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PLICATION FOR ..� <br /> CITY OF <br /> Flu EY.I°�.� AP. .3 N S T R U C T I O N �e <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 359.8715 <br /> EVERETT•WA98201 ❑COMBINATION El BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> •QOryA)!1 ,i�E! /i_S ��NIND (0/ .f �ue10Ef�lIN F�G3 MONS 3—�J 1'J}3 <br /> ARCHITECT OA DISICNU MAIL ADDRESS CITY } ZIP PHONE <br /> LUfST�iP/E/ ff/b'ilfiPl. ;?0/ fL/rn»-AUS A167 S2rA77e 9?11f <br /> CENTRAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICINS! <br /> 6lJFST.6/lN FA{P/Y1Ei? C /r r/ I/ {' E c3 A 3o w MHT <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY LIP MON( IICENSII <br /> PLUMRIM:CONIRACIOR MAIL ADDRES' CITY ZIP PHONE LICINSII <br /> CLASS Of WORK <br /> ❑NEW OADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN AGARAGE ❑BUILDING RELOCATION <br /> VALUAl1ON Or WORK ry <br /> y9oo, <br /> /jag/DESCRIBE WORK eArJ <br /> PROPOSED USE Of RUI/DING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> )4 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> «CAI OI _ TION OL PROPI RIT ISHOWN RIIOW OR ATTACH oup coHUI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> Io elaK or / f 'S OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �IPA101 /S" rP 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 /> L /^+ OR EHE PERFORMANCE OF CONSTRUCTION. <br /> IGNATURE OF CON ENACTOR OR AUTHORIZED AGENT DATE <br /> log ADDRESS s;/N r. T ro t F CONI 9 fy{h, R D q 414. <br /> l� y <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FTE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOLIET) AIR COND UNITS-H P FA <br /> BATHTUB `!FRIGERATIONUNITS-HP (A <br /> LAVATORY(WASH BASINI RUILFRS-01I, FA <br /> SHOWER GAS FIRED A C UNITS-1UN!iAM EA <br /> KITCHEN SINK b DISP FORCED AIR SVSTEMS-BTU MIA <br /> _ DISWASHER WAIL HEATERS-B T U M <br /> LAUNDRY TRAY UNIT HIATUS-R I U M <br /> CLOTHES WASHER IVAPORATIVI COOLERS <br /> WATER HEATER CIOTHISDRYFRS <br /> URINAL VENTILATION SAN <br /> DRINKING FOUNTAIN RANGE MOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C F M <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLIAD(RS METAL FIREPLACE i CHIMNEY <br /> SINK(SI R V ICI-BAR.EIC I <br /> SUB TOTAL SUB TOTAL f <br /> PUMA / PIRMII L <br /> TOTAL fit B EOMI Iff S <br /> SIDE YARD SE TRACK STREET SITRACK REAR YARD SETBACK PLAN NUMBER Pt AN IIII_K Iff <br /> it p 7S�r 7-9 �• / RF( FIP1NO <br /> USE ZON( LOT AREA /f1-7Z <br /> VACANT S O FENS VARIATION Elf <br /> orts �io <br /> YPF OF CON ]II Y'F/ OCLUPANCY GROUP NO O/DWFLIING UNITS <br /> L Aj/' Alt" <br /> B`2- BUILDING L '� <br /> SIZE O/ { NO Of STORIES MAX OCC LOAD <br /> X�ILDG z) PIUMBINC. <br /> /IRE ZONE BASEMENT RIURa)MS FIRE SPRINKLUIS <br /> NFQUDIo <br /> R MECHANICAL <br /> or(s <br /> AnROVALE BY DATE OTHER <br /> 1 ENVIRONMENTAL CHECKLIST UBC <br /> PENAL IY SEC IDRRI <br /> 2 BUILDING PLANS <br /> I FIRE HYDRANT TOTAL b0 <br /> 1 FIRE PROTECTION SYSTEM "OMIT VALIDATION <br /> GRAUINC,q XCAVAl10HRQ1ARING/GRUBBING WHEN PROPERLY VALIDATED(IN THIS SPACEI THIS IS YOUR PERMIT <br /> S <br /> % A' <br /> DRAINAGE {VIQ p0%?'17/0/J N Clr TN._' N:W C,11"A# 4 A'N <br /> / ENVIRONMENTAL IMPACT STATEMENT 0 X r5,rl, c- eopewcam LPrcV Viz <br /> B HIAl1HDISTRICI I �~7 VIC CO A7/E CE�'iI- ✓SL ' <br /> n.ih p• .1 rU(CKFO RY I APPR IOR ISSUANCI BY 7 r At L i. ! •� ✓ <br />