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EM EYNrpnNR <br />CITY OF <br />P,FIgPLICATION FOR" <br />.,ONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA9B201 COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />DANIA MMI ADDRESS CITY ZIP PHONE — •• . / <br />t:�L.AN l0. D(I. C-v[I:LEC) 58a03 3 sS-4^799N <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />PIL'MRINGCONIRACTOR MAIL ADDRI SS CITY DP PHONE LICENSEE <br />CLASS Of AORK <br />❑NEW ADDITION ALTERATION [I REPAIR ❑DEMOLITION LlFENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />v+w+nm of WORK F� <br />DI SCRIB[ NORA <br />n.`_L9 IF:�,i_. /ZX76 ADviT%otl CA) �/xi8 DESK <br />PROPOSED USE OF BUILDING <br />LfCAL 01SCRIPDON Of PROPER TY($NO*%BELOA OR AT FOUR COME S) <br />wT _BIOCR_OE <br />y, <br />0 l� 4 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT 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. e <br />SIGNATURE F CONIRACToUTHORRED AGENT DATE <br />x <br />It>P nUUR155 aaa. \"iA Doti vQ . c�•tc�.� , <br />PLUMBING <br />MFCHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET TOTAL IF <br />AIR CONES UNITS-H P. EA <br />BAIHTUB <br />REFRIGERATION UN175-HP EA <br />LAVATORY (WASH BASIN) <br />I <br />BOILERS — HP EA <br />SHOW[ R <br />I <br />GAS FIRED A C UNITS —TONNAGE EA <br />KITCHEN SINK A DISP <br />7I <br />TORCID AIR SYSTEMS-B I U M EA <br />DISWASHER <br />17,601 <br />WALL HEAILRS-BIU M <br />IAUNDRYIRAY <br />11 <br />UNIT H[AIERS-BTU M <br />CLOTHES WASHER <br />I <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />I <br />CLOTHES DRYERS <br />URINAL <br />I <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />II <br />RANGE HOOD <br />{LOOR DRAIN <br />I <br />AIR HANOI ING UNIT- CFM <br />VACUUM BREAKERS <br />I <br />STOVE <br />ROOF DRAINS-RAINTEAMRS <br />METAL FIREPLACE A CHIMNEY <br />SINK ISERVICI-BAR. ETC I <br />SUN TOTAL <br />SUE TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL <br />FEE S <br />SIDE YARDp{{{,,, ABACK <br />71Iz <br />STREET SETBACK <br />REAR YARD SETBACK <br />/1 <br />G <br />PLAN CHECK NUMBER <br />94100 <br />PLAN <br />ftE <br />'t:1— <br />CHECK FEE <br />III <br />.9&,7 <br />7572 1 <br />LOT AREA <br />VACANT SITE <br />DYES )i•[+' O <br />FEES <br />VALUATION <br />FEE <br />TYPE Of CONSI <br />=-N <br />OCCUPANCY GROUP <br />�` - 3 <br />NO Of DWELLING UNITS <br />I <br />BUILDING <br />S R-Z) <br />SIZE S/F �I!&Bl/og �1 <br />/ 0 x <br />NO OF STORIES <br />MAX OCC LOAD <br />— <br />PLUMBING <br />LC <br />y <br />Cr <br />FIRE ZONE <br />BASEMENT <br />"[')ROOMS <br />IIRE SPRINKLERS <br />REQUIRED <br />EIY[S O <br />MECHANICAL <br />APPROVALS <br />NY <br />DATE <br />OTHER <br />I ENVIRONMENTAL CHECK LIST <br />PINALIY <br />UBC <br />SEC 81XR) <br />Z BUILDING PLANS <br />TOTAL <br />2 <br />l FAR[ HYDRANT <br />R TIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WffFN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIY <br />5 GRADINGII XCAVAI IONA CIE ARINGIGRUBBING <br />b DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />A HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />V,U <br />APPR FOR ISSUANCE BY <br />b . (" <br />9179 <br />