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"1PPLICATION FOP rYrlrll <br />CITY o. - CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNII.' DEVELOPMENT SERVICES <br />CITY HALL 1590715 <br />EVERETT, WA9§201 ❑COMBINATION El BUILDING ❑MECHANICAL PLUMBING PERMIT <br />MPII AUIIM155 QI1 I MOW <br />OWNU .� _ - .. �.. ..I,-r.,,5 <br />APCIII <br />c <br />SS <br />MAIL AOORI SS <br />LILY ZIP 111DN1 II(I 1511 <br />_.G3'?A- sr <br />CITY ZIP <br />❑A55(1 NOPK <br />XNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DINIOLITION ❑FENCF []SIGN ❑GARAGE 0BUILDING RELOCATION <br />VAIUADON OI WORK <br />1 {�v v <br />DIWRIRI WORK <br />[✓ I / S/u 3 C L p- J/RUC "ee <br />CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />nomslo usl of nullul«c <br />1 HEREBY <br />AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PLICATION <br />OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />L f"Iz3�'AL Dlsavuf Dl r.o17P la'IowN Puow OR Al1Ao11ouR <br />COMM <br />PROVISIONS <br />OF WC4K WILL BE COMPLISD WITH WHETHER SPECIFIED HEREIN <br />OR PLOT THE GRANTING Of A PERMIT DOES NOT PRESUME TO <br />lot _sIocK _I" <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />GIVE <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />ANY OTHER <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONTRACTOR OR AUIIIORIZfD AGENT DATE <br />•rj_ <br />�G- <br />IIIP APURI41 -• <br />77 iel v� <br />Ji e1.e.4, <br />- <br />MFCNANI AL <br />PLUMBING <br />TEE <br />NO. TYPE Of EQUIPMENT It[ <br />NO. TY►E Of FIXTURE <br />C:(J <br />AIR CONO UNIIS — TIP FA <br />W AIIR CLOSl111Ul11II <br />RIf RIGIRAI JUN UNIIS—D P 1A <br />BA711IUfl <br />HOII IRs—I/P LA <br />LAVATORY IW A511 NASINI <br />GAS FIRED AC UNIIS—IONNAG[ [A <br />STOW ., <br />) <br />IORCIO AIR T U M EA <br />KITCHEN SINK r <br />/ <br />IRS —BTU M <br />DISWASIIIR <br />UNIT HEATERS —BTU M <br />LAUNDRY TRAY <br />/ <br />FVAI'ORATIVf COOL[RS <br />CLOIHIS WASHER <br />/ QIJ <br />C1011115 ORYI R$ <br />WMIq III Ai1R <br />1 <br />VI NIIIAIION FANt• <br />URINAL <br />RANGE HOOD <br />DRINKING FOVNIAW <br />AIR HANDLING UNIt— C F M <br />FLOOR DRAIN <br />-1 SC <br />T Slow uf00 <br />VACUUM BRFAKIRS <br />Ml UI FIREPLACE Isl <br />CHIMNEY <br />ROOF DRAINS—RAINtIADIRS <br />SINK (SIRVICI —BAR. I Tc 1 <br />SO TOTAL <br />_ <br />SUB IOTAI <br />PE RMIT S <br />MIT" S <br />TOUT t[[ 7 S <br />TOIA/ 1E1 1 <br />, <br />PLAN Cl/ttK fit <br />PLyAN CIItC���t�� F[[/c/-) RECtIPTNO <br />SIDE YARD St IBACK <br />$TRI LL SETBACK <br />FHA <br />IDS SI IOACK <br />USE ZONE <br />LOT A9EA <br />VACANT SIZE <br />FEES VALUMION SEE <br />RYES ONO <br />' <br />F YP[YpE f CONS I <br />N <br />OCCUPANCY GROUP <br />r, 3 <br />NO Of DWELLING UNITS <br />! <br />157QX)L �4 <br />BUD DING <br />SIZE OF BLUG <br />NO OF SIORItS <br />MAX CC LOAD <br />PLUMBING W <br />1117 % C <br />TIRE ZONE <br />BASEMENT III DROOMS <br />TIME SPRINKLERS <br />REQU <br />MICIIANICAL <br />✓y <br />nYEs IIn O <br />BY DATE <br />OILIER _ <br />APPROVAL$ <br />I INVIRONMENTAL OIECK IIS1 <br />PENALTY SICU BC <br />]OXRI <br />Z BUILDING PLANS <br />TOTAL <br />S FIRE HYDRANT <br />A FIRE PROTECTION SYSTIM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIUAIEDIIN THIS SPACE) THIS IS YOUR PERMIT <br />S CRADINGIIXCAVMION&CLIARIN0/GRUBBING <br />IS DRAINAGE <br />7, ENVIRONMENTAL IMPACT STAIIMENT <br />jFOR <br />11I AlTl/ DISTRICT <br />APPLICATION ACC RY PLANS CHECKED BY <br />ISSUANCE BY <br />Z <br />O <br />Cl <br />m <br />-1 T <br />c <br />C' <br />m <br />9.179 <br />