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APPLICATION FOR cthe e <br /> CITY OF "'" <br /> CITY or <br /> CONSTRUCTION laml <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259.8715 <br /> EV[RFT7 WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL PLUMBING PERMIT NO. <br /> MAu ADORE W <rtr ) I o 1 <br /> owNIK / <br /> �TE7�hti'7i� M <br /> NIL t eF2 : 0 7(•rrr �� 5 SAI �V EA2t1i T 9 9:b 3PND I 35?� -IV 41 <br /> ARCIIIIICI OR DIMGNIR MAIL ADDRI SS <br /> -:5,1114 C OY IIP PHONE UCINSI 1 <br /> GINIII CON,RM.1011 MAIL ADDRISS <br /> l <br /> \II UTANICAI(ON ACTOR <br /> MAIL ADDRISS 11,1 IIP IMONI OCINSI I <br /> FILM",,.,LONIRA FOR MAIL ADDKIu <br /> nIY IIP PNONI IICINTII <br /> t 1 ASS 01 WURR <br /> ❑NEW ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE DBUILDING RELOCATION <br /> VALUATION Of WORK <br /> 1 15A.V <br /> DISCRIBI WORK <br /> /4apx-u <br /> vlovoAlD rM ar Run uwr, n I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> SNOWN REI <br /> FILIAL OI SCMP,EON OF Mf1PIRIY I . . .... IDUR COPIIM PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> IDI __OLD, I 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 /> SIGNATUR All <br /> CONT TOR OR AUTHORIZED AGENT DATE <br /> IDR A�ORitc^ 76 -1 S1PJ - Ev ET X <br /> 1/1C��YS MECHANIC <br /> At <br /> PLUMBINGHE <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT <br /> AIR COND UNITS-HP EA <br /> WATER ClOSFT(TDLI(T) <br /> RF FRIG[RAIION UNITS-H P FA <br /> BATIIIDB <br /> BOIII RS-NP FA <br /> LAVAICSRY(WASH BASIN) <br /> GAS IIUD AC UNITS—TONNAGE EA <br /> SNONfR <br /> FORCED AIR SYSIE MT—BTU MFA <br /> KITCHEN SINK 6 DISP <br /> WALE HEATHS—BTU M <br /> DISWASHIR <br /> UNIT HE All RS—BTU M <br /> LAUNDRY TRAY <br /> EVAPORATIVE CCIOLF RS <br /> CIOIHIS WASHER CLOIHIS ORYE0.5 <br /> WA1lLE MI ATTR <br /> VENTILATION{AN <br /> URINAL RANGE HOOD <br /> DRINKING)OUNTAIN <br /> AIR HANDLING UNIT— C F M <br /> FLOOR GRAIN STOVE <br /> VACUUM BRI AK ERS <br /> METAL I IRFPLACT 6 CHIMNEY <br /> ROOF GRAINS—IISRS <br /> SINK(Tl RVICI—BAR. 1C 1 <br /> SUBTOTAL S <br /> SUB TOTAL PERMIT B <br /> S <br /> PERMIT S <br /> S � iOtAl F[[ <br /> tOTAt Fit PLAN CHECK FIT <br /> $IDL YARD SE In SIRI(T S[TBACK 0.1 AR YARD$f TRACK PLAN CHECK NUMNIR RECEIPT NO <br /> H( <br /> USE ZONE LOT ARIA VACANT SITE FEES VALUATION FEE <br /> ❑YIS ❑NO <br /> TYPE OF CONST OCCUPANCY CROUP NO OI OWILLING UNITS <br /> BUILDING S <br /> SIZE Of BLDG NO OF STORIISMAR OCT LOAD <br /> PIUMflINGFIRE SPRS — <br /> FIRE ZONE BASEMENT BI DRIK)MS RIOU RIIO KIf RT MICHANICAL <br /> IlYiS (INO <br /> APPROVALS BT DATE OTHIR <br /> 1 ENVIRONMENTAL CHECK LIST Pf NATTY URC <br /> SIC ]ORAE <br /> 2 BUILDING PLANS TOTAL S <br /> 1 FIRE HYDRANT <br /> PERMIT VALIDATION <br /> A FIRE PROTICTION SYSTEM WHEN PROPIRLV VALIDATED(IN THIS SPACII THIS IS YOUR PERMIT <br /> S GRADINGRKCAVAII046 CIFARINGIGRURRING <br /> 6 DRAINAGE <br /> 7 (NVIRONM(NIAL IMPACT STATEMENT <br /> 6 HEALTH DISTRICT <br /> APPLICAIION ACC BY PLANSCHII KIDBY APPLE FOR ISSUANCE BY <br /> 9.1.79 <br />