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the TMEvoro�.A AP: LICATION FOR <br />everett CONSTRUCTION <br />PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />DWNIA MAl1 ADDRESS (Ii1 1111 Prlon( <br />/� /'y/ S e-ll' - /C �c ' �: •.0 ?b/ i <br />ARCHIII4I0RDItI1%jR MAIL ADOR15l (IIY 11P PHONE <br />",'AAI uivlAA' niK MAIL ADDRESS ( IA 71P PHONE IICL HS[ I <br />S71.Y.P f/c.7r 7HVI: i,•,Liri.} 5_}1 d�71 lr'vr •Y% 3Si-vet>)7'�-of -G/- Iva -,t <br />NICIIAVI(M CO•.IRA(Il1N MAIL DO RE 1111 ZIP PHONE LICENSE <br />MAIL AUDRI SS (I" ZIP PHONE LICENSE <br />❑NEW ❑ADDITION ❑ALIIRATION Gd REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />S M C V TUN 01 N'UxK <br />/e! <br />nla Ixl WORA <br />rRlnvlvnle of Bw(ulNl' <br />I HEREBY CERTIFY THAT I 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 />SIGNATURE Of (LINTRACIOR OR AUTHORIZED AGENT DATE <br />Ucv 111WRIPIION OF PROPIRD(SHOWN BELOW OR ATTACH FOUR COME M <br />LOT G-� BUYrK�oF •�� / �r <br />HIR AnnRlx <br />361.3 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOLIETI <br />AIR COND UNHS-HP IA <br />BATHTUB <br />RI FRIG[ RATION UNITS -HP 1A <br />1AVATORY(WASH BASIN) <br />HOMERS -HP EA <br />910W7 R <br />GAS FIRED AC UNITS-70NNAGE EA <br />KIICHIN SINK A DISP <br />IORCID AIR SYSTEMS -BTU MIA <br />DISWASHIR <br />WA[( (HATERS-HTU M <br />LAUNDRYIRA( <br />UNIT 141ATIR5-STU M <br />CLOT14I5 WASHER <br />IVAPORATIVE COOLERS <br />WATER Hf AIIR <br />CLOTHES DRYERS <br />URINAL <br />VI NIIIAI ION FAN <br />DRINKING FOUNTAIN <br />RAN,J HOOD <br />FLOOR DRAIN <br />AIR IIANDIING UNIT- CFM <br />VACUUM FIRE AKE ITS <br />S10VI <br />ROOF DRAINS-RAINIIAOIRS <br />MI TAI III A CHIMNEY <br />SINK DfRVICI-BAR TIC) <br />SUB TOTAL <br />SUB TOTAL It <br />PERMIT <br />IF <br />PERMIT { <br />_ <br />TOTAL FEE <br />If <br />TOTAL FEE { <br />SIDE YARD 517B.ACK <br />SERIF 7 SE TRACK <br />REAR YARD 517BACK <br />PLAN CHI CK NUMBER <br />PLAN CHECK FEE <br />Fit RECEIPT NO <br />USF ZONE <br />IOT AREA <br />VACANT SIT[ <br />EYES CHO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWI I I ING UNITS <br />BUBDING <br />f <br />SIZE Of HLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />111 URIIOSIS <br />FIRE SPRINKLERS <br />REQUIRED <br />F]YIS RNO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONM4N7AL0HECK LIST <br />PI NAVY <br />UBC <br />SIC SEC 1011A1 <br />l BUII DIVG PLANS <br />TOTAL <br />1 FIRE HYDRANT <br />A FIRE PROTE(TIONSYSIFM <br />PERMIT VALIDATION <br />WHEN PKOPIRLY VALIDAI(D (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 CRAOINC•11 IT AVM ION A CI I ARINGIGRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />R HE At TH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />9 1 79 <br />