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„B ANNLILA 1 ION FOR <br />11 DP - CONSTRUCTION <br />everett PERMIT <br />I'I I OF COMMUNIII DEVELOPMENT SERVICES <br />1 11 • HALL 259-8745 <br />• S, RE IT. WA 98701 ❑COMBINATION <br />♦\II 4 (ONloq IUR <br />❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />I ICINSI <br />,..I1%. u1NIRA(III1 MAq M)DI %% toll ZIP PHONI IICINSl1 <br />11, prnl <br />4`NESV ❑ADDITION ❑ALTERATION ❑ Fit PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />• •I I'O�^(II MM�IrLtK.�) <br />Elul l e nl ”` °ul <br />,..,!�P��.�I[>•� / <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 />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 />SIGNATURI OF CONTRACTOR OR AUTHORIZED AOINT DATE <br />) <br />x <br />., TAU KIOm OR MIM"MuR COP1IH <br />_ . <br />_ r /-•� <br />PLUMBING <br />MECHANICAL <br />-, ♦O. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUI/MINT <br />FEE <br />AMIR I' TOM 11 T,m 1111 <br />- <br />AIq COND NITS -LIP IA <br />U <br />04I111L1 <br />REIRIGRATIONUNIIS-HP (A <br />IAAAIORI IIAASII HASINI <br />BOILERS -HP U <br />511OWI11 <br />mikw <br />ICAS <br />IINID AC UNITS -TONNAGE IA <br />KITCHIN SINK A DISP <br />d <br />00 <br />1 <br />IORCID AIR SYST[MS-BTU M[A <br />DISWASH(R <br />d <br />M <br />I <br />WALL HIATERS-Bill M <br />IAUNDRI TRAI <br />UNIT HIATERS-BTU M <br />CLOTHES WASHIR <br />IVAPORATIVI COOLERS <br />'7 <br />WATIR H1A11R <br />CLOTHES DRVIRS <br />URINAL <br />VINTILATION TAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />- <br />MOOR DRAIN <br />AIR HANDLING UNIT- CFM <br />VACUUM SRI AKIRS <br />S10VE <br />-- <br />ROOF DRAINS-RAINIIADIRS <br />M[TAI FIRIPLACI 1 CHIMNEY <br />CJ <br />SINK 151RVICI --BAR TIC) <br />SUN TOTAL <br />0 <br />D <br />SUN TOTAL 1 <br />PERMIT 1 1 <br />PERMIT 1 <br />TOTAL Fit 1SIC <br />2P_TOtAI <br />III[ 1 <br />tea l . ART) SE TPACr <br />STRRI SETBACK <br />REAR VAAND SETBACK <br />PLAN CHECK NUMBER <br />/ <br />PLAN CHICK F(1 <br />I I ZONE <br />2 <br />LOT ARE <br />p pL=�1�J�T <br />VACANT $III <br />IMES ❑NO <br />![I! <br />VALUATION <br />/I1 <br />I'I pLI ONST <br />OCCUPANCY CROUP <br />NO Of DWfIIING UNITS <br />BLIIl01NG <br />S O <br />S'/' Of BI,DC <br />NO OF STQRIES <br />MAX OCC LOAD <br />PLUMBING <br />1'41 ZONI <br />BASIMINT <br />BI DRLN)MS <br />TIRE SPRINKLIRS <br />REQSIREDO <br />MICHANICAL <br />O <br />APPROVALS <br />It <br />DATE <br />OTHIN <br />I INVIRONMINIAI CHICK IISI <br />-- <br />PINALTV <br />UNC <br />SIC lox*) <br />HL. HOING PLANS <br />�l.M H•DRANI <br />TOTAL <br />I 1101 PROTICTION SVSTIM <br />PERMIT VALIDATION <br />WHIN►ROPERIV VALIDATID(IN THIS SPACE) THIS IS YOUR PERMIT <br />( 9NOINCII X(AVAT ION&('LI ARINGICRUNRING <br />1 - PAINAGF <br />I NV'INC/NM[NTAL IMPACT STATIMINT <br />! •(ALTH DISTRICT <br />y <br />SYPI ICA/ION ACC pI <br />PLANS' CHECKED BY <br />/ <br />V 1 c <br />A►IR FOR ISSUANCE RV <br />