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TAB Emrawn A. PLICATION FOR <br />CITY OF CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT WA 98201'COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />I.VV111 J] <br />MAIL <br />CI AYS Of IYORK E�7 <br />[]NEW ❑ADDITION [p ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE. ❑SIGN ❑GARAGE 1113UII. DING RELOCATION <br />S AWAIION 01 WORK <br />yOD 000 <br />III YI FIIRE 1\D tT�� f� 1 <br />\�uVE�EU' riEn(- Cr3L9rmtiN T'Y-IYA FYAP\ IM ZS51oL'� L7 L,, I,F/...,.- <br />PROPOst I'sl or BUILDING <br />S C'-Lr oyk C LA r� avhs <br />I HE CERTIFY THAT 114AVE 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. TITF 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 />HCAI DISCRIPIIONOI PROPERIYISIIOWNRILO%VORAITACIIIOURCOPIL51 <br />Lot _ BLOCK —Of _ <br />//J <br />IIIP�DR1 �� C CE70 ! '.�l/.9 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />[) <br />W AT I R CLOSE T IIOHF II <br />Od <br />-' <br />AIR CONE) UNITS-111' EA <br />L <br />BAIHTUB <br />K <br />RIIRIGERATION UNITS -HP EA <br />i ) <br />IAVATORY (W'ASH BASINI <br />&) <br />BOUIRS-HP EA <br />x <br />SHOW I <br />GAS IIRIO AC UNITS -TONNAGE EA <br />' <br />KI T(HtN SINK A DISP <br />pZj <br />I <br />IORCI0 AIR SYSTEMS-8 T U MIA <br />,r <br />DISWASHIR <br />] <br />W'ALI HIAIERS-BTU M <br />,C <br />IAUNORS TRAY <br />p <br />UNII IIIAllRS -ITIU M <br />t• <br />CIOTDIS WV SHER <br />x <br />I% APORATIVE COO[ TIES <br />-1 <br />WAFER MAIER <br />k <br />Cl 011lt5 DRYERS <br />URINAL <br />2 <br />015 <br />\'I NIILAiION FAN <br />/ <br />DRINKING FOUNTAIN <br />BQ <br />r <br />RANGE HOOD <br />11 OOR DRAIN <br />' <br />AIR HANDLING UNII- C F M <br />VACUUM FIRE AKIRS <br />�•� <br />Simi <br />�. <br />ROOF DRAINS - RAINLI AD[ ITS <br />MITAI IIRIPLACE A CHIMNEY <br />SINK ISI RVIC( -BAR. 1117 1 <br />SUB TOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />(Q <br />TOTALFEE E <br />I <br />SIDE YARD SI TIIACK <br />STRI 11 SE TnM K <br />REAR YARD St TRACK <br />$_ <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />Elf -RECEIPT NO <br />y , '�7 <br />USE ZONE <br />LOT ARIA <br />VACANT SITE <br />DYES ONO <br />{TES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />1 rR <br />OCCUPANCY RGROUP <br />8) Z <br />NO OF DWELLING UNITS <br />BUILDING <br />S ea <br />�� <br />SIZE OF BLDG <br />mom"—''ne" <br />NO OF STORIES <br />R6moprL I FLR <br />MAX OCC LOAD <br />NUMBING <br />cc <br />TIRE ZONE <br />BASEMENT <br />I N{UROOMS <br />FIRE SPRINKLERS <br />RFQUIR[D_ <br />DYES -E?NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 [NVIRONM[NTAL CHICK LIST <br />PENALTY <br />U LF <br />SEC 103W <br />7 BUILDING PLANS <br />TOTAL <br />d �9 <br />_ <br />1 TIRE HYDRANT <br />R FIRE PROTICTIONSYSUM <br />PERMIT VALIDATION <br />WHO, PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT <br />S GRADINGII KC.AVAI ION A CIE ARINGIGRUBBING <br />6 DRAINAGE <br />7 [NVIRONMENTAL IMPACT STATEMENT <br />8 H[ALIH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />ri"iAi-, <br />APPR FOR ISSUANCI BY <br />3 <br />91.79 <br />