL CHECK LIST <br />2 BUILDING PUNS <br />TOUL <br />/QJ <br />L <br />) FIRE HYDRANT <br />1 IBIT PROTLCIION SYSTEM <br />PERMIT VALIDATION <br />µHEN PROPERLY VMIDATEU TIN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADING E XC AVAI ION& CI E ARINGICRURRING <br />6 DRAINAGE <br />7 FNVIRONMENTAL IMPACT STATEMENT <br />5 HIAOH DISTRICT <br />APPLICATIONACC BY PLANS CHECKED BY <br />APPR TOR ISSUANCE BY <br />6,b 11(1) <br />I <br />1 <br />'71 <br />Rr <br />91 79 <br />J <br />