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E„BEEBro'"R _ ,-�4PPLICATION FCC.R <br />CITY OF CONPE MITTIOF.� <br />everett <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADDRESS CITY ZIP <br />vr1aNE <br />�/� �N�^�l� 2n1 S7i4Z i7�.-1nL Ha6'a /77A2nJ /tJgy DACE w7niA. /_JAS u 94 mu <br />GAaPy ��r*1L�TaJSc SZ% ITCLS<- 1%P�j*,L. axxG"ty__ L zIP� RHo� <br />MG7Z-Z/s3 <br />GENERAL CONTRACIOR MAIL ADDRESS CITY ZIP PHONE <br />LICENSE R <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP <br />PHONE LICENSE IF <br />PLUMPING CONTRACTOR MAIL ADDRESS CITY ZIP <br />PHONE LICENSE I <br />CLASS Of WORK <br />❑NEWADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATLON OF WORK <br />F 1y'- /yZ, <br />D�[1scRlPe woRK ``J E� P- L� , <br />'TOYx 40' wcod ` ew,v.c ,.L� 'Uc K<. oc�N le- OASe ,e. nri <br />PROPOSE D USE Of BUILDING T�1 <br />LEGAL DESCRI Jt'ON OF TROPE PITY ISHOWN BELOW <br />LOT �`BLIOOCKAII OF SALN <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />r('TTACH EOUN COPI sl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />IICNoLas 4 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING (IF A PERMIT nnac IJnT mace. I..� -- <br />U�^ <br />F <br />GIVE AUTHORITY <br />IOR <br />A Y O HERSTATE LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />op SAEa. ,1,.E <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />ESs oo1-11 <br />PLUMBING <br />MEC LAICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />WATER CLOSET (TOLIET) <br />AIR COND. UNITS-H.P. EA <br />BATHTUB <br />REFRIGERATION UNITS-H.P EA <br />LAVATORY (WASH BASIN) <br />BOILERS-H.P EA <br />GAS FIRED A.C. UNITS-'ONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SISTEMS-B T.0 M EA <br />DISWASHER 4$ ����� <br />WALL HEATERS-B LU M <br />LAL'NORY TPA7 <br />UNIT HEATERS-B T U MI <br />EVAPORATIVE COOLERS <br />LLOTFIES WASHER <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FANS <br />DRINKING FOUNTAIN <br />I <br />•PWil HOOU <br />FLOOR DRAIN <br />Gii <br />AIR HANDLING UNIT- C.F.M. <br />J <br />VACUUM BREAKERS <br />voSTOVE <br />ROOF DRAINS -RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE -BAR, ETCI <br />SUB TOTAL <br />/j <br />SUB TOTAL S <br />PERMIT S <br />PERMIT f <br />70TA1 FEF <br />B <br />TOTAL <br />FEE <br />f CO <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />'LAN <br />CHECK FEE <br />�/��%33 <br />7 ✓Jp <br />FEJ /0 , <br />RECEIPT <br />/ <br />USE ZONE <br />LOT AREA <br />VACANT 51jy <br />FEES <br />VALUATION <br />FEE <br />OYES QNO <br />TYPE CONST <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />D�O-FF <br />Y- I� <br />AbaITEN - fj2 <br />BUILDING <br />S [` pp <YJ <br />%-Tj/ <br />J, <br />CJ <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC. LOAD <br />I Cac-b $. F A DD i <br />I <br />PLUMBING <br />�` <br />L <br />FIRE ZONE <br />BASEMENT <br />BEDROOMS <br />FIRE SPRINKLERS <br />MECHANICAL <br />--- <br />_ - <br />DYESREQUED / <br />OYES rD <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK L15T <br />PENALTY <br />U.B C. <br />2. BUILDING PLANS <br />SEC 103(a) <br />7 FIRE HYDRANT <br />TOTAL <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT <br />5 GRADINGIE%CAVA7ION A CLEARING/GRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HFAITII DISTRICT <br />