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1 <br />APPLICATION FOP RY�IBn <br />c",Of CONSTRUCTION- <br />everett PERMIT e <br />1101 OF COMMUNITY DEVELOPMENT SERVICES <br />C IIV HALL 759-8745 <br />1 •:!Rf TT,WA98201 COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />Fyrcc..rs Akwiz,w <br />EYE9'e%1" <br />9?Zof- <br />3s3--¢04 <br />•+.II ❑CI OR OT$trhlll <br />MAIL ADONIS$ <br />CITY <br />LIP <br />FROM <br />-CI PAt CONIRA( TOM <br />�/ill <br />ar <br />MAIL ADDRISS <br />CITY <br />LIP <br />PHONE 411 <br />ZZ3-o/-�ia-cc -i LY <br />dF337LG <br />IgAhfq IOhI RA(IUN <br />�6 <br />(��/S MAXI A RISl <br />�! "� �y /tJuJ, �+'OJ♦FE% <br />CC11I/Ij <br />i/� <br />�J�L jI y� <br />iJy /i/ <br />'/ IN�OjN�I/, ❑ (NSF <br />7-C 7(W .[i�i!�f/rl <br />�',. nnlNr.{DNIR A(lOR <br />N. NseN 1�rLMBrt%a <br />MMAl1�AL0'O�R iy5�5�/ ,hS/I,�-y�C�I1Yy��♦- <br />�i SE. �A� <br />`L'I'P1,/ <br />�fI✓Y'LW <br />PH/ONE jl%[ry'1 <br />7/ /aVi-e <br />GYG/�(M ///LF ' <br />�iVGfC/!/ <br />�� <br />♦ OI NOR$ <br />❑ADDITION <br />❑ALTERATION ❑REPAIR ❑DEMOLITION <br />❑FENCE <br />[)SIGN <br />❑GARAGE ❑BUILDING RELOCATION <br />I .nohpl VnRA _ <br />\INI NOkl\ <br />! /1e 14E / 1y1/LE/ �E�ill.7LIrS <br />L •MD it OI At M." <br />T„1' GL6 FlfwlG ,ifs/OvLeC <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 CAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />1 OF CONTRACTOR 1 T DATE AUTHO0.1 [H <br />le <br />a DIN NIPIInh 11, egImIR11 •S.OIN HIM* ON A114(H IO(A CONH) <br />- <br />•. •oONIN <br />P.L, FARING <br />M HANICAL <br />NO. <br />TYPE Of FIXTURE <br />Fit <br />O. <br />TYRE OF EQUIPMENT <br />FEE <br />WATER( IOSI TOOL III) <br />AIR COND UNITS -HP (A <br />1 <br />HATHTUR <br />RIFRIGIRATION UNITS -HP EA <br />,2 <br />IAVATORV(WASH RASINI <br />BOILERS -HP E� <br />SHOW I <br />ItCAS <br />FIRST) AC UNITS-IONNAGI lA <br />_ <br />KITCHIN SINK A UISI• <br />♦ <br />FORCED AIR SYSTEMS -BTU MIA <br />/ <br />DISWASHIR <br />WALL HIATERS-BTU M <br />LAUNDRY IRA$ <br />UNIT HIATTRS-87U M <br />/ <br />C LOT tit S IS ASAP R <br />[\'APORATIVI COOIIRS <br />i <br />WATER HIAI[R <br />CLOTHIS ORYIRS <br />URINAL <br />VENTILATION FAN <br />Q� <br />DRINKING I()1 NTAIN <br />RANG[ HOOD <br />-- <br />IIDOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VA(UUAI HRIAKIRS <br />SIO\'1 <br />ROOF DRAINS - RAINII ADIRS <br />MIIAI FIR[PLACI4 CHIMNEY <br />SINK(SIRVICI -BAR TIC) <br />. _ <br />SUB TOTAL <br />SUB TOTAL <br />PERMIT <br />/ <br />PERMIT I <br />TOTAI FEE <br />1 <br />TOTAL fit <br />. YANDStinkrk <br />t� <br />SHOII SI TRACK <br />ZOF- <br />RUN YARD $I IBACK <br />00— <br />PUNCH KNUAIBIR <br />I, s33 <br />PLAN CHECK LEI <br />FEE/1 RECEIPT NO <br />_ <br />I rUNI <br />- J <br />I t)l ARIA <br />VACANT SITE <br />CMTS GNO <br />Itll <br />VALUATION <br />III <br />.i Of CONST <br />OCCUPANCY GROUP <br />NO Of DW[ILtNG UNITS <br />BUILDING <br />. III BLOC <br />:: ?I%B :• (=. <br />1 ✓I ZONE <br />No OF STORIES <br />I <br />MA% OCC LOAD <br />PLUMBING <br />LC/ <br />RASEMINT <br />HIDROOMS <br />FIR[ SPRINKLIAS <br />RICFUIRID <br />(vFS 191R) <br />MECHANICAL <br />1z <br />O <br />y A►/0.0VA1! <br />BY <br />DATE <br />OTHER <br />NVIRONMINTAL CHICK LIST <br />-- <br />PFNALTV <br />Ullic <br />SIC ]BXPI <br />SIC.1 <br />IIt DING PLANS <br />141 11YDRANI <br />TOTAL <br />.11 PNOTICTION SVSTIM <br />PERMIT VAIIOATTON <br />WHEN PROPERLY VAIIDATID PIN THIS SPACEI THIS IS YOUR PERMIT <br />\h- Aaa <br />•.R!UINCN RC AV+IIDN 6 (ll ARING GRUBBING <br />.' )gAINAOI <br />' fNSIRONM(NIAL IMPACT STATEMENT <br />IOAITH DISTRICT <br />APPIICAIIONN At( RS <br />. 1 4 <br />RFANS CHECKED BY <br />T I I.'r I I I <br />APPN ION ISSUANCI BY <br />& C <br />3 <br />