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;1 <br />1 <br />N <br />the EYnprlleA APPLICATION FOR <br />CITY Of ZONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2SM745 <br />EVERETT• WA9B201 COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />0=R[t MAIL ADDRISS rill 211 INONI <br />C INITIAL CONTRACTOR 'ARIL ADDRI!S CITY ZIP PHONE h/y��O�llpfy5ll <br />MVI ADURIS• / C;* ZIP PRONE LICENSE IF <br />PI LIMPING CONTRACTOR MAIL ADDRISS CITY ZIP PHONE UCFNS( I <br />CLASS OF WORK ' <br />❑NEW AADDITION El At It RATION ❑REPAIR [:]DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION Of WORK <br />E /'y Oder;, <br />ILISCRIBI WORK <br />PROFOSID US[ Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />UGAL DISCRIPTION 01 PROPIRA ISHOWN NIOW OR ATTACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />LOI `� n1OCK�) OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />SL'G 0 7 i7vWI ,� - >S 9M GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />Gcs'd %�•Yt �S'� ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />✓ .vlwv9 a'�L41 OR THE PERFORMANCE OF CONSTRUCTION. 3 <br />SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE--3/ <br />IOR AD[) PUSS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />WATER CLOSLI ITOLIFTI <br />AIR COND UNITS -HP EA <br />BATHTUB <br />RIFRIGFRATIONUNITS-HP LA <br />LAVATORY (WASH BASIN) <br />1101LLRS-H P FA <br />SHOWER <br />GAS FIRED A C UNITS -TONNAGE EA <br />KITCHEN SINK A DISP <br />I0RCFO AIR SYSTEMS-B T U MIA <br />DISWASHER <br />WALL HEATERS -BTU M <br />LAUNDRY TRAS <br />UNIT HEATERS-0 T U M <br />_L7RINKING FOUNTAIN I I I I RANGE HOOD <br />I VACUUM FIR ANT I I ' STOVE <br />1 ROOF DRAINS -RAIN) I A1lI XS MLTAL FIREPLACE A CHIMNEY I — <br />SUN TOTAL <br />I1RMN III <br />I <br />PIRM17 S <br />-- <br />TOTAL FEE $1 <br />1 <br />1 <br />TOTAL FEE N <br />SIDE YARD St IBACK <br />SIRI(T SI TBA(K <br />BLAB YARD SI )BACK <br />PLAN CHICK NUMBIB <br />114 •J 1'P <br />PLAN CHECK FEE <br />I11 � 7 9� Rt CFIPT NO <br />USE ZONI <br />l07 ARIA <br />VACANT SIIE <br />DYES ONO <br />FEES <br />SALVATION <br />FEE <br />FYPI OI (.ONST <br />S7 N <br />OCCUPANCY GROUP <br />ADDAJ R 3 <br />NO OF DWELLING UNITS <br />BUILDING <br />S, fG CTL ., V <br />/ <br />SIZI f+LOG <br />LA �•f, App/Tic� <br />NO OF STORIES <br />I t Ci SM <br />MAX OCC LOAD <br />— <br />PIUMBING <br />FIFE ZONE <br />_ <br />BASEMENT <br />Y�5 <br />T <br />BIORCIOMS <br />FIRE SPRINKLIRS <br />REQUIRED <br />OYES Ko <br />MECHANICAL <br />APPROVAIE <br />NY <br />DATE <br />07HIR <br />I ENVIRONMENTAL CHICK LIST <br />PENALTY <br />UBC <br />SF[ 10A.) <br />2 BUILDING PLANS <br />S FIRE HYDRANT <br />TOTAL <br />IDC( <br />SZ% <br />A FIRE PROTECTION SYSTEM <br />PINMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADINGII XCAVAIION A OF ARINGIGRURRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACI SIATI6HNT <br />B HIAIT'I DISTRICT <br />APPLICATION ACC BY <br />PLANS C III( KIO BY <br />APPR TOR ISSUAN(I BY <br />91.79 <br />