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-PPLICATION FOR <br />cm d °"' `iONSTRUCTION <br />everett PERMIT e <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL VJ"77*- 2.5; y ^ •g700 <br />EVERETT, WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ;gRLUMBING PERMIT NO. _ <br />OWNER G O NeI O i" S COS ZIP PHONE <br />50000 MkQ14 Cz0N't`E_ CZQ4T- Heu.f,IrBLDC.- srHFLl� c�vreT/�fe7^'IS <br />ARCHTICT OR DISIGNER MAIL ADDII55 CITY ZIP PIIONF 2ay2 2193 <br />CaA44 PA4KI►3Son1 RgQAj-tec 28►z CVLtL( AV c1iPp -',T WR 9Q2%�!1 <br />GENERAL CONTRACTOR MAIL AUURESS CIh ZIP PHONE 43z,63i4cE I I a <br />&OROor') V-e�ss Pox Y.6*1 S15;4'Trur— Wig, 90 (z2e <br />MICHANICAI CONTRACTOR MAIL ADDRESS I:I1Y ZIP PHONE <br />W/kSl (I�-16T0 J kECl�f�+��CfK r 3t300 %ACIPIL (I 'Y soLCf <br />PLUMBING CONTRACTOR MAIL AnDRISS CITY ZIP PHONE LICENSE OF <br />_ SA¢te /�S 4tEc-(Mr�lc cc�,�T _w�slaS�LC ZZ3-ol-wl�-SH(-�irr <br />CI AS5 OF WORK C Z?7 CLQ <br />❑NEW ❑ADDITION ALTERATION ❑RIPA IR ❑DEMOLITION ❑F[NCF ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OI KORK <br />,... DLSCRIM WOR O Z Ll1-I aQ/ A I %_ L- I X 'ra 14.Y �� — !' -LTC G_ 1lA - o LAN ec5' cN4wbE °'<K-)Rn¢'4- <br />PRUPOSIU 15101 RUB VING <br />C-oUtr-7 LI, <br />IEGA'. Of SCRIPTION OI PROTE RIY ISHOWN BI IIIN OR AI TAaI TOUR LN'O SI <br />LOT __BLOCK_ OF <br />�E <br />is R -��C�i EaO L <br />I HERBY CERTIFYTHAT I HAVE READ FIND EXAMINED THIS AP, <br />PLICATION AND KNOW THE SAME TO OE 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 CONSIRU .TION. <br />SIGNATURE OF( NIRACTO R AUTHOFI7 ACENT DATE <br />X <br />Q /-J <br />YOB AOORlSt/Z�L�9d <br />oUo RoC !c E-�AFiG /1 LIE�� <br />PLUMSING <br />MECHANIC <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />WATER CLOSE I IIOLIE IT <br />AIR CONU UNIIS—HP [A <br />BATHTUB <br />RFIRIG[RAIIONUNITS—HP EA <br />LAVATORY (WASH If ASINI <br />O <br />BULL RS —TI P [A <br />1 <br />SHOWER <br />GAS FIRED AC LINT 15-IONNAGE FA <br />1 <br />KITCHEN SINK & DM' <br />IORCID AIR SY511.MS-111 I U M EA <br />I E <br />DISN'ASH1/ <br />W'-AII HEATERS -IIIU M <br />LAUNDRY TRAI <br />'UNIT IILAIJRS-B i U M <br />�1 <br />CLOTHES WA514ER <br />EVAPORAIIV[ COUIERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />L <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C F AS <br />VACUUM BREAKERS <br />SIG'- <br />I7 <br />ROOF ORMNS-RAINLIADERS <br />%if 1AL FIREPLACE 6 CHIMNEY <br />SINK ISFRVICL-PAR. 1 IC 1 <br />Will1'DEAL <br />STIR TOTAL f <br />P[I•M17 <br />{ <br />Ity <br />PERMIT IS <br />TOT+I FF[ <br />f <br />TOTAL 1Et� f <br />SIDE YARD SETBACK <br />STREET S[TI. ACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBIR <br />PLAN <br />1'EE <br />CHECK FEE <br />RFCEI:i �O <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />F1Yf5 LINOFEES <br />VALUATION <br />_ FEE <br />_ <br />TYPE OF CONST <br />OCCUPANCY CROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />5 <br />SIZE OF BLOG <br />NO OF STORIES <br />AIAX OCC LOAD <br />PLUMBING <br />20 <br />/�J// <br />l <br />FIRE ZONE <br />BASE bIF NI <br />III URUGMS <br />REQUIRED RIDKIIRS <br />FlYFS LINO <br />nH CIIANICAI <br />APPROVALS <br />/y <br />DATE <br />GETTER <br />1 ENVIRONAIINTAL CHECK LIST <br />FkNAl1Y <br />UBC <br />SEC 5B5(a) <br />2 BUILDING PLANS <br />TOTAL <br />5 FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />fT � I�11 IIIU � u 1E1 <br />I-f0 Ill I D� <br />. J , ) iqis <br />_RETT BUILDING DEPT. <br />5 GRADINCIE XC'AVAT ION& C L E AR INGIGRUBBIN(1 <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />/. HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE By <br />9.1.79 <br />