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FAB EntyrBBrI APPLICATION FOR <br />CITY OF <br />ZONE R UCTIONe <br />everett � <br />DEPT OF COMMUNITY DEVEIOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ❑COMBINATION <br />❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADDXl SS <br />CITP 21P PNONI <br />"I <br />5 <br />PIUMBI9G CONTRACTOR MAIL ADDRESS CITY <br />ZIP PHON! LICENSE A <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE <br />YAIUATION <br />❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />Of WORK <br />7 �» <br />Legal Description: — <br />— — <br />'I'he SCLth 50 feet of the North 100 feet of a tract <br />line Of <br />of land lying South of South <br />St. Nicholas Addition, North of a line <br />tant 250 feet <br />which is parallel with the dis- <br />South from said South line of St. <br />West margin Of state Street <br />Nicholas Addition, West of the <br />and East of a line <br />feet West from said West <br />which is parallel with and 124 <br />margin of State Street <br />quarter of the Northeast <br />being a portion of the Southeast <br />quarter of Section 20, <br />S.M. Situate in the County of Snohomish, State <br />Township 29 North, Range 5 East <br />I (WV) hereby apply for a housing improvement loan in the <br />of Washington! <br />amount of $:DACENr <br />DATE <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />FEE <br />NO. <br />i <br />TYPE OF EQUIPMENT <br />AIRCOND UNITS —HP LA <br />FFE <br />_ <br />W'A*iR CLOSET ITOLIE I) <br />' PA711IVB <br />—' IAVn.Y IWASH BASIN) <br />REFRIGERATION UNITS—M! EA <br />BOILERS —LIP EA <br />_ <br />GAS FIRED AC UNITS—iONNAGf FA <br />_ <br />IJTCHEN SINK A DISP <br />DISWASHIR <br />LAUNDRY TRAY <br />---' <br />.— <br />IORCTD AI.: SYSTEMS —BTU M EA <br />WALL HFAT[RS—BTU M <br />VN17 Nf A7f tl R5—iV M <br />CLOTHES WASHIR <br />_ <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />—�— <br />\'f NTIIATION FAN <br />RANGE MOOD <br />AIR HANDLING UNIT— C T M <br />VACUUM BNf'KERS <br />S10V[ <br />ROOF DRAINS —RAINLI ADE RS <br />MFIAL FIREPLACE b CHIMNEY <br />_ <br />SINK (SERVICE —BAR. 1 TC ) <br />SUB TOTAL <br />TTO <br />TOTAL f <br />PERMIT / <br />_SUE <br />PFB 1 <br />SIDE YARD RTBACK <br />TOUT EEF <br />STRFEf S[iBACK <br />1 <br />RURIARD 511PAC K <br />TOTAL <br />PLAN CHECK NUMB! R <br />RE 1 <br />PIAN CHICK fit <br />!11 RECFIP7 NO <br />USF ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING CNI15 <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />BUILDING <br />, <br />PLUMBING <br />TIRE ZONE <br />BASEMENT 140NOOM5 <br />FIRE SPRINKLERS <br />REQUIRED <br />"Ylt ETNO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />_ <br />OTHER <br />1 ENVIRONMENTAL CHICK LIST <br />PI CAI IY <br />— <br />L'PC <br />SU: JO)(a) <br />2 BUILDING PLANS <br />J FIRE IIYDRANT <br />TOTAL <br />a FIRE PR07ECIION SYSTEM <br />PERMIT VALIDATION <br />WHLN PROPERtV VALIDATED(IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADING! XCAVAI ION b CL7 ARINGG7UBBING <br />6 DRAINAGE <br />7 ENVIRONMENIAL IMPACT STATEMENT <br />A HLALTII DISTRICT <br />SPPLICATION ACC BY <br />PLANS CN[CKED flY <br />APPR 1OR 1111 nti<I [it <br />91 'N <br />