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APPLICATION FOR PYPF TT <br />TAT Ewrpreen CITY OF CONSTRUCTION <br />everett PERMIT <br />DIET OF-COnIAIUNITYDE`:ELOPMENTSERVICES <br />CITY FIAT 25911735 <br />EVLRITI.W'A9B2U1 ❑COMBINATION BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />70.1k ./,�• AIAN AUTAINS ull nP Pnu <br />4 l G S(4i�il L00 .C) ARC1 1 '1 HR ❑I%K6N1 it _ 0= ZIP PHONE <br />MAIL <br />%iICIIAMIAL(0NIXACI0I1 MAIL ADDNISS CIR ZIP PHONE LICINSIF <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />ww+nDN DI auxA m0 <br />1 5 S n - <br />DI SCRIM NHMA — <br />YROIYISIU I 1 0l uuulnG _ - <br />KAI DISM.- T)N I %�'iRn r pnow TKuoa Hx MI w IUUR 'ornIF <br />x7_z -' U <br />lol�_unnA OC J-w <br />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 />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. Till. 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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />IUN AIII1xl11 1517 <br />PLUMBING <br />MECHAN L <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />LY At I R CI OSI I 001 It II <br />AIRCOND UNITS-111' LA <br />HAMMEL <br />9FIRIGIRAIIONUNIII-HP IA <br />LAL'AIORY HS'ASHBASIN) <br />IIOIIf RS-11P IA <br />SHORIR <br />GAS IINfU AC UNITS-IONINAGI IA <br />KII(IHNSINK A DISP <br />FORCED AIR SYSIIMS-N TU Al EA <br />❑ISWASHIR <br />WAIT III AIINS-IIIU AI <br />LAUNDRY IHAY <br />IINII III All XS-IIIU At <br />(101111 S LS'ASHI R <br />I A'APORAI IVI I OOI I KS <br />_ <br />RAIIH IDAIIN <br />(101HIS HRYIRS <br />URINAL <br />VI N I IT A11HN I AN <br />DRINKING 101INIAIN <br />RANGE 11001) <br />I LOOK DRAIN <br />AIR HANOIING UNIT- Cf AI <br />VACUUM HILL AM HIS <br />SIOY'L <br />HOOF DRAINS-RAIN[I AM HIS <br />A11IAL HRIPIACI & CHIMNEY <br />SINK IS1 RVICE -BAR. 1 IC I <br />SUB TOTAL <br />sue TOTAL f <br />PERMIT <br />1 <br />PERMIT f <br />TOTAL III <br />f <br />TOTAL Fit 1 <br />SPOT 1•RH SI IBMK <br />SIRIf7 SETBACK <br />RIAR YARD $I IIIA(A <br />I'lAN CHICK rvU.A10lN <br />PLAN <br />fit <br />CHECK lff <br />HILL BE NO <br />USI 101.1 <br />LOT ARIA <br />A'At ANT Sill <br />[ISIS Iirv(1 <br />TIES <br />VAIUATION <br />Ill <br />TYPE OF (ONSI <br />OCCUPANCY CROUP <br />NO 01 UWIII ING UNITS <br />I11111 UING <br />S <br />SIZE OF I1IDL <br />NO OF STORIES <br />MAK OCC TOAD <br />III UMIIING <br />FIRE ZONE <br />B&SIMINT <br />III HROV%JS <br />FIRE SPRINKIIRS <br />REQUIRID <br />IY1S FIND <br />MICIIANICAI <br />3 <br />APPROVALS <br />BY <br />DATE <br />0111IR <br />1 INVIRONMINTALCIHCK LIST <br />PINALIY <br />UBC <br />SIC 1011a) <br />2 IIUII DING Pl&NS <br />TOTAL <br />1 fill[ HYDRANT <br />A FINE PR(HICIIONSYSTIM <br />S GRADING I &1 AV A11ON A CI I ARINGIGRUHIIING <br />PERMIT VAIIDATION <br />LVIILN PROPERTY VAIIDATID FIN THIS SPACE)THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7 INVIRONMINTAI IMPACT STATIMENT <br />e I IIAITHOISIRICI <br />APNICAIH)NACC BY <br />s�_G <br />PLANSCHLCKIDBY <br />APPR FOR ISSUANCTHY <br />1,16 <br />91 119 <br />