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IB.P..ro1..B APPLICATION FOR <br />L7^oP CONSTRUCTIOM' `M <br />everett PERMIT <br />OI PT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HAIL 259-8745 <br />EVERITT. WA98301 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNIR MAIL ADORI\S CItY zip INUNI <br />�- A!Ii 72^ -1 rI�1;y'4 �%Y,7jQ3 �`t�i `jydZT <br />K HIIII l OR Uls c 1 IL ADDRESS CITY Ilr rNOwl <br />I,INIRAI (ONIRAI TOM `I' II EMI ADDRISS J 1 CITY ^ TIP INONI UCIMSI t <br />At <br />P11'MBNG(UNTRACIUR MAIL ADDRISS CITY zip PHONE IICINSII <br />11 N\ (ll NUKk <br />NEW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATIO'1 <br />MOAlI11M OI NORk <br />DI\I NIRI ",IRK i <br />110"'0I1 Ulf 411 FINIOING <br />FICA[ IIIAMIPHON OTPR�T'1RI, <br />101 _NIIKkof <br />MEOW OR ATTACH FOUR COPHSI <br />67 1Kus - .) - 07_ <br />I HEREFFTCERTIFY 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 />ANV r1TNt0 CTA TIC no InrAT I ♦w Otrin A�ulr rnueTm.rer..0 <br />1r�/ <br />_\ <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR Or CONTRACTOR OR AUTHORIZED AGENT DATE <br />'� <br />X L <br />TOR lIAl55 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />Fit <br />WAIT R CIOSI I IIOUE II <br />AIR COND UNITS -HP IA <br />RAHIIUB <br />REFRIGERATION UNITS -HP EA <br />I AVAIORV IWASH BASINI <br />BOILERS -TIP [A <br />SHOWIIT <br />GASFIRIDAC UNITS-IONNAGIIA <br />KIICHIN SINK&OISP <br />FORCED AIR SYSTEMS-B I MIA <br />OISWASHIR <br />WALL Hf AIERS-BTU M <br />IAUNDRV FRAY <br />UNIT HIAIERS-BTU M <br />( 10THI S W ASHIR <br />EVAPORATIVE CODIFIES <br />WAIIR OIATIR <br />CLOTHES DRVINS <br />URINAL <br />VINITIATION FAN <br />DRINKING FOUNTAIN <br />RANG( HOOD <br />IICNJR GRAIN <br />AIR HANDLING UNH- C F M <br />VACUUM BREAKERS <br />SIOVI <br />ROOT °RAINS-RAINLIADIRS <br />METAL FIREPLACE &CHIMNFV <br />SINK 151 RVIC 1 -BAR. I IC I <br />SUN TOTAL <br />SUN TOTAL & <br />PIRMIT N <br />PIRMIT N <br />TOTAL FIE S <br />TOTAL HE N <br />SIO1 VARII SI TRACK <br />SIRE II St TRACK <br />1-0 <br />BLAB YARD 5118ACK <br />']N <br />PG N CHECK NUMRIK <br />l�L,� <br />PIAN <br />HI <br />CHICK FEE <br />RECEIPT NO07 <br />USE lUNI <br />R-I <br />LOT ARIA <br />8 .To Sh <br />VACANF SIT[ <br />OTIS po <br />Fits <br />VAIUATION <br />Fit <br />1YPI ()1 (ONSI <br />7 <br />OCCUPANCY GROUP <br />M- � <br />NO OF DWELLING UNITS <br />-- <br />I <br />50 <br />RGIIDING <br />fce <br />6 .5-a <br />$III (H PI C. <br />(g6 5f <br />NO OF STORIES <br />I <br />MAX OCC LOAD <br />-� <br />PLUMBING <br />FIRE JONI <br />RASE ME NI <br />HIIHH)OMS <br />FIRE SPRINKLERS <br />REAYOUIRI <br />ES NO <br />MECHANICAL <br />APPROVALS <br />NT <br />DATE <br />011419 <br />1 INVIRONMINTAt CHICK LIST <br />PENALTY <br />URC <br />SIC JDRq <br />7 RUII DING PI ANS <br />I FINE Hl DRANT <br />TOTAL <br />/ FIRE PROHC110NSYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS FOUR PERMIT <br />S GRADINCII R( AVAHON & CLIARINGICRURRINC <br />& DRAINAGE <br />S ENVIRONMENTAL IMPACT SIAHMINT <br />B HIMTHDISTRICT <br />APPLICATION ACC BY <br />YN \ I <br />PLANS CHECKID BY <br />JF-f v- <br />AP►R FOR ISSUANCE BY <br />I..-G <br />9.179 <br />