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APPLICATION FOP <br />FANT OMIT OF <br />'"' CONSTRUCTION e <br />everett PERMIT <br />DFPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.87/5 i <br />EVERFTT.WA98201 000MBINATION CrRUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNU "AEI ADORISS Olt LIP PHONE <br />C7nv Py 73r x /_SbY� —..e • •11 76A1� z,SL- 3� l4- <br />ARCIUHCI RDISIGNIV MAIL ADDRISS CITY LIP PHO <br />Y {119 Rlf Ale4-,5 ,e,e3 /iASZ/ HAy 19 G� P%W d l'R P i �'743 t555 — <br />N <br />CINIRAI rnNIRAUDR MAIL ADDRISS OIY ZIP rHo ---- - LIC11,51I <br />S/nu C .0 <br />ICAI CONIRACTOR <br />/--'rr-1 <br />I <br />PLO SIRING CONTRACTOR MAIL ADDRISS (III LIP 1,14011 LICENSE# <br />LI+E�AN� US WORK <br />2NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DE MOLE ION ❑F[. NCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OI NORR <br />S 0e, cv v <br />DISEKIRI WORK <br />fir, v(ooI V, /Lb ' Pole bA/. leer.rg <br />PROPOSI0 ust Of Ru1101N15 <br />Lv/vC A -r L•7 G- <br />I HEREBY CERTIFY THAT 1 HAVE READ 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 CANCEL THE PROVISIONS OF <br />ANY 01 HER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURF OF CONTRACTOR OR AUIHORIZFD AGENT DATE <br />/ <br />X . 1 <br />L IGAI OESOLIPTION OI PROPIRT,(SHOWN BELOW OR ATTACH IOUR corn $l <br />LOT _BLOLK_Of _ <br />/QrsV <br />ION ADDRISS 201 <br />w <br />LL Rr.hL r �/[:C 9F%ZnH <br />►LUMBING NIAC <br />MECHANICAL <br />NO. <br />TYPE Of FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOLIE II <br />AIR COND UNITS —HP FA <br />BATHTUB <br />REIRIGERA1ION UNITS—HP[A <br />_ <br />LAVATORY (WASH BASIN) <br />BOILERS —HP EA <br />SHOWER <br />CAS FIRED AC UNITS —TONNAGE [A <br />KITCHEN SINK 6 DISP <br />IORC( I) AIR SYSI(MS-9I U VIA <br />DISWASHIR <br />WALL H[AIIRS—BTU M <br />LAUNDRYIRAY <br />UNIT IIEAIIRS—BIU AS <br />CLOTHES WASHER <br />FVAPORAIIVI COOLERS <br />WATER NEATER <br />CIOTIII5 DRY[R: <br />URINAL <br />VI NI ILA) ION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C F AT <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS —RAINIIADERS <br />METAL FIREPLACE & CHI-AN[Y <br />SINK (SERVICI —BAR, ETC) <br />SUE TOTAL <br />SUE TOTAL S <br />PERMIT <br />IF <br />►fRMIT S <br />TOTAL TIE <br />S <br />TOTAL FIT f <br />SIDE YARD SETBACK <br />S/ <br />STREET SETBACK <br />REAR VARO SETBACK <br />/G / <br />PLANCIIICKNIMIIIR <br />PLAN <br />FFI 1^. 3 2j <br />CHICK FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACA <br />❑Y[SNT Sit <br />iffy <br />VALUATION <br />HE <br />rJl l,j( ( 1 I )( b.at.� <br />TYPE Of CONST <br />—0 <br />OCCUPANCY CROUP <br />L <br />NO OF DWELLING UNITS <br />HUIIDING <br />512E Of BLDG <br />�00(:.> <br />NO OF STORIES <br />( <br />MAX OCC LOAD <br />/0 <br />PLUMLING <br />FIRE ZONE <br />BASEMENT <br />III I)ROOAIS <br />�— <br />FIRE SPRINKLERS <br />RIQUIRID <br />IIYFS ( O <br />MIOIANICAI <br />--- <br />APPROVALS <br />BY <br />DATE <br />OIHIR �) ��, I •. I' II <br />' I <br />r <br />1 ENVIRONMENTAL CHICK LIST <br />PfNAl7V <br />UBC <br />SEC TORA) <br />Z BUILDING PUNS <br />TOTAL <br />S FIRE HYDRANT <br />R FIRE PROTECTION SYSTfM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PLHMIT <br />5 GRADINGA XC'AVAI ION& CL I AR INGIGRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />6 HEALTH DISTRICT <br />APPL ICA I)ON ACC BY <br />PLANS CHECKED BY <br />Jam. <br />APPLE IOR ISSUANCE BY <br />I <br />