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Ih�Ewrpn�n A,,�.,P L I C A T I O N F O R,�., <br /> an oF . � everett <br /> everett �ONSTRUCTION e <br /> PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CItY HALL 259-8745 <br /> EVERETT,WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMSING PERMIT NO. <br /> OWHER n1AllA0�Nf5$ CRY ZIP PMOHF <br /> / O�_ <br /> vc'.c c�uiJ �. !� �ci� t ���d /- 7/o i,y � /�i'1 hL =c rii% / v �hz i -�✓� 7J�J <br /> ANCHI [R OP�ESIGNFR ¢ eU5 OTt � YHONE <br /> �2i / �� �%/�%i�Lf�/1't <br /> GENFR�L[pNTR�[TOR MAII�ODNE55 CItY ZIP PHONE LICENSF I <br /> NECH�NIUI COMq�[JOR M�II�DDRf55 CITT LIP PHONF IICENSE 1 <br /> FIUmNINL CONIflACTOR MAII AOOR65 CI1Y ZIP PHOHE UCENSE I <br /> C1�550f WORK <br /> �INEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑S�CN ❑GARAGE ❑BUILDING RELOCATION <br /> \'�lU�iIONOf W00.k <br /> ,f,,�,�-`= /�/'X �l 3q� oCO� � � . . :, `. : : <br /> DESCNIBE 1 RK <br /> E' l �7. � / ( /'/il.�c. <br /> FROPOSED US[Oi BUII i�c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> S�N �l.n/f - PLIGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IEGAI DLF�SCPIPiIOH Oi PROFENfY�SHOM'N BEIOW OR�iT�CM{OUR COPiFiI PROVISIONS OF UWS AND ORDINANCES COVERNINC tHIS TYPE <br /> ior / BIOCK�pf L���a.�H d�a ���<o�.�-- ES�. d/ OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> — OR NOT. THE CRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCFL TNE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. <br /> IOB�DORESS �` �5^ ��—� SIGNA 0.E O ONiRACTOR OR AUTHORIZED ACENT DATE <br /> .��7�G'v �. � 6 �'-�/' ryL� <br /> �WM�ING MECXANICAL (-� � <br /> NO. TY►E OF FIXTURE FEE NO. 7Y�E OF EQUI/MfNT FEE <br /> WATER CLOSET�TOLIET) AIR COND UNITS-HP. EA <br /> BATHTUB REFRIGERATION U�.TS-HP.EA <br /> UVATORY(WASH B�SIN� BOILERS-HP EA � <br /> 3 $HOWEN GAS fIRFD A.0 UNITS-TONNAGE EA <br /> KITCHEN SINK 8 DISP F00.CFD AIR SVSTEMS-B.T U M EA HtN7% <br /> OISWASHEA WALIHEATERS-BT.U. M <br /> LAUN�RY TRAY UNIT HEATERS-BS U. M <br /> CLO7HE5 WASHER � EVAPOR�TIVE COOLERS <br /> WATER HEATER CIOTHES ORVERS <br /> URINAL * VENTILATION FAN <br /> DRINKING FOUNTAIN RANGF HOOD '— <br /> .d <br /> FLOOR ORAIN Alfl MANOLIN�UNIT— C i.M <br /> V�CUUM BREAKERS $TOVE <br /> ROOf DRAINS—RAINLEADE0.5 MFTAL FIREPUCF 8 CMIMNEY <br /> SINK�SFRVICE—BAR,EiC 1 <br /> SU�TOTAL 3U�TOTAI f <br /> RRMIi � �[�MIT { <br /> iO�AI iEF f TOTAL FFE i <br /> $I�E YARD SETBAGK STREFT SETBACK R[AR VARD SFTB�CK PLA�N jC�H.EC NUMBER PL�N CHECK FEE <br /> 7 r��T 2S Z�FT �(/� �jf �� FEE �� RECFIPT i <br /> USE ZONE LOT AREA v�� V <br /> � VACANT SITE ' <br /> C77E5 ❑NO fElS VAIUAiION iFE <br /> TYPF n�fONST OCCUPAN�Y CROUP NO OF'WEILINC UNITS <br /> V iV � 3 <br /> BUILOINC 1 <br /> 5¢F OF BLDL NO OF$TONIES MA% OCC.IOAD S O <br /> PIUMBING w ' <br /> RRE IONE � BASFMENT HkOROOMS FIRF SPRINKlERS <br /> ��raa <br /> NFQUIRE MECM�NICAL <br /> ❑YES O <br /> AK�OVALS �t DAT[ pTHER <br /> 1 ENVIRONMENTALCMECKLIST UBC. <br /> . PENAITY SK.JON+) <br /> 1 BUILDING PUNS <br /> 7 Flqf NYDRANT TOTAL ��� <br /> 1 FIRE PROTECTION$YSTEM �F�MIi VALIDAiION <br /> S G0.ADINGI!%GVATION 6 QEARINGCRUB0INC WHEN PROPFRIY VALIDATED pN TMIS SPACF�THIS IS YOUR PERMIT <br /> 6 DRAI.N�GE � /_—E i/ � S�D� �OT C� <br /> ���1 (fytDL{ <br /> Z fNVIqONMENTAL IMPACT STATEMENT <br /> E HEAITH DISTRICT z5F7 ,e,�u� �}�- �p�g��py� <br /> APPLICATION ACC. BY PLANS CMECKED 9Y APPR FOR ISSUANCE BV �710� (.l� '�a,/� p�r �f <br /> ��' " r'� F3�.�'r. <br /> 9-1�79 <br />