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r <br />L <br />IT EYBIfl,BBR A'O N S T R UOC T I O NR <br />C <br />CITY OF <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 25"745 <br />EVERETT, WA98201 COMBINATION ® BUILDING ❑MECHANICAL <br />)WYIR AIM) AIIDRf%% tll, <br />49err rulpg-9— y7/8 /y%aiy/a�rii�ite, Cye•>< <br />ARCHIH( I.lR )JSjI:MR MAIL AUDRISS 'lil <br />❑PLUMBING PERMIT NO. <br />lIR <br />�• 9�za3 t.� y_6zz/ <br />0 <br />everett <br />I� <br />—"'•11"111— — <br />MAN AWRIS5 <br />IIIY !II' PHONE <br />LICENSEE <br />ME CHANT( It 1"RRACIOu <br />MAIL AODRJSl <br />IIIY /IP PHONE <br />LICENSE <br />(IVY <br />PHONE <br />I <br />I LASS Of YWRK <br />❑NEW ❑ADDITION ❑ALTERATION XREPAIR ❑DE MOI.IT ION ❑FENCE ❑SIC J ❑GARAGE ❑BUILDING RELOCATION <br />(vl Alv v, i,l Nei«I. <br />G�2�•ce <br />I1fT17711 KII11 Pi1F 1. // // <br />FCQ�.I lr ��.'tto Go Ja✓ 4nYr� ¢I.LC Ic.SQ r.Jt-i{1 q ia5j <br />rxl muuD LSI ul nuu Dlnl' <br />Grt2N �tor.�.� <br />I HEREBY CERTIFY THAT I HAVE REACT AND EXAMINED THIS AR <br />PLICATION AND KNOW THE SAME TO UE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI5 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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGNT DATE <br />A <br />x <br />O GAI DISOUPUON pi PRorIRT, nHOAN BDON OR AHA)IpUR coin sl <br />n _G�GI.S.� <br />Iua� I(x:A /Si of <br />pAI nUpul St <br />u7l _ L <br />PLUMBING IF <br />MECHANICA <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />W'ATI R CLOSE I I lot 111) <br />AIR IOND E1NI7$-H1• IA <br />BAIHIUB <br />PEIRIGERATIONUNIil-111' IA <br />I AVAIORY(WASH HASINI <br />IIOILLRS-LIP EA <br />SHOWER <br />GAS FIRED AC UNITS-10NNACI EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS-B T U MIA <br />OISWASHIR <br />WAIL H[AIIRS-BTU M <br />LAUNDRY TRAY <br />UNIT HLAURS-BTU M <br />(IOIIIIS WASIILR <br />EVAPORATIVE COOLERS <br />WAUR HIATIR <br />CLOTHISDRYFRS <br />URINAL <br />VI NTH ATION TAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />I IOOR DRAIN <br />AIR HANDLING UNIT-C 1 A( <br />VACUUM [IRE AKERS <br />SIOVf <br />ROOF DRAINS -RAIN) [ MH RS <br />MI T AL FIRE FILM E A CHIMN[ Y <br />SINK ISI RVICI - FEAR III I <br />SUR TOTAL <br />SUB TOTAL I <br />PIRMII S <br />PERMIT y <br />IOTA[ it[ 3 <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />SIRE I I .I I ❑ V 1. <br />RI All LARD SI THAI K <br />PLAN CHECK NUMBER <br />PLAN <br />It[ <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT ARE a <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE Of CONSt <br />OCCUPANCI GROUP <br />NO OF DWELLING UNITS <br />IIUIIDING <br />SIZE OF BIDG <br />NO Of STORIES <br />MAX OCC LOAD <br />PLUMBING <br />1IRE ZONE <br />BASEMENT <br />BI OROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />')YTS ETNO <br />MICHANICAI <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMINTALCHU1, LIST <br />NAL7Y <br />LIIC <br />SIC fII VAI <br />4q17 <br />Z BUILDING PLANS <br />I FIRE HYDRANT <br />TOTAL <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADING4%CAVAIIONA CLIARINGiGRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />9.179 <br />