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J//JF <br /> IM EvergiNBn APPLICATION FOR pYpfe„ <br /> CITY Of CONSTRUCTION <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259.1745 <br /> EVERETT,WA 98201 []COMBINATION ® BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNER MAII AOORTNS CITY 7,IP PHONE <br /> Sherstad 8 Willians, Inc. PA Box 419, Kirkland, WEE 98033 8£1-0494 <br /> ARCHIEI CI OR DISI6NIR MAIL ADORES. CITY 71P PHONE <br /> CINDY At COHEN AT 1011 MAIL ADORE SS CITY 21P PHONE IICINSIF <br /> same <br /> ASIrHANICAL CONTRACTOR MMI ADDRESS CITY ZIP PHONE IICINSII <br /> PI VANINGCONTRACTOR MAIL ADDRESS CITY ZIP PHONL LICINSIIF <br /> I'hI WYA Of WORK <br /> KINEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> 4ALHAl1 NOF WORK <br /> I IIMrIIRI NOK <br /> New construction <br /> r"nN)aDrNl "' nm `' I HER-1Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> Single family residence R-961 PLICA :ON AND KNOW THE SAME TO BE TRUE ANDCORRECT ALL <br /> Or.M DIHRIFTIONOf PROPIRTY OHOWN NIIOW OK ATTACH TOUR COPOSI PROVISIONS OE LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI. D HEREIN <br /> un 3_RLOrX_or Cedar Ridge Estates 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 /> —LZ,— - SIGNATURE OF CONTRACTOR 00.,AUTHOR1210 AGENT DATI <br /> 1d6n'Yhh Place S.W. Everett, Wa 98203 �i �t�2 1/22/81 <br /> PLUMBING MECP,ANICAL <br /> NO. TY►E OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSI T HOLE(T I AIR CONTE UNITS- 14P [A <br /> HATHTUfl RIIRIGIRAITONUNITS-IIP IA <br /> IAVATORN[WASH RASINI (901 HORARS-IIP IA <br /> SHOW IR GAS ARID AC HEIS-TONNAGE IA <br /> KIICHIN SINK B DISP «J fORCIDAIRSYSIIA -OTU MIA ex) <br /> DISWASHIR WALT HIATIRS-11IU M <br /> LAUNDRY IRAN UNIT HLATIRS-NIU M <br /> CIOTHIS WASHIR 00 IVAPORATIVI COOLERS _ <br /> WATER HEATER 12 CIOIIIIS ORVIRS <br /> URINAL VINIHATION IAN 3 <br /> DRINKING FOUNTAIN 1 RANGE 11(R)O 1 <br /> FIOOR DRAIN AIR HANDLING UNIT- CFM <br /> VAIL 'M BREAKFRS %LOVE <br /> ROOF DRAINS-RAINLIAOIRS AREAL FIREPLACE &CHIMNEY <br /> SINK(SERVICE-NAR.I IC 1 <br /> SUE TOTAL SUB TOTAL IF !� <br /> PERMIT S MOMIT S <br /> TOTAL FIE S TOTAL Fit S 12,IZ <br /> S101 YARD SF TRACK STRI11 SITRACK RIAR NARD SI(BACK PLAN CHICK NUMNIR PUN CHECK FIT <br /> ''-- _ 'Z,=—;F--r <br /> _ IEE RIC(IPT NO <br /> USE 7,NI LOT ARIA <br /> VACANT SIT <br /> IBVBS 17.1401[[S VALUATION 1!! <br /> IYPI OF CONST OCCUPANCY GROUP NO OI (TWIT LINE.UNITS /y <br /> - 3 1 BUODINC S Q 3 <br /> 517,1 OF RIF NO Of STORIES MAX OCC FORD � <br /> 2ry-4 ILI I PLUMRING 1 A (DC) <br /> FIR( ZONE RASINJNI RIDWRIMS II111 SPRINKIINS l4- <br /> ,� �� 3 RIQUIRID MECHANIC At , - <br /> TINES 10Rfr _ <br /> APPROVALS 11 DATE CHRIST <br /> 1 INVIRONMINTAI CHICK LIST U B C <br /> PINAITY SFC )ORS) <br /> 2 BUILDING PLANS <br /> I FIRE HYDRANT TOTAL <br /> A FIRE PROTICTION SYSTEM P[RMIT VALIDATION <br /> WHIN PROPIRLY VALIDATED LIN THIS SPACEI THIS IS YOUR PikAOI <br /> % GRAOINGV X(AVA I ION A CI I ARIN6IGRUNRING <br /> 6 DRAINAGI <br /> 7 INVIRONMI NTAL IMPACT STAIIMENT <br /> B HTALTH DISTRICT <br /> APPLICATION ACC BY PLANS CHICKID BY APPR IOR ISSUANCI NY <br /> Vie . <br /> 9 1 %9 <br />