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A&LICATION FOR �Y�nfl <br />LM EYwpnBB CITY Of CONSTRUCTION e <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259874S <br />EVERETT. WA 9B2D1 EICOMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />CIII 71r/q/PHONI <br />OWIIR NAII AOUN111 _ �� n� .� �i/IY✓/ /J� / 7 <br />q / MAII <br />ADDRI <br />nr 1 <br />nn <br />zlr 1 <br />Iln <br />if All <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />NE <br />\VPAIIM ri WORK <br />+ <br />of IC BAIT WORK <br />,(J 5r7;;f4 UNG Klanr� STaUE' <br />rMnroSIO1 Al Of Bull DING. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />VISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />I I O V OF SCRIPT ION OF TROPE R i I ISIIOA N RI LOW OR AT TAU+ 1 OUR COPII N <br />lot � RIO'K � OI <br />TOR ADDRI+A <br />-)iio t/; G11,JL) e <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />W'ATI R CLOSE I (FULL 1) <br />BAIIIIUS <br />1 AVAIORY ISVASII BAMNI <br />SHOWER <br />KIICIIIN SINK A IMP <br />DISWASHI9 <br />LAUNDRY IRA) <br />GI OF FIT S W ASIII R <br />1A'ATIR IIIAIIH <br />URINAL <br />DRINKING IOUNI AIN <br />FLOOR DRAIN <br />VACUUM FIRE AKE RS <br />ROOF DRAINS-RAINLI AIDE RS <br />SIhKSERVICI-BAR 1IC1 <br />I AND SE <br />TYPE Of CONSI <br />SIZE OF BLDG <br />FIRE ZONE <br />SUBTOTAL <br />PERMIT <br />IDEAL fit <br />STRIA SE IBA <br />LOT AREA <br />y <br />APPROVALS <br />I 1 NVIRONMENIAL CM KK LIST <br />2 BUILDING PLANS <br />1 FIRE HYDRANT <br />A FIRE PROUCTION SYSTEM <br />i GRADINGRKL AVAIIONAQIARINGIGRUBBING <br />b DRAINAGE <br />7 FNVIRONMINTAI IMPACT STATEMENT <br />B IIIA(III DISIRICI <br />APPLICATION ACC BV PI ANSCHIF KID RY APPR TOR ISSUANCE By <br />PRO <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..NNAA T/'yrt OF CONTIRACIOR OR AUTHORIZED AGENT DAIL <br />L <br />// - - //I 0 . -.1 ri_ o �- Ae) <br />L A' <br />F <br />EETYPE Of EQUIPMENT <br />COND UNITS -TIP IA <br />R.iRA11ON UNITS -HP LA <br />LIRS-HP LA <br />FIRED AC UNOS-TONNAGE IA <br />C 11) AIR SY'STEA15-BID MCA <br />IT TIAURS-BI J Mll 111 All RS-BTU MPORAIIVI COOLERS T III 5 DRY1 RSIB ATION FANh(A HOOD HAhpIING UNIT- C' F AIUVI IAI IIRIPUCI A CHIMNEY <br />TOTAL <br />IF <br />$'I AN CHICK Numv­ <br />Ill <br />VACANT $111 <br />❑Y6 CNO <br />NO OF DWEL <br />FEE <br />PLAN CHLI.K O L <br />o RECEIPT NO <br />fit <br />All OCC LOAD1'IUMBINC <br />IRE I[RS <br />IRID <br />EQUIREI1Y15 <br />WICHANIUL <br />F'.NOBY <br />ff3m,(.I <br />DATE <br />OTHER <br />PI':AIII <br />TOTAL <br />PERMIT VALIDATION <br />SPACEI THIS IS YOUR PERMIT <br />W IILN PROPERLY VALIDATED UN <br />THIS <br />-100 <br />9.1.79 <br />