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the I I' <br />�,'ONSTRUCTION <br />Y`-CF C, <br />I everett <br />PERMIT <br />CITY HALL 2598745 <br />EVERETT. WA p8201 ❑ COMBINATION ❑ BUILDING i ; MECHANICAL PLUMBING <br />UWNIX <br />MAll AllllRLS> LIIill' IMJi( - -� <br />HM1.�LCI_N DISKiNERT <br />WR AIIORESS CITY IIP PTICNI, --- <br />(A NEML CONTRACTOR <br />MAIL ADDRISS CITYLin 1'IUNIC�/ LICEN:Ef <br />5 <br />/9 vxc/5ay Rt•n6ids <br />e-a <br />MICIIANICAL CONTRACTOR <br />MAII ADINIL55 I:HV 71P %101f( LKENSC <br />It UMWNG CONTRACTOR <br />NNL ADU!4S5 CII!IP IIILNE LU45LI <br />LLASS Of WORK <br />❑NEW ❑ADDITION <br />_J ERATION ❑REPAIR ❑DEMOLI110N LIFENCE USIGN ❑GARAGE <br />i <br />VALUATION OF 0 ` <br />F 74 % <br />1M1l,CI!IOE WORK <br />4PD <br />ED usl of BvaDINa <br />- <br />'el:%- /S// <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />IIGALULSCNIMIONOF W1pPUHYiSHOWBLLOWORATIACHFOIIHC(WIESI <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVI'IONS OF LAWS AND ORDINANCES GOVERNING THIS <br />101 BLOCK_OF <br />TYPE Of WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />fILRLIN OR NOT THE GRANNNG OF A PERMIT DOES 140T <br />Zo 1- 3 ZU eeif <br />FRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHLH STATE OR LOCAL LAW REGULATING <br />d <br />j y <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />JUU ADUHL55 <br />S'l!MR'I'1 U! -. NDUCTOR bO Auw1 ,mn U Al,(W DATE <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (1OILLT) <br />AIR COND UNITS -- H P I A <br />RATH7UB <br />HE I f1I(II HAIIo_N_I INTS -- 1T P EA <br />LAVATORY (WASH DASINI <br />110111 ITS -- H P LA <br />SHOWER <br />GA".I IRLU AC UNITS - TONNAGE, TA <br />KITCHEN SINK Q UISP. <br />FQW1 D AIR SYSTEMS - D T U M TA <br />DISHWASHER <br />WAI I. HF ATERS - B T U M <br />LAUNDRY TRAY <br />UNIT WATERS -- D1 U M <br />_ <br />CLOTHES WASHER <br />_ <br />i VAItTHATIVE COOLERS <br />WATER HEATER <br />CIE11111 S IIR1'1 RS <br />URINAL <br />VENIII. AIION FAN <br />DRINKING FOUNTAIN <br />RANGL HOOD <br />_ <br />FLE)OR DRAIN <br />AIR HANDLING UNIT - C F M <br />_ <br />VACUUM BREAKERS <br />MOVE <br />HOOF DRAINS -' RAINLEADLRS <br />_ <br />MI fA_L I IREPIACI. A CHIMNI Y <br />- <br />LINK 61 RVICF -. RAP Rf.I <br />SUB TOTAL <br />SUB TOTAL <br />_ <br />PERMIT f <br />PERMIT <br />TOTAL FEE f <br />_ <br />TOTAL FEE <br />:.IOL YANII SL I BACK <br />SIMILE 5LI114CK <br />RIMY YARD SLIIIA, K <br />1'IAN U If N NUMRI R <br />_ <br />PI <br />FLE <br />USL ZONE <br />LOT AREA <br />VACANT SITE <br />I]YES ONO <br />FEES <br />VALUATI <br />IYPL OF CONSI. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />DUILDIN(! <br />PLUMBING <br />-_-- <br />MECHANICAL <br />OTHER <br />1 <br />!.ILL OF BLDG <br />I ME ZONE <br />APPROVALS <br />NO OF STORIES <br />MAX OCC LOAD_, <br />- <br />-- <br />BAST MENI <br />FIRE SPRINKLERS <br />REQUIRED <br />AYES FINO <br />BY <br />DATE <br />'1 ENVIRONMENTAL CHLCK US1 <br />P1 RALEY <br />U U C. <br />SEC. 363(a) <br />BUILDING PLANS <br />'•'I FIRE HYDRANT <br />TOTAL <br />�. A TIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />S GRADING <br />L DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />U HEALTH UISIRICT I <br />API'LICA7ION ACC BY I PLANS CHECKED BY I APPN FUR ISSUANCL BY <br />RECEIPT NU <br />WIZEN MiI IPi fit Y VALIDATFO (IN THIS SI A(,I I Uflp 15 YOUR PERMIT <br />