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IAT <br /> MR <br /> CITY OF J N 5T R U CT I O N Li <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMEn SERVICES <br /> CITY HALL 259-974S <br /> [Vt RETT.WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> _ WNIR /�l1 A'{f, '/' (^ Msll e00RISS ( COY LIP PHONE <br /> ARCO LA�//ECT OR IGH�1/E�r �. l ��IR MAIL DR� l�'%��r-_ �r✓EIL 611 ti� 9��c3 ESS CITY zip ,IIDM3S3—S�3 <br /> 104C7iXA/ 1Xo6 1Ae 0/ Fii ro TT AVE Ad&;r Q277ZE ;sj >7s 9'S.S7i <br /> GIMBAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE IICINSf f <br /> 40*46RN FAM2ER C /1 // f AI EP;A 3O/�I /Yl H j <br /> MECHANICAL CONTRACTOR MAIL ADDRISS CITY LIP PHONE LICENSI I <br /> NUMBING CONTRACTOR MAIL ADDRISS CITY ZIP PHONE LICINSI0 <br /> CLASS Of WORK <br /> ❑NEW XADDITION ❑ALTERATION ❑RIPAIR ❑DEMOLITION ❑FENCE ❑SIGN �KARAct ❑BUILDING RELOCATION <br /> VALUATION Of WORK <br /> 1 <br /> DESCRIBE WORK M <br /> PROrosmuS1 DI BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AFT. <br /> C -n r PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> 11CAL DUC4110MOO PROPIRIY ISHOV N 0110%ON A11A[HIWrC011151 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> y � OF WORK WII L BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> K / F YY .S OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> gAK-eF alas C/ or GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> Z` C ddt' ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> y IGNATURt OF CONTRACTOR OR AUTHORIZED AGENT DATE <br /> L Lua, c n/_nfs QEEYa�s- �JA.tfCot c a <br /> IDB ADDRIS) Si IY P^�.v t , cC� y y Nt�E'otu X t LILL <br /> PLUMBING .Y' 7 MECHANICAL <br /> NO. TYPE Of FIXTURE FEE NO. TYPE OF EQUIPMENT FIE <br /> WATERCLOSIT(TOLIFI) AIRCOND UNITS-HP EA <br /> BATHTUB REFRIGERATION UNITS-HP EA <br /> LAVATORY(WASH BASIN) BOILERS-HP [A <br /> SHOWER GAS FIRED AC UNITS-TONNAGE EA <br /> KIICH(N SINK B DISP FORCED AIR SYSTEMS-11 T U MEA <br /> DISWASHIR WALL HE ATERS—BTU M <br /> LAUNDRVTRAY UNIT Hl AIIRS—RIU M <br /> CLOTHES WASHER IVAPORATIVE COOLERS <br /> WATER HEATER CIOTHIS DRYERS <br /> URINAL I VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C F M <br /> VACUUM BRI AKERS SIOVI <br /> ROOF DRAINS—RAINIL ADERS METAL FIRIPLACE 6 CHIMNEY <br /> SINK(SER VICE—BAR.ITC 1 <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT 1 P12MIT f <br /> TOTALF11 1 TOTAL FEE f <br /> SIDE YARO Sr TRACK STR[[1S -6- HE AN SI,TRACK PIAN CEI�'K NUMBER PUNCHECK <br /> CEIPTN <br /> 7 (/ /( AUS 7 J 7lF 83 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT$IIF S G J <br /> OYES po FEES VALUATION FEE <br /> YPE Of CON�/SIII YF OCCUPANCY GROUP NO OF DWELLING UNITS <br /> L V-�u �A.r 8-2- BUILDING <br /> syLDc // D NO Of STORIES MAXOCC LOAD ®� o ) <br /> 0`7 <br /> PLUMBING <br /> TIRE 20NF flAs[MI NI HIOROOMS FIRE SPRINKLERS <br /> �, •� RIQUOIR MECHANICAL <br /> nr[s o <br /> APPROVAL$ RY DATE OTHER <br /> I ENVIRONMENTAL CHICK LIST U BC <br /> PENALTY SF[ IDXfI <br /> 7 BUILDING PLANS <br /> I FIRE HYDRANT TOTAL <br /> yG <br /> A FIR[ PROTECTION SYSTEM PERMIT VALIDATION <br /> S GRADING)!XCAVAl10N 6 ClF ARINGIGRUBRINL WHIN PROPE R LV VALIDATED IN THIS SPACE)THIS IS YOUR PERMIT <br /> 6 DRAINAGE N/Q PO/t T/JN Cf TNS /l/ELA/,pE�/CR(•LF R"Ar <br /> 7 ENVIRONMENTAL IMPACT SIATEM(NT r X f <br /> 6 HEALTH DISTRICT r}Tv y $v3///G�.S� O/t CO ✓SE- <br /> APPLICATIONACC BY PLANS CHECKED BY APPR FOR ISSUANCE BY Ac5jo,,S/Tt*l- ✓-,;, <br /> 9179 <br />