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ION <br /> Ihe Eve ALJNSTR CTIONR PVP(CIE <br /> Everett PERMIT E+ <br /> DIPT. Of COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8745 _ <br /> EVERETT,WA 98201 ❑COMBIMATION BUILDING ❑MECHANICAL ❑PLL MRING PERMIT NO. <br /> OWNER wit ADDRISS ! - 76 w cPv ill, ` PHONE <br /> gjcylqi2 L DR I D G6 - 'fir - GUer< T 7 3 S3 - 682/ <br /> ARDIII[CI OR OESU NIR MAII ADDRESS CDY TR NEON( <br /> GINIRAL CONIRACWR MAIL ADDRESS CITY ZIP PHONE tICINSIF <br /> A/rlL�v2 d3irit.Djnj Qo . �6 �7�//6 5 >�7Al2Xsdj(_t(- l00-A,Iys-y Ng-M�-im <br /> MICHANICAt CONTRSCTOR MOIADDRISS City ZIP PIIONt •�IIfaH11_R` <br /> I7 <br /> PLUMBING.CONTRACTOR MRt ADDRESS CITY ZIP PHONE LICE 4.7 <br /> PLUMBING <br /> CEASSOf WORK <br /> ❑NEW AADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FLNCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> YAIU4IION Of WORK OO <br /> LS�c,iLX> zo x3L A 195000�1,n,LJ 0AJ7o <br /> 40"J(5- <br /> DESCRIBE WORK <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> .,L:�9<< C�: sl .6 a ,� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LmA�I �(/SCQRIPTED.OI PROPUTY Ill! Wt RIIOW OR ATTACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> LOT BLOCK-OF U EConnBK 44 C/2OA1lg OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> e rz.,4 o F LE)7~ ezog-f d F 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 /> C U Q hL A C-Me S TROCIL S SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br /> j TOR ADDRESS �7 -- '' <br /> S- / (�S.EcJ, - UC 2eT�•- X w, "NaMz(� LJ'- ?y <br /> PLUMBING MECHAN CAL <br /> NO. TYPE OF FIXTURE FEE NO. I TYPE OF EQUIPMENT FIT <br /> WATER CLOSET(TOLIf TI AIR COND UNITS—HP FA <br /> BATHTUB OL 00 REFRIGERATIONUNITS-IIP [A <br /> LAVATORY(WASH BASIN) 4, �5 BOILERS-11 P EA <br /> SHOWER 'L (� GAS FIRID AC.UNITS-TONNAGE EA <br /> KITCHEN SINK&DISP FORCED AIR SYSTEMS-B T U M EA <br /> DISWASHER WALL HFATFRS-B T M <br /> LAUNDRY TRAY UNIT HEATIRS-B T M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C F AI <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS MFTAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE-BAR,ETC) <br /> SUB TOTAL 'Z SUB TOTAL f �� <br /> PERMIT f PERMIT S <br /> TOTAL FF[ f 'L TOTAL FEE IT 26 <br /> SIDI YARD SI IBACK STRIII SE IHACK RI AR YARD SL(BACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> (01=-TZOF�'X �w 74/67G/ ILFya � RECEIPTN,6 <br /> USE ZONE TOT ARM VACANT SITE - <br /> ZLon(Db DYES WWW TIFFS VALUATION FFE <br /> TYPE EONS OCCUPANCY GROUP NO OF DWELLING UNITS <br /> _ � R_ J HURDINC. S w_ <br /> SIZE 01 HE DG NO OF STORIES MAX OCC LOAD '���J• C cri <br /> 20EX'3(o( I PLUMBING Z 00 <br /> FIRE ZONE RASIMINI III IJN/SIS TIRE SPRINKLERS <br /> .3 FBS7EL//1 RIQUIRFO MICHANICAL cc)l'I S E4NPf <br /> APPROVALS BY DATE OILIER <br /> 1. ENVIRONMENTAL CHICK LIST <br /> Il NAI TI UBC <br /> 2. BUILDING PLANS SIC )nRRI <br /> ). FIRE HYDRANT TOTAL U O OIZ <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S GRAOINCAXCAVATION 6 CLE ARINGIGRURRING WHI N PROPERLY YTLIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 6. DRAINAGE <br /> 7. ENVIRONMENTAI IMPACT STATIMFNI <br /> 8. HEALTH DISTRICT <br /> APPLICATION ACC.BY PLANS CHICKID BY APPR FOR ISSUANCI BY <br /> V, C. <br /> 9.1,79 <br />