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�' <br /> —.--� <br /> . - - <br /> �,E,�,,,,, 4PP LI CAT 10 N FO Q ���,�„ <br /> �°F CONSTRUCTIOti � <br /> everett PERMIT <br /> , DEPT.OF COMMUNITY DEVF.LOPMENT SERVICE$ <br /> CITY HALL 259-8715 <br /> EVERETT,WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> - OWyF_R MAIt ADONF55 /,�� UiY ZIP PHONF <br /> � ' ��i �� .�N e y /�� ���Y_ ��z ye —. ,. <br /> ANCMITECTOR GNF0. MAII�DORE55 CITY ZIP PHONf <br /> ,�6 r�,�Y�'�/� <br /> G�s ON RACTOR MAIL ADORES$ C�1Yn ZIP PHONf LICENSE I <br /> � o/�j/%3�dvs 7✓`'/�' C�(1.v�jxr/�, �d �'Zd� �5��3�f <br /> MECHANIGI CONipeQOR MML ADORESS � ��TY LIV PMONE LICENSE I <br /> , YIUMBIn'GCONTR�CTOR M�IIeDORE55 CITY Zlp PHONE IICENSEI <br /> �_ <br /> C1e55 Oi W 0R6 <br /> ❑NEW �DDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> veiwno or woxa OO <br /> s /n0 dv ,`� <br /> OlSCRIBF WLO,�/ � <br /> /? X/�� ,/���v,v � E is�.v o�1e. <br /> VROFOSFD USF O(BUILDING I HEREBY CkRTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IEWI OESCRIv.r.in Of PPOPERTY�SMO iowo eru u mviesi ` PROVISIONS GF UWS AND ORDINANCES COVERNING THIS TYPE <br /> !1.-L-'./'_7 � y �/ OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> � LOf�BIOCK � or � �"� pR NOT. THC GRANTING OF A PEP.MIT 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 /> SIGNATUR�E fOF C NTRAC OR AUTHORIZED ALENT OATE <br /> ioe�ooxE55�^'� �n X / / <br /> V Y <br /> PIUMBING MECHANICAL <br /> NO. TY�E OF fl%TURE fEE NO. TYPE Oi EQUIPMENT FEf <br /> WATER CLOSET�TOLIET� AIR CONO UNITS—HP.EA <br /> BATMTUB REFRIGFRATION UNITS—H.P.EA <br /> UVATORV�WASH BASIN) BOILEHS—N^ EA <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA <br /> KITCHEN SINK 6 DISP FORCEO AIR SYSTEMS—BSL. M E� <br /> DISWASHER WALL HEATEBS—BS.U. M <br /> UUNDBY TRAY UNIT HEATERS—B7U. M <br /> CLOTMES wASHER EVAPORATIVk COOLERS <br /> WATER HEATER CIOTHFS DRYERS <br /> URINAL VENTILATION FAN <br /> OPINKINC fOUNTAIN RANGE Hf�D � <br /> FLOOR DRAIN AIR MANOLING UNIT— CF M. <br /> VACUUM BRFAKERS j STOVE <br /> ROOF DRAINS—RAINLEADERS METAt FIREPLACE 8 CHIMNEI <br /> SINK�SERVICF—BAR.ETC 1 <br /> SU�TOTAL SU�70TA1 f <br /> rEI1MIT f RRMIi f <br /> TOTAL iFF f iOT�I iFE s <br /> SIDF YARD SFTBACK $TREET SETBACK REAR YARD SET9ACK PLAN Cf{ECK NUMBE0. PLAN CHECK FEE <br /> iEE RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> OYFS ❑NO fEES � VALUATION FfE <br /> T <br /> TYPE OF GONST. OCCUPANCV CROUP NO.OF DWELLING UNITS - <br /> BUILDING t <br /> SIZE OF BLDG. NO.OF STORIES MA% OCC LOAD <br /> PWMtlING <br /> FIRF 20NE BASEMENT 9tORWMS FIRE SPRINKLERS <br /> BEQUIRED MECHANIC,\L <br /> i CJYFS ❑NO <br /> • A/►ROVAIf �Y DAiE OTNFR <br /> 1. ENVIRONMENTAL CHECK LIST U.B.C. <br /> PENALTY SEC.Al$a) <br /> I. BUILDING PL�NS <br /> 3. FIRE HV�0.ANT 70TA1 <br /> ♦. FIRE PROTECTION SYSTEM rfRMIT VALIDAiION <br /> WMEN PROPERLY VAIID�TED(IN THIS SPACE)THIS IS YOUN PERMIT <br /> 5.GRADING/E%CAVATION 8 CLEARINGI�RUtlBING <br /> 6. DRAINAGf ' <br /> 7. ENVIRONMENTALIMPACTSTATEMENT . <br /> !. HEALTM DISTRICT <br /> APPIICATlp�1 A[�,gy Py{!S CMECKED BY APPR./��NCE BY <br /> 1\1C\7 .YAI <br /> v��� r;� �•� <br /> 9-149 <br /> 1 <br />