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� _ A:�PLICATION FOR <br />everett CONPERM TTION <br />DEI'T. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA98201 ���MBINATION ❑ BUILDING ❑MEC{1ANICAL ❑PLUMBING PERMIT NO. <br />nua <br />L[NIRAICONIHAQON n1AllApONE55 <br />77i/c - T , u.Vn �rRT/r-� 1,+, �`n,V` <br />MLCHAnIUlCOu1RACiOR A1Au �'�NI55 <br />h1A1L <br />uir /�- u� <br />'t j i y��d�' G L�t"i7L-Tl <br />un zu• <br />rRy-Ti r�'! <br />Ci1T LII' <br />C T !II' <br />=tzr-77 :'S'2 <br />arv zir <br />vuoN[ <br />1'HONf <br />everett <br />� <br />l�rf.qSE M <br />M <br />. <br />L�NE�V ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITI(lN ❑FENCE ❑SIGN ❑GARAGE ❑OUILDING RELOCATION <br />VAWATION Of'40RK n� <br />s � ,c=' � %2.�' ��� — <br />oEscRinE ��' aK <br />rnoroseo usr or nunoiHG <br />l[G1L DESCRIPiION Of PFOPFNTY (SMO1vN UELO\V ON AtiACH /OUN COPIL51 <br />ioT � _flIOCK_Oi ,AN!/ .iT �STAj"� <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATEN CLOSET (TOLIET) <br />BATHTUB <br />UVATORY (WASH BASIN) <br />SHOWER <br />KITCHM SINK 8 DISP. <br />n DISWASMER <br />LAUNDRY TRAY <br />CLOTHES WASNER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM AREAKERS <br />KOOF DRAINS-RAINLEADERS <br />.r� auv i<[OVI.^c—N�R FTf 1 <br />�!— / <br />USE ZONE <br />TYPE O CO <br />SIZE <br />SUBTOTAL <br />PFRMIT S <br />TOTALFEE S <br />STREE� SETBACK RE <br />7 �1 � <br />LOT AREA <br />'�(� / c <br />OCCU"'ANCY GROUP <br />�- 3 <br />NO. OF STORIES <br />�1� K.5 � � <br />FIREZONE BASEMENT OIUN <br />3 c"' � <br />APPROVALS <br />L FNVIRONMENTAL CH[CK 115T <br />2. BUILDING PLANS <br />J. HRE HYDRANT <br />4 FlRE PROiECiION SYSTEM <br />5. CRAUMG�L%CAVA710N A CLf 4BINGIGNUIIIIIN(. <br />6. DRAINAGE <br />A ENVIRONMENTALIMPACTSTATfMkNT <br />B MEALTH DIS7HICi <br />YnHI'. <br />I HFRE6Y CERTIFY TNAT 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 GOVcRNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPcCIFIED IIEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />� ,4NY OTHER STATE OR LOCAL LAW REGUL.ATING CONSTRUCTION <br />OR TH PERFORMANCE OF CONSTRUCTION. <br />�¢.. 9GNAN E OF CONTR.\CTOR OH UTHORI'I.fDAGENT DATE <br />i � �7 Y <br />� v i�/JY/1>../ �� ,����� ��✓%/�n� _ '',I-� rCil �� <br />FEE NO. TYPE OF FQUIPMENT <br />AB COND. UNIiS-H.P. EA <br />REFRIGERATION UNITS-NP. EA <br />� UOILERS-HP. EA <br />p CAS FlRED A.C. UNITS-TONhAGC EA <br />o f ORCEU AIR $VSTFMS-lIS.U. M EA <br />Q WALLIIEATFR$-f1TL M� <br />UNI7 Hf'ATFRS-Ii.T.U. M <br />Q fVAFONATNFCOOLEH$ <br />CLO7'li[5 DRYERS <br />/ VFNTILATION FAN <br />NANGCHOO� <br />AIR HANDLING UNI�- C.F.M. <br />STOVE <br />�% ,�1ETAL FlREPIACC b CI�IIMNEV <br />7AUNT $ITE <br />�jSFS ❑NO <br />NO OF OWELLING UNITS <br />2_ <br />A11% OCC LOAf) <br />fIRF Si 31NKLfHS <br />RFQUIREIl <br />❑Yf5 NO <br />BY DATE <br />,11'PL:I�Aill�'.4�C 1:1 1'I;�'.�:.IILG11`b'� .i°It IiiH ly,��A..! !11 <br />I'LAY CI{ECK NUA16kR <br />�/ ��5� <br />FfES <br />SUB TOTAL f <br />PERMIT S <br />70TAL FEE f � <br />PLAN CHECK FEE <br />fCP Qa� RECEIPT r00 S <br />b SC7 b <br />VALUATION FEE <br />PVII.DING V . <br />PLUMIIING <br />N�f C W\NICAI. <br />0111 F H <br />PkNALTY U.14.C. <br />SfC. 307W) <br />TOTAL I <br />PFRMIT VALIDATION <br />N'HLN PROPERLY VALIDATED IIN THI$ SPAiq THIS IS YOUR PERMIT <br />r� <br />