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AF. LICATION FOR 1-61 <br />CITEOFCITYPCONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT. WA98201 COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />LL, () .,< <br />�s�/ EL)PJc,� <br />«'ac; 3s5 <br />/,�5 <br />ARCH�IjICI OR DISIGNIR <br />MAIL ADORE SS <br />CITY <br /><ajL <br />/.P PHONE <br />5q,� <br />&6—f7 <br />60 IS,�YL.-I.-, <br />z)(tr., �� <br />fix( <br />F YLY <br />ADDRESS <br />CITY <br />ZIP PHONE <br />LICE mSE t <br />GENERAL CONTRA( FOR MAIL <br />MECHANICAL CONTRACTOR MAIL ADDRISS CITY ZIP PHONE LICENSE <br />PLUM\It CONTRACTOR MAIL ADDRESS CITY LIP PHONE LICENSE <br />U u u-,.kr <br />L�I N/NN 01 NNC RK <br />I)SwEW ❑ADDITION [:)ALTERATION❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ]GARAGE ❑BUILDING RELOCATION <br />, Nmv1oN or SYouK � <br />�.0 3/OQ9• •-- <br />Ill N RIBI WORK <br />__-) -k <br />PROPOSIDLIsf OI awIDINc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />n GNI In S(RIPu oT vaoPE atrezLN, Rn woa nnnol roux corn s) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />��' OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />IOI/�(ix1oCK—L �.r OF L OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OF THE. PERFORMANCE OF CONSTRUCTION. <br />I Zq SIGNATURE F CONTRACTOR OR AUT IZED AGENT DATE <br />HER NDDRI V, 1' C'— Y //l. .__mow 'TK_�l <br />PLUMBING <br />NICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />KVATI R CLOSET ITOLIETI <br />AIR COND UNITS-H P EA <br />BATHTUB <br />RIEFIGERATIONUNli5-HP EA <br />IAVATORY (WASH BASIN) <br />('Q <br />BOILERS-11P fA <br />SHOWER <br />GASIIRIDAC UNITS -TONNAGE EA <br />KITCHEN SINK A UISP <br />0 <br />IORCf D AIR SYSTEMS -BTU MIA <br />DISWASHE R <br />\VALE HEATERS -BID M <br />LAUNDRY 1RA1 <br />UNIT HE AIERS-BID M <br />CLOTHES WASHER <br />IVATER WATER <br />EVAPORATIVE COOLERS <br />CI OI VIE —DRYERS <br />co <br />URINAL <br />VI NTILA11ON FAN <br />DRINKING FOUNTAIN <br />RANGE FLOOD <br />I LOOR DRAIN <br />AIR HANDLING UNIT- CFM <br />VACUUM BREAKERS <br />DRAIN$ - RAINLE ADE RS <br />STOVE <br />A111A1 IIRfPUC(A CHIMNEY <br />0ROOF <br />SINK ISFRVICE -BAR. F TC ) <br />SUB TOTAL IF <br />L <br />SUB TOTAL <br />PERMIT 3 <br />PERMIT f <br />TOTAL FEE 51 <br />c�+ <br />TOTAL FEE $ <br />Sl FYARD S(IOACK <br />STREET S[L�ACK <br />REAR YARD) 5I TBACK <br />PLAN UMBER <br />FEE pPLAN <br />CHECK <br />KECEPFEE <br />USF ZONE <br />LOT AREA <br />a oo <br />VACANT 511E <br />"?<NFS [-,No <br />FEES <br />VALUATION <br />FEE <br />TYPE O{}1 CON <br />kx . I fCal•..SL <br />OCCUPANCY GROUIr7 <br />✓I IS (_ ii1+,N`• <br />NO Of DIVE LUNG UNITS <br />It UI1 DING <br />Sa VtiL.l. <br />I'7.7L7 <br />�( <br />SIZE OF BLDG <br />•�CI 3y <br />NO Of'SIORAIS <br />I <br />MAX OCC LOAD <br />In VMI41NG <br />�,,. <br />FIRE ZONE <br />BASEMENT <br />THERE TOMS <br />^C\'C <br />FIRE SPRINKLERS <br />RFQUIRF <br />lYli O <br />MI CHANICAI <br />�C <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST 1p-. <br />ICE NAT IN <br />UBC <br />SEC 707(a) <br />2 BUILDING PLANS I <br />TOTAL <br />7 FIR[ HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />l R �- <br />S GRADINGII KC AVIATION A CIA ARINGICRUBBING <br />b DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PU1NS CHECKED BY <br />V . � 1 <br />APPR FOR ISSUANCE NY <br />91 79 <br />1 <br />