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A l .' L I C A T I O N FOR PYRTP„ <br /> c <br /> CITY OF <br /> CONSTRUCTION <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259,0115 <br /> EVERE7T.WA90201 ❑COMBINATION ❑ BUILDING - MECHANICAL ❑PLUMBING PERMIT NO. <br /> MAIN ADDRESSh Jli' 111.vd <br /> �(eT"I' .7 SOLE 4"fi; `lbrG3 xsS_ ib3 <br /> ARCNITI CI O1R pI SIGN+klR p Y`� (/1��MAIL AODRI55 /CETI ZIP PHONE <br /> C�'`<vAe\YL V Val, CUSZQ <br /> GINIRAL CONTRACTOR P MAIL AODM SS IIY ZIP PHONE IICINSE I <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CIl1 tip PHONE LICENSE <br /> r11'MBINI CONOIM'IOR MAIL ADDRESS CITY lip PHONE LICENSE <br /> I ICAs%tH WORK <br /> E:JNLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINC RELOCATION <br /> I <br /> YMaA RnN OT WORK <br /> I 000 <br /> PI SC RIgI WnAA <br /> �AI <br /> rxanYYums of qunDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> I C.M tit Sl REPT OF PROM ATV(SHOWN UOw CIA An At u �pj41 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> —L—. WITH WHETHER SPECIFIE <br /> OR NOTOF WORK HEEGRANTTIINGEIED OFF A PERMIT DOES NOT PRESUME TIO <br /> 101 PL(ICF�OI <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 /> SIC A (j�) (O[RACTOR OR AUTHO D AGENT DATE <br /> Inq ADpA1.� �� <br /> S7 <br /> PLUMBING ME HANICAL <br /> NO. TYPE OF FIXTURE IEE NO. TYPE OF EQUIPMENT FEE <br /> V%A T I R CI OSI I ETOL II-11 AIR COND UNITS-ENP IA <br /> BATHTUB Rif RIGERATION UNITS-ITP IA <br /> 1 LAVATORY(WASH BASIN) BOHIRS-H P FA <br /> SHOWIR CAS FIR[D AC UNI TS-IONNAG[ IA <br /> KIICHIN SWK 6 DISP IORCID AIR SYS7t MS-RTU MIA <br /> DISWASHFR WALL HIAIIRS-RTU AI <br /> (AUNDRI (RAI UNIT IIIATIRS-RTU M <br /> (IOTHIS WYSHIR EVAPORATIVE COOLERS <br /> WAIIR HEATER CLOTHES DRYIRS <br /> URINAL VINIIUIION IAN <br /> ' DRINKING FOUNTAIN RANG[ FLOOD <br /> FLOOR(TRAIN AIR HANDL INC UNIT- CFM <br /> + VACUUM BRIAKI AS STOVE <br /> ROOF DRAINS-RAINIEADI ITS MI EAT FIRIPLACI b CHIMNEY <br /> SINK SERVICE-FEAR [IC 1 <br /> SUB TOTAL SUR TOTAL S _ <br /> PERMIT s PERMIT S <br /> TOTAL HE S TOTAL IEE S <br /> SIDE YARD SI 111VK STRIIT SITRMK RI AR YARDSIIBACK PIAN CHICK NUMBER PUN CHECK fEI <br /> Pit RECEIPT NO <br /> USE ZONE LOT ARIA VACANT SISI <br /> OYES ONO FEES VALUATION fit <br /> TYPE OI CONST OCCUPANCY GROUP NO OF OWIH INC.UNITS <br /> BUILDING S <br /> SIZE Of BLDG NO Of STORIES MAX OCC TOAD <br /> PI LEVERING <br /> FIRE ZONE BASFMINI HI DRODMS 11TOSREIDNKLIRSINQUIMECHANICAL <br /> IVES LINO <br /> APPROVALS BY DATE OTHIR <br /> I INVIRONMt VIAL CHICK LIST PI NAI TY UBC <br /> SIC SOTIRI <br /> I BUILDING PUNS <br /> 1 (IRI HYDRANT TOTAL <br /> A (IRI PROTIC71ON SYSTIM PERMIT VALIDATION <br /> WHEN PROPF RLY VALIDATED SIN THIS SPACE I THIS IS YOUR PI RMI( <br /> S GR AOINGH K(.ASIA I EONS CI I AR INGICRURRINC. <br /> 6 DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT STATEMENT <br /> B HEALTH DISTRICT <br /> APPJI(ATIO-i A(( III PIANSCHICKIDRY APPR NOR ISSUANCE BY <br />