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r. I <br />'7 1 <br />th.EN.ro1,.1 APPLICATION FOR <br />CITY OF CONSTRUCTIO1, e <br />everett PERMIT <br />DEPT OF COMMU14ITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVEREI T, WA 98201 ❑COMBINATION BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />�ypR MUI ADITNISS CITY 71P PHONE <br />H•�.�PMs%ECJ��r%rer(�t�/JA., %4)-Aox2-99 r/ 9Fd0(o ;?59-Gor3 <br />ARCHITECT OR DISIGNIR 7 MAQ AUDRISS CITY ZIP PHONI <br />1 PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br />L <br />CLASS OF WORK Ry <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR VE)t MOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION Of WORK L <br />F <br />yDISCRI BI WORK r/�� <br />/POR 6C0 tJ zzrj 4v.,Ff a OwftwjSeA — �r.4 IF r w JNI.E a.EC.1 o7TT�f <br />PROPOSLD USE Of HOLDING <br />X <br />I HI.REBY 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 PERFORMA CE OF CONSTRUCTION. ,,,/// <br />SIGNAI/LITH OF CON AC OR AI OR AUTHORIZED AGENT DATE <br />X / '� - ' <br />X 4, <br />FECAL DESCRIPTION Of PROPIRTY (SHOWN BELOW OR ATIAOnOUR COPIES) <br />13 Iy 1 S ✓. OI rNB144 Di E✓«C%r <br />I OT,1_bFOYK_1(2 <br />_ <br />+OR ADDRESS //�� //� L o�P f <br />`1L31 6S YPfP((�1.- I�CC�r<n7t.< <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE Of FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WAIIRCLOSITHOIIET) <br />AIRCOND UNITS —HP EA <br />BATHTUB <br />RLFRIGERAHONUNITS—HP EA <br />IAVATORY(WASH BASIN) <br />BOILERS —HP EA <br />SHOWER <br />GAS FIRED AC UNITS —TONNAGE EA <br />KIICHIN SINK A DISP <br />FORCED AIR SYSTEMS-8 T U M EA <br />DISWASHER <br />WALL HIAHLI I M <br />LAUNDRY TRAY <br />UNIT HIAIERS—BTU M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HI ATI R <br />CLOTHES DRYERS <br />ORIN _ <br />VINTILATIONFAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS—RAINL I AD[ ITS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE —BAR. EIC I <br />SUB TJTAL <br />SUB TOTAL IF <br />PERMIT <br />S1 <br />PERMIT b <br />i <br />TOTAL Fit <br />S <br />I <br />I <br />TOTAL FEE b <br />SIDE YARD SETBACK <br />SERIF T SETBACK <br />REAP. YARD St TBACK <br />PLAN CHI CI( NUMBER <br />PLAN <br />Ell <br />CHECK FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />ONO <br />FS <br />fits <br />VALUATION <br />it[ <br />TYPE OF CONSI <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />T <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX OCC LOAD <br />PI UMBING <br />FIRE ZONE <br />BASEMENT <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES LINO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OIHIR <br />1 ENVIRONMENTAL CHECK JST <br />PENALTY <br />URC <br />SEC 30AA) <br />Z BUIIDINI; PLANS <br />TOTAL <br />3 TIRE HYDRANT <br />A FIR) PROTECTION SYSTEM <br />S GRADING) XCAVATION A CI EARINGIGRUBBING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT <br />M DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMCNT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />F <br />9179 <br />