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C <br />lE <br />the EwrpnBn APPLICATION FOP <br />CITY OF <br />everett ONPERMITTION <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 ❑COMBINATION <br />OWNER Q MAIL ADOF <br />ARCHITECT OR DISICNER MAIL ADDF <br />rBUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />GENERAL CONTRACTOR <br />AMR ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE IF <br />rr'i F£Ti ,6c .1�v.C' <br />SGtrr' �'F�"Ef1�F.v rv� <br />cclrGf/T 9�7� >ysj <br />716 i <br />l� <br />MICHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY lip <br />PHONE <br />LICENSE S <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSEE <br />CUSS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION gIRE PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION Of WORK <br />L 3954.00 <br />DESCRIBE WORK <br />i.'t/ tc-fi.>L�17/i%T7CE.E/ L�.t.71iFL% c=iC/cl <br />PROP;y USE DI BUILDING <br />t'4ifOrX-177//1 L <br />I HEREBY CERTIFY THAT I 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. 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 />SICNATUR ' CONTRACTOR OR AUTHORIZED AGENT DATE <br />y / <br />A _rli <br />LEGAL DISCRIPIION OF PROPERTY ISHOW'N BELOW OR ATTACH TOUR COPIES) <br />LOT RLOU of <br />9p1 HifT Add BLK 417 D-00 Lots 15 & <br />BLK 417 <br />ACCt # 4015-417-015-000 <br />1011 AOD0.I Si �C �L <br />�" // ivl C�� l.'��� Y/ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET HOLIE71 <br />AIR COND UNITS-H P EA <br />BATHIUB <br />RI FRIGERATION UNITS - HP EA <br />LAVATORY (WASH BASIN) <br />ILOILERS-H P [A <br />SHOWER <br />GAS FIRED AC UNITS -TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS -BTU MEA <br />DISWASIHR <br />WALL HLATERS—BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS-11I U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HF ATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS—RAINLEADERS <br />MI TAL FIREPLACE A CHIMNEY <br />SINK (SERVICE —BAR. FTC) <br />SUB TOTAL <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE Of CONST <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLOC <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />Tit[)R00%" <br />FIRE SPRINKLERS <br />REQUIRED <br />f1YFS F1NO <br />MLCHANICAL <br />- <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 L NVIRONMLNTAL CHECK LIST <br />PENALIY <br />U BC <br />SIC )03(a) <br />3 RDIL DInG PUNS <br />TOTAL <br />3 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED UN THIS SPACE) THIS 15 YOUR PERMIT <br />5 GRADINGII XCAVATION A CL t ARINGIGRUBBING <br />6 DRAINAGE <br />7 [NVIRONM[NTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC BV <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />9.1 79 <br />