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,R,EI„o,,,,, LICATION FOR �,.P.. <br />CM OF C ONSTRUCTION <br />everett PERMIT e <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA91`301 ❑COMBINATION 91BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNIR MAIL ADDRIIS CIIY ZIP PHONE <br />E4 A?w Oi1n'ureSE AEl"'t"I lwao5— 33cl- Y937 <br />ZIP <br />GIMBALCOONVO(TOR <br />MAR/�n 00R151,/ <br />M 00 <br />/�AZIP <br />PHONE <br />?py-LJ p7 <br />- �LICCENSSEII <br />/�� <br />T� LSO'"/7o <br />c/ <br />a%�Ot r /Jo/C //� <br />"/ONre-f <br />70�%Z <br />NRCHANI('At CONTRACTOR <br />MAII ADDRESS <br />(ITY <br />ZIP <br />PHONE <br />LICENSE <br />V• <br />CESE SMo <br />PIL-k%fR%l; ONTRA(TOR <br />MAIL ADDRESS <br />Off <br />ZIP <br />PHONE <br />LICENSEI <br />CI AN OF WORK <br />❑NEW ❑ADDITION ❑AITERATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑ BUILDING RELOCATION <br />\Al PAIR), OF WORK <br />I)1S(NIN Y ORA <br />v4. /off. <br />PROPOSIDLM Or OUR Owc ��p� 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />�� o�.. /- .cc� 1 .X—.S/T.A.ET/ PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />❑cnl Li Rlrs a PRDNBTY D WN xILOW OR Annnl rouR a)Pn sl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />7 3 /a r O of -� %Ty ry -f'- OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />ul xl DI OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />✓OI ti t GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />G < ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />MGNATURI OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />IIIH ADTINI\t [/ C '/ X 1-'R p�� / <br />v>r <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />W'ATIR CLOSET OOIIETI <br />AIR COND UNITS-IIP LA <br />BATHTUB <br />RI IRICI RATION UNITS -HP EA <br />I AVATORY(W'ASH HASIN) <br />HOILi RS-HP IA <br />SHOWIR <br />OAS IIRID AC UNITS -TONNAGE EA <br />KITCHEN SINK A DISP <br />IOR(1 O AIR SYSTEMS -B T U M EA <br />DISWASHER <br />\S'All HIATERS-HTU M <br />LAUNDRY TRAY <br />UNIT IIIAIIR1-HIU M <br />C LOTIII S W ASHI R <br />I %APORATIVI COOLERS <br />WATER HEATER <br />CIOTHIS DRYIR5 <br />—' <br />URINAL <br />VINIIIATION FAN <br />DRINKING IOLINIAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR IIANDLING UNIT- C F NA <br />VACUUM HRIAKI RS <br />SIOV1 <br />ROOF DRAINS -RAINI I ADIRS <br />SIIIAI IIRIPIACI it CHIMNEY <br />SINK (SE RVI(i - HAR I IC 1 <br />SUE TOTAL <br />SUBTOTAL <br />I <br />SUBMIT <br />S <br />PERMIT <br />I <br />TOTAL FEE <br />S <br />TOTAL FEE <br />I <br />SIDE YAROSITIISCK <br />STREET SETBACK <br />RIAR YARD St TRACK <br />PIAN(:IHCK NL,MIIIR <br />PLAN <br />Fit <br />CHECK E <br />RECEIPT NO <br />L/57OC.-:-G <br />U51 ZONE <br />101 ARIA <br />%A( ANT SI11 <br />FEES <br />VALUATION <br />FEE <br />TYPiNST <br />x) <br />OCCUPANN0 GROUP <br />)C' <br />NO OF DWIII N(. UNUS <br />1 <br />BURDING <br />SIZE OF HLDC <br />NO Of STORIES <br />MAX OCC IOAO <br />PLUMBING <br />FIRE ZONE <br />HAM ALL <br />111 URUON\ <br />TIRE REQU SPRRIIDKII RS <br />^YTS VNo <br />MECHANICAL <br />A"ROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PINAITY <br />UBC <br />slc wu+I <br />7 BUILDING PLANS <br />TOTAL <br />L (� <br />] FIR[ HYDRANT <br />+ FIRE PROTEC710N SYS TIM <br />PERMIT VALIDATION <br />WHEN PROM RE Y VALIDATED TIN THIS SPACE) THIS 15 YOUR <br />PERMIT <br />S GRAOINGII K(. AVATION A (it ARINGICRUHHINC <br />6 DRAINAGE <br />_ <br />7 ENVIRONMENTAL IMPACT STAIEMINT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED By <br />V. <br />APPR FOR ISSUANCE HY <br />91 79 <br />