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CAR Everg"A A"PLICATION FOR <br />CITY OF LONSTRUCTION °e <br />everett PERMIT' <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2S98745 <br />EVERETT, WA 98701 ❑COMBINATION I] BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAII AODKItf CITY lip PHONE <br />AROann OR DIsIr.NER MMI ADDRESS n*r nr rnoNl <br />0 <br />OINIRAL CONTRA(IOR MAII AOp11145 / CITY ZIP -%-j—:540111 LICINSI f <br />�•j Ct., N�- /a l� L S� �(. r Il _ %`Lc ; >;.il?l3 ,CLGht1/`I/iL <br />Pit uHiNL(ONTRA( TOR MAIL ADDRESS (ITT ZIP PHONE LICENSE — <br />(1 ASS Of %OAK <br />❑NEW ®ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAIUATION Of WORK <br />r.— <br />+ 2 > cr <br />DIS(;181 WORK 1 <br />I.I,(,I 1I C V > I/ �'. —C- - ',. <br />PROPOSIOLsI OI RUILDINc S <br />Sd��+ / 7z ✓IC ✓ er lc lr S <br />1 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 LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />x <br />If CAI DISCRIPfIDN OI PROPERTY SHOWN MEOW OR ATTA(IT FOUR CONISI <br />Ij oT 1N Z1-=01 �(.� •�'L PIA i <br />el(xK <br />._ <br />TOR AODRISS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />I FEE <br />WAIERCLOSIT(TOLI[TI <br />AIR COND UNITS -HP [A <br />RAIHIUR <br />REFRIGIRAHON UNITS -HP FA <br />LAVATORY (WASH BASIN) <br />BOILf RS-HP [A <br />SHOWER <br />GASFIRFO AC UNITS -TONNAGE fA <br />KITCHIN SINK 6 OfSP <br />FORCID AIR SYSTIMS-BTU MIA <br />DISWASHFR <br />WALE HIAIENS-BID M <br />LAUNDRY TRAY <br />UNIT HE A71RS-87U M <br />CLOTHES WASHER <br />EVAPORATIVE COOIt RS <br />WATER THATIR <br />CIOTHFS DRYIRS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- CPM <br />VACUUM PRIAKIRS <br />STOVE <br />ROOF DRAINS -TRAINEE AD[K' <br />METAL FIRFPLAC( 6 CHIMNEY <br />SINK ISHIVICf -BAR. TIC) <br />SUN TOTAL <br />SUE TOTAL S <br />PERMIT { <br />PERMIT S <br />TOTAL fit IF <br />TOTAL fit S <br />SIDE YARD $I TPACK <br />STREIT SFT9ACK <br />e F` <br />RUN YARD SI IBACK <br />PLAN CHECK NUMIllA <br />PLAN CHECK FEE <br />fit�!"C-3 RECEIPT NO. <br />S_1!64Yw <br />USE ZONE <br />LOT AREA <br />VACAN SITE <br />❑YES xvO <br />fits <br />VALUATION <br />fit <br />IYPl-OF CONST.Y��/ •' <br />/r^ "c,— i <br />OCCUPANCCYY�GROUP <br />/ <br />• <br />NO Of DWItLING UNITS <br />BUT[DING, <br />s <br />SIZE Of BLDG <br />/p. � Y, +E5-3 <br />NO OF STORIES <br />/ <br />MAX OCC LOAD <br />—_ <br />PLUMBING <br />THE ZONE <br />BASEMFN7 <br />DI UR(H)MS <br />FIRE SPRINKE)RS <br />RIQUIRIU <br />nVIS D <br />MI(HANIUI <br />APPROVAL$ <br />BY <br />DATE <br />OIHIR <br />I INVIRONM(NIAL CHECK LIST <br />PfNAI iY <br />UBC <br />SF 70)(R) <br />Z BUILDING PIANS <br />) TIRE HYDRANT <br />TOTAL <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VAIIOAIED(IN THIS SPACE) THIS IS YOUR PERMIT <br />S 6RADING!IX(. AVATION 6 Cl IARINCIGRURRING <br />6 DRAINAGE <br />7 INWRONMENTAL IMPACT STAIIMENT <br />6 HEALTH DISTRICT <br />APPl ICAIION ACC BY <br />PLA1N/S CHECKED BY <br />V . cv I <br />APPLE FOR ISSUANCE BY <br />91 79 <br />