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TAP EY"g,"m <br />CICY or <br />tii=. RE-ICATION FOR <br />everett CONPE M TTION <br />1APT Of COMMUNITY DEVELOPMFNT SERVICES <br />Y HALL 259.8745 <br />EVERETT, WA 98201 []COMBINATION <br />® BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />evereR <br />e <br />OI NIRAI (OwIR/AI IfTR <br />NAZI ADDRISS <br />CITY <br />lip <br />PHONE LICENSE R Z <br />�ir2 LDgsT. <br />Ill .39"deo <br />t 19yo l-t <br />y8so✓ <br />337-"7 OLvN-CEk-r�yp <br />AIIIHANK M 1ONIRACT(1R <br />MAIL ADDRISS <br />CITY <br />lip <br />PHONE LICENSES <br />_IEveranP.r, srtre <br />slept-,wrl / 3YI1 <br />,f/wi evlri ill <br />5�aro4 <br />9:S �MAR <br />Anims <br />CITY <br />lip <br />BENS(. <br />11$I"�IJ OF WORK • <br />MIRE ❑ADDITION ❑ALTERATION ❑REPAID ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />S AI I'A ❑ON III WORK <br />ITT At RIIII <br />E s /,olen-ii A l <br />PROPONOI Sf Ill KI It UINI, <br />,ee-, t6i <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />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 />OR THE PERFORMANCE OF CONSTRUCTION. <br />YIGNATURE OI NTRACIOR OR A HORIZED AGENT DATE <br />♦ R <br />X <br />111.N ill I(RIPIION (IF PROPERTY OHONN BITTEN (TR At IAl111 Ove IOPII q <br />OFZiRi ITT, 1 � �� <br />c <br />leyc&t AJ <br />r <br />S /0 EASE heii <br />IIH NIIIRH\ — <br />S_I -2 <br />PLUMBING <br />MI(HANI( I <br />NO <br />TYPE OF FIXTURE <br />I❑ <br />NET <br />1_ TYPE Of EQUIPMENT <br />FEE <br />NAIIR CIOSI I ITOIIF II <br />AIR (I )NIT UN111 -11 P 1 A <br />PATIOUfl <br />DO <br />RIIRII,IRAIIONUNITS-HP IA <br />LAVATORY (WASH RASINI <br />IIOILIl -1/P IA <br />SHOAL R <br />I.AS I IRI D A C UNI IS- TONNAGE I A <br />K I1(Ill IF SINK A IIISP <br />FOR( ID AIR SYSIFKIS-8I U M FA <br />DISWASHIR <br />1z <br />n <br />WAIT HIAIIRS-PIU M <br />IAUNDR*TRAl <br />TWIT HIAHRS-BI LI M <br />([DUETS WASHER <br />IVAP(IRATIVI((1O11RS <br />NAIIR HEATER <br />CI OTITIS DRY)PS <br />URINAL <br />VINTIIATION TAN <br />DRINKING FOUNTAIN <br />IF N(A HWO <br />HI>nR DRAIN <br />AIR IIANDIING UNIT- CFM <br />VACUUM BRIAKIRS <br />SIIIS'I <br />POOL DRAINS-RAIN11ADi RS <br />All TAI IIflTPUCI A" IMNIY <br />SINK ISI ll I -FEAR I If I <br />SUB TOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />IDEAL If[ <br />S <br />TOTAL FEE $ <br />SIDE YARD SI TRACK <br />SIRELI SI IRMA <br />RI AR YARO 51 IPA( K <br />.2 <br />PI AN I IIIIK Ni R <br />/ <br />PUN <br />rf1SE <br />U 3 l <br />CHECK ISI <br />RECEIPT NO <br />s '_ <br />UIONI <br />101 AREA <br />VACANT SOL <br />15 I NO <br />TEES <br />VALUATION <br />SEE <br />TYPE OI <br />e )P IVY <br />OF UPAN(Y(ROUP <br />rS—AN3 <br />NO IN DWELL ING(WITS <br />1 <br />BUILDING, <br />(0 <br />/J <br />7I <br />Sul <br />5111 ()1 FitOF. <br />d d 0 <br />NO OF STORIES <br />1 <br />MAX OFF TOAD <br />PLUMBING <br />IIRI ZONE <br />�J <br />3 <br />BASEMENT <br />PI 11lih <br />q <br />7 <br />" <br />FIRE SPRINMIRS <br />RIr7UIRID <br />115 <br />lf(HANICAt <br />I <br />/� <br />V <br />APPROVALS <br />BY <br />IF DATE <br />of"fli1 <br />1 INVIRONMENTAL I lift IISI <br />PENALTY <br />URC <br />SIC ww <br />�- <br />7 BUILDING PLANS <br />TOTAL <br />B ' <br />I FIRE HYDRANT <br />A FIRE PROTICTIDNSYSTIM <br />S 1,11 tr FILL AVAIION06(11ARINGICRUBBINC. <br />►LIMIT VALIDATION <br />WAIN PROPIRLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7 INVIRONME IAl IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />�cA <br />APPLE FOR ISSUAN(.I BY <br />91 79 <br />