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L <br />%PPLICATION FC'"I <br />the OF°"'" CITYCONSTRUCTION <br />CITY Of <br />everett PERMIT <br />DIPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2S9-9745 <br />EVERETT WA98201 COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />U"}"IR ,/ �; MAII ADUVI SS OIL !P P U I 1 <br />�1/ •C/.i 1Yl•/i:e J J�LIL� c`�)C' [/-( 1 •[ 41 [ e[ rc <br />GE NI I At CONTRACTOR <br />Irk <br />MAIL AUDRISS <br />CITY ZIP MONT IICINHI <br />nt It <br />MI(HANICAI (ONIRACIUR <br />� �r �_. � <br />MAIL ADMI$S <br />.,�i. :'rA sl/.I <br />C 1 / /NDNI 1 CI 51 <br />' rrt�( •'� �(Si �'r.,l eT (: 1• <br />I <br />PIgNI lCl sIN <br />Nll'•IMNf. rONIMC UIR <br />I <br />MAR ADORISI <br />% i/F'/'"l /'i/I <br />r II )r) (Il r;;) /7(.,t;� •.f [[/i/ ' �r <br />�f///lrl jCl / / /' <br />�/' CI <br />t �MS 01 W[MK <br />❑ADDITION <br />❑ALTERATION ❑REPAIR <br />❑DEMOLITION ❑IINCE ❑SIGN ❑GARAGE EIBUILOINC RELOCATION <br />'YNEW <br />VAIUAIH]N Of WORK <br />OISOi WORK <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />novolm Lit of BURDINc f <br />e./N!-Cr /� Ia A/ <br />r ,I <br />�i EJ//T '�l <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />THIS TYPE <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING <br />UGAI DHCRIg10N IX MINIRU 11HOwN BIIOW MucH IouR corgN <br />[III ATTACH FOUR CO 1% <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />1 �1 <br />� cr <br />:1 <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />tot BIaR_a <br />ANY OTHER OSTIATE OR LOCAL LAW REGULATING CONSTRTY To VIOLATE OR CANCEL THE UCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />-A •TCN.Oultt Of CDNILR�A/C/t/��//q1t ON AUTHORIZED AGENT DATE/ <br />ION ADDRI TT. _ •!/O W /%Vi' / Jl l: l [ //"-)" <br />UI`J / � n•cv. <br />� <br />• I /• <br />MLCHANICAL <br />PLUMBING <br />NO. <br />TYPE OF EQUIPMENT <br />Fit <br />NO. <br />TYPE OF FIXTURE Ell <br />UO <br />AIR COND UNITS-/IP IA <br />WAITR CI OSII IIDIt(11 <br />CI �- (JQ <br />qI I RIGI RATION UNITS -HP lA <br />/ <br />PAiI <br />Lv <br />ROKIRS-TIP IA <br />)_ <br />UVAIORY IW ANH PASINI <br />GASIIRIDAC UNITS-70NNAGl FA <br />_ <br />SHOWIR <br />IORCID AIR SYSTEMS -BTU MIA <br />( <br />KItCHIN SINK S OISP <br />WAIT IIIATIRS-IIIU M <br />OISWASINR <br />UNI1111 AtIgS-B1U M <br />LAUNDRY TRAY <br />I VAPUq ATIVI COON R5 <br />C 011115 WASHIR <br />CIOINfS I7RYU1 <br />N'AI/RHUIU <br />✓- <br />VINIIIAIIONIAN <br />UgINAt <br />/ <br />gANGI HOOD <br />DRINKING FOUNTAIN <br />AIR NANDIINU UNIT- C S M <br />IICYOR DRAIN <br />SIOVl <br />VACUUM FILL!AKINS <br />MI IAl IIRI PI ACI 6 CIIIMHIY <br />RIX)i DRAINS-RAwIlAUUS <br />SUB TOTAL <br />SINK ISI RVICI -BAR. ITC) <br />S <br />Tuv <br />SUB IOIAI <br />PIRMIT <br />S <br />PIRMII S <br />TOTAL HIT <br />R <br />TOTAL III ' <br />UDF YA�SI�K SiRHf SETBACK REAR VAROD St !BACK <br />1'IAH <br />K <br />CII! ANDMBIR <br />Fit ve CHECK <br />Ric PIit <br />f10 <br />,L 11 nGC^J 2 F <br />U <br />7G z- <br />USE JONI <br />LOT ARIA <br />VACANT SOL <br />fill <br />VALUATION <br />lit <br />Y•j_-2- <br />FOf <br />FIVES MARC, <br />IYPI CONS1 <br />OCCUPANCY GROUP NO <br />Of UWIIIING UNITS <br />to <br />( <br />BU IERNIG <br />S70USI: 12 <br />yy171 Of toE.r <br />NO Of SIORHS <br />2 <br />MAX OCC LOAD <br />%) <br />PLUMBING ZZ I <br />GI.IL.GI•7 .aIIR! <br />MINI III DROOMIS <br />IIRI SPRINRIL AS <br />rl, <br />IUNIBAST <br />,3 <br />RIQUIRIU <br />MICIIANICAI <br />_ <br />IYISl <br />BY PA <br />OIIIIR <br />APPROVALS <br />1 INVIRONMINTAL CHICK LIST <br />PINAl1Y sic <br />SIC 1011s1 <br />7 BUIIUING PIANS <br />ry ,R /_ <br />TOUT .3 4 W O <br />1 IIRI HYDRANT <br />I FIRE PROIIC110N NS1IM <br />PERMIT VALIDAT <br />µNTH PROPERRONRIY VAIIDMfD TIN THIS SPACH THIS 15 YOUR PUMA <br />S GRAOINGII RLAVA710N S CIE ARING'CRUBRINI: <br />it ;A ^ l �C. <br />6 DRAINAGE <br />7 INVIRONMINIAt IMPACT STATEMENT <br />B IIFALTH DISTRICT <br />APPLICATION ACC BT ►DNS CNECkIO By <br />APPR TOR ISSl1ANU NY <br />Lam, mum <br />L c <br />9.1.79 <br />