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INE»fBEOM - ` APPLICATION FOR' PYP.PD <br /> CITY OF CONSTRUCTION <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-87/S <br /> EVERETT,WA 98201 (3 COMBINATION IO BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ITCITY <br /> OwNiR Sherstad 11 Williams,MIA Inc,DRIYP.O. Box 419, Kirkland, Wa 98033 821-0494 <br /> ARCHIIICT OR0151CNIR MAIL ADDRISS CITY ZIP PHONE <br /> CI NIRAL CONTRACTOR MAIL ADDRISS CITY ZIP PHONE IIUv.II <br /> same <br /> AtlCHANICAI CONTRACTOR MALI ADDRISS CITY ZIP PHONE U('INVII <br /> rll'\1RNY.S'ONERACIOR MAII ADDRESS CITY ZIP PHONE U(f"f 0 <br /> IIr-IA 7ARL1 Of%M R — <br /> LNEW [-]ADDITION ❑ALTERATION ❑REPAIR ❑MMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \ulAnow M woRK <br /> III St 11181 WORK <br /> New construction <br /> rknmMDl\ <br /> SInDI merami ly residence R-1285 D1 r: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> III:AI DISOOPTION Ill PROPIMTV ISHOWN RI IOW OR AMAIN ICHJKOIPIIN PROVISIONS OF LAWS AND ORDINANCES COVER?TING THIS TYPE <br /> Cedar Rid a Estates OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> TUI �RIIXA_OI 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 /> p OR THE PERFORMANCE OF CONSTRUCTION. <br /> I&- 1 L —20—d, SIGN I RI OI CONNTRACTOR/pppR AUTHORIZED AG[HT DATE <br /> 11IRA`64'—'17th Place S.W. Everett, Wa 98203 / J ,_-, l <br /> 1ut� - F�ia� k-C�12. 1,r 1/22/81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FEF NO. TYPE OF EQUIPMENT FEE <br /> WAIIR CLOSIT ITOLHT) AIR COND UNITS-IIP lA <br /> BATHTUB BI IRIGIRAIION UNITS-H P IA <br /> IAVATORI(WASH RASINI Q BUILT RS-IIP EA <br /> I SHOW IR 1 <br /> 190 <br /> 6ASURIDAC UNITS-IONNAGE EA <br /> KITCHIN SINK 6 DISP EORCID AIR SYSTEMS-RTU MEA «) <br /> DISWASHIR �'k) WALT HIATERS-BIO M <br /> tAUNDRYTRAI UNIT HIA-•PS-BID M <br /> CLOIHIS WASHER pU 1\'APORAIIVI COOIIRS <br /> WAfIR HEATER 12 • C CLOTHIS DRIIRS <br /> URINAL VINIIIAIION IAN (J <br /> DRINKING FOUNTAIN RANRA HOOD <br /> 11 OOR GRAIN AIR HANDLING UNIT- C E M <br /> VACUUM FIRIAKFRS SIO\'1 <br /> BOTH DRAINS-RAINI I AOI RS MI IAI ORI PI M 16 CHIMNlY <br /> SINK OI BILL-RAR ITC/ <br /> SUB TOTAL QCj SUR TOTAL { TZ A'jy <br /> PERMIT IF PERMIT { <br /> TOTAL RE { 7,nI TOTAL RI { 1-M) <br /> SIDE MRD SI TRACK STRIFqE S�IIflACK RIAR IABD 51 TIIMK PIANCIIECK NUMBIR PLAN CHECK FEE <br /> W � / rll Rf CfIPT NO <br /> USI ZUNI IOL ARIA VACANT SITE Ob CR: <br /> R114S 6NO EELS SAIUATION FEE <br /> TYPE Of CON,SIII OCCUPANCY GROUP NO OF DWIIIING UN115 <br /> BUIIDINC. 2 <br /> SIZE Of BID(. NO OF STORIIS MAX IXC TOAD SCv'j <br /> �I,pQ PLUMBING <br /> IIRI ZONEflA5l Ml NT fl1OR(B)MS FIRE SPRINKIIRS <br /> --� /s RIQVIRE E1 � MICHANICAL 1 <br /> � VES O <br /> APPROVALS BY DATE OTHIR <br /> 1 ENVIRONMINTAt CHECK IIST <br /> PENALTY / III <br /> 2 BUILDING PLANS 111 Ia eel <br /> FIRE HYDRANT TOTAL -S-7c <br /> I <br /> rn <br /> I FIRE PROTECTION SYSTIM PERMIT VALIDATEOII VlJ <br /> 5 GRADINGII R(AVAIION 6 CLIARINGIGRUBBIIIG WHIN PROPERLY VALIDATED DN THIS SPACO THIS IS YOUR PERMIT <br /> 6 DRAINAGE <br /> F INVIRONMINIAL IMPACT STATEMENT <br /> 6 HIALIH DISTRICI <br /> APPLICMIONACC BY PLANS CHOCKED III AN'R Ink I55UAN(f BY <br /> 91 79 <br />