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APPLICATION FOR <br />the Emtgmn <br />CM OF <br />ZONSTRUCTION <br />everett <br />PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 [COMBINATION <br />❑ BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />(3NER <br />11MI Auneu+ u1M ITT, <br />rIMONE <br />S,,,I�,a <br />�•E„L1rE1 /aD/AitNsR�418inc �uEBEn i <br />2aTi �i3'��i <br />ARCHITECT OR uE51<.MR <br />CN1�rriC�Af/�J�7 <br />nuu umxlm (.m zIr <br />�ncR/v <br />PHONE <br />i((�tE'tilFi/e �cl/b)P�rr <br />2SYef - 1' C <br />I:I NIR/A.,L,I,UITRAI TOR � `1 <br />7/iE <br />�K+rr �)-ESSll,\ <br />j <br />LIC11.1-3rzc <br />_�7/"AL.i`s41ALl fft�<' <br />aAr `�'A/ r /AJRG ;)6 VLF/JG/ Wa ciCl�,{�y 1�N-if <br />-rNL� `C�1--�1,�ONE <br />a / J <br />AMICHANICALCONIRACIOR <br />Y <br />%IAIC ADDRESS CI71 /IP <br />PHONE LICENSE <br />Pll'MRI%l CONTRACTOR <br />MAIL ADDRESS CIl1 lie <br />rllONl LICENSE <br />latioc,E/s QLuin�,/G <br />4v /yJAitil Sr. YI7a1Ar- 1.l�72An1� gfd73 <br />3' _9iz/ <br />CLASS OI 1ADRK <br />❑NEW ❑ADDITION ®ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />' 24. 530 CIO <br />DESCRIBEWO K <br />K�t�cillas. la.,/�t.(.,5 <br />1 <br />..L Pf;/n•1f/7 G <br />PROPOSED USE OI BUIIUrvC <br />!`w e, <br />I HEREBY CERTIFY THAT 1 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 />SIC NAT UR[ f CONTR .TO OR AUTHORIZED AGENT DATE <br />C/ <br />.Y �' L7'O z <br />LE GAL DISC FEET ION OF PROM R I Y(SHOWN BE LOW OR AT T ACE/ I OUR CONE $I <br />L07 BLOCK 01 <br />J `�- i I <br />108 ADDRESS < / / <br />NO � c J I .l.t1UAi •�c � K ` CIE.' <br />PLUMBING <br />_ <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />SS All R I IOSI 7(TOE IF II <br />2 <br />00 <br />AIR CONE) UN17S-HP EA <br />HATHIUB <br />REFRIG[RAIION UNITS —HP LA <br />I AVATORY'(WASH BASINI <br />AL? <br />HOILERS-HPFA <br />SHOWER <br />GAS FIREDAC UNITS-70NNACE EA <br />KITCHEN SINK A DISP <br />IORCLD AIR SYSTEMS-D T U M EA <br />DISWASHIR <br />WALL HEAII RS-BTU M <br />LAUNDRI IRAY <br />UNIT WATERS-RTU .M <br />CI OTHI S WASHER <br />1 VAPORATIVE COOLERS <br />SCA I I R HI A 71 R <br />CLOTHES DRYERS <br />URINAL <br />/ <br />VENTILATION MN <br />7 <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />I IOOR DRAIN <br />AIR EIAN H ING UNIT- C F M <br />VACUUM FIRE AKE R) <br />STOVE <br />ROOF DRAINS-RAIMIADIRS <br />SUTAI FIRIPLACI &CHIMNEY <br />SINK (SERVICE -BAR, ITT 1 <br />SUB TOTAL <br />- <br />E <br />SUB TOTAL 3 <br />PERMIT <br />3 <br />- <br />PERMIT IT <br />TOTAL FEE <br />3 <br />) <br />TOTAL FEE S <br />3 <br />a. <br />5ID[ 1ARD �V It ACK <br />�/� <br />SERIF 1 SIT 1M K <br />RE AR YARS1711M K <br />PLAN CHECK NUMBER <br />1 / 0 $6 / <br />PLAN <br />ILI € j <br />IF <br />CHECK FEE <br />RECEIPT NO <br />.y-F l/oF <br />USE ZONL <br />A <br />LOT ARIA <br />VIA <br />VACANT SITE <br />ONES 47M0 <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />1 HP, <br />OCCUPANCY GROUP <br />Fez <br />NO OF DWELLING UNITS27- <br />BUILDING <br />,j /� <br />S2Y`3:�r- <br />76) <br />SIZE OF BLDG <br />-- <br />NO OF STORIES <br />-- <br />MAX DEC LOAD <br />�- <br />PLUMBING <br />Cz <br />FIRE ZONE <br />.-_ <br />BASEMENT <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />EYES lko <br />MECHANICAL <br />APPROVALS <br />BI <br />DATE <br />OTHER <br />1 ENVIRONMFNTALCHECK LIST <br />PENALTY <br />L1ITT C <br />SEC 103(a) <br />Z BUILDING PUNS <br />TOTAL <br />/ 7 / <br />J <br />3 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDA710N <br />WHLN PROPERLY VALIDATED (IN THIS SPACE) THIS IS TOUR PERMIT <br />S GRADINCIf %CAVATIONB CIE ARINCdGRUlllllh'(l <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKI U M <br />APPR FOR ISSUANCE BY <br />1 <br />m <br />9-1 79 <br />