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APPLICATION FOR everelt <br />"nO'° '" ZONSTRUCTION <br />everett PERMIT A <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-6745 <br />EVERETT WA9B2l)1 94COMBINATICIN ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />'3WNLR MAn Al)D""N Cnl lip O. F <br />�l-1AnN12 Jo"Aas -3��Y l/lraa!Ay(AtJA. �� L� 9f«1 25 ??-? <br />.Pn.mrT nx nrtlrNx MAIL ALIIIMSg DS lip PHONE <br />GENERAL CONTRA( FOR <br />MIAIL ADDRESS <br />CIl\ <br />11P <br />PHONE <br />LICENSE P <br />lam/ <br />MECHANICAL CONE RACIOK <br />MAIL ADDRESS <br />COS <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTO0. MAIL ADDRESS EJI, 111' PHONE LICENSE <br />❑NEW ^❑ADDITION COALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />I 1 ovo <br />DESCRIBE SSORK I-twW— SPA- PAa •.+v r • ^^ . .•- +� -� • - - - I <br />. �.� ��._.I�i-PS P. 11m, uJBea.✓ Gv�1/�F u1lT �- SIAtI VaA <br />4W$Imiw PX _ _ __ <br />-__ _ <br />__ <br />PROPOSED USI OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />2154fsxllk <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />II GAL DISCRIPTJON Of PROPIRIY (SHOWN HILOW OP AITArD 19CR <br />Qr'IIV <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />` 1 <br />BLOCK :'_ Of r �� <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT.` <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONT� OR AU ORI4Ej7 AGENT DATE <br />JOB ADORE" <br />3cfz4 7-oer&44 <br />x <br />PLUMBING <br />MECHA CAl <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />WATER CLOSET(JOLIET) <br />AIR COND UNITS -HP IA <br />REFRIGERATION UNITS-H P EA <br />BA111TUB <br />EM'ATORV (WASH BASIN) <br />VOILE R$-II P U <br />GAS FIRED AC UNITS -TONNAGE EA <br />SHOWER <br />FORCED AIR SYSTEMS-B T U M EA <br />KITCHI N SINK J dW <br />N'ALL Ht ATERS-H T U Al <br />1'X <br />DIS\VASMLR <br />UNIT HEATERS-B I FI M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES W'b111 R <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE MOOD <br />BOOR GRAIN <br />AIR HANDLING UNIT- C f AT <br />VACUUM BREAKERS <br />SIOVE <br />RGOF DRAINS-RAINLEADE RS <br />METAI FIRE PI ALL A CHIMNEY <br />SINK (SERVICE —BAR. 11C I <br />SUB TOTAL <br />SUB TOTAL S <br />S� <br />PERMIT S <br />PERMIT <br />S <br />TOTAL FEE <br />S <br />TOTAL FIT B <br />SIDI 1' ARO SI TRACK <br />SIRICT SE TRACK <br />RIAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE I <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />OYES ONO <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />I <br />(� <br />SIZE OF FLOG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />I IRE ZONE <br />BAS MENT <br />IUDRE1DA15 <br />FIRE SPRREQUIRED <br />MICIIANICAI <br />hit <br />SD <br />',1YI5 ❑NO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTALCHICK LIST <br />PENALTY <br />UBC <br />SIC JDAa) <br />TOTAL <br />!� <br />V <br />2 BUILDING PLANS <br />-- <br />J FIRE HYDRANT <br />_ <br />a FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />5 CRADINrAXCAVATIONA CLEAR INGIGRI I BRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATIO7ACCBY <br />PLANS CHECKED FY <br />APPH I OR ISSUANCE BY <br />L.0 <br />7 <br />I <br />91-79 <br />