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At LICATION FOR De <br /> CITV C'rpllNn CONSTRUCTION <br /> CITY CI <br /> everett PERMIT <br /> DEPT Ot COMMUNIIV DEVELOPMENT SERVICES <br /> CITY HALL 259.8745 <br /> EVERETT,WA98201 ❑COMBINATION ® BUILDING ❑MEChANICAL ❑PLUMBING PERMIT NO. <br /> OWNIR MAII AMIRISS (IIY 21P PIQ)YI <br /> P.O. Box 419 Zirkland, 98033 827-04')4 <br /> Sherstad B Williams, Znr. — urr nP PHONI <br /> ARC11111('1 OR OIAIGNIR MAII ADDRESS <br /> Same CIIr 2,P WON, t1CiNN R <br /> GINIRAL CONTRA(IDR MAR ADDRESS <br /> LII PHONE sy,Bt., -PLO 2� I 6/.7 <br /> Same <br /> AIICTDNICAI CONTRACTOR MAIL ADDRI SS (Ilr ICI NSI P <br /> PI1'MRIM;CONTRACTOR <br /> MAIL ADDRESS (TTY ZIP PNONI lll.'INSlE <br /> I <br /> tl ANN QNE1WWORK <br /> ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE []SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> %NI(4HON O�IJWORYy__� <br /> • CPO C� Y <br /> 111N1"RI WORK <br /> New construction Plan R-1025 <br /> PRONNID vAl DI BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> New residence PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IIf,AI nl)CRIPIIDY OI IROPIRIY IEHDWN RIIDW AA ATTACH IOURCOHIN PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> _ Pla : of Cedar Ridge Eetatea OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> I(YI 12 n1ocK OI OR T PRESUME TO <br /> GIVE OAUTHORITY T THE ATOIVIOLATE R CANNG A PERMIT CEL OES O <br /> L THEPROVIS ONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORM NCE O CONSTRUCTION. <br /> SIGN 1 101 CON ACTOR AUIHORIZ[D AGENT DATE <br /> TOR 01"R151 <br /> 4 , <br /> 5-77th P1. S.W. Everett We 98203 —" <br /> CHANICAI <br /> PLUMBINGFF[ <br /> NO, TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT <br /> WATERCIOSITOOLIFTI AIR COND UNITS-HP FA <br /> RTIRIGIRAIIONUNITS-HP EA <br /> BATHTUB <br /> UR <br /> t AVAIORY(WASH BASIN( BOItIRS-HP EA <br /> GAS HRFD A C UNITS-TONNAGE [A <br /> SHOW l RA(I A <br /> kI1CNIN SINK A DISP (,9 I IONCE D AIR SYSTEMS-B T U <br /> DISWASHIR WALL HIATIRS-BTU M <br /> UNIT WATERS-BIU M <br /> tAUNDRY TRAY I, <br /> APORAiI <br /> CIO1HISWASHIR B 1\ VE[OOlERS <br /> WAIIR NF ATlR 0E (IIIIIIISORYF <br /> RS <br /> \I N I IUIION FAN <br /> i URINAL <br /> RAN(.( HOOD <br /> DRINKING/01JNTAIN <br /> NG UNIT- CFM <br /> M <br /> IIOOR DRAIN AIR HANOII <br /> STOVE <br /> VACUUM SRI AKINS <br /> Al1TA1 FIREPLACE 6CMIMNFY � vO <br /> ROOF DRAINS-RAIN1t AIDE ITS <br /> SINK(SERVICE-PAR.1 TC 1 <br /> SUB TOTAL • « �' <br /> SUB TOTAL Bb PERMIT IF <br /> P[RMIT • E <br /> S TALLIES <br /> TOTAL FE! PLAN CHECK FEE <br /> SIDE YARD 51111 SfK STREET SETBACK REAR IARD\I IIIA( N FLAN CHECK NUMBER Fit RECEIPT NO <br /> Lo1:r �� 8S 1/,-.450 `F — <br /> .I USE ZONI 101 AREA VACANT SII( EUS VALUATION FF! <br /> r2,1 <br /> CEYCS GINO <br /> TYPE-Of (`(NSI OCCUPANCY GROUP NO OF OWIIIING UNITS <br /> �77LyAb�. 91 I BUILDING S s�,ee 2 29 O() <br /> Slit OE SID(: NO 07 TORIES MAX IXC IOAD PLUMBING <br /> Z �� i im <br /> FIR( ZONE flAS�I/Mf�NI IIIUNIN)M\ R(QUIRIpKI1R5 MECHANICAL <br /> stjN, 3 IVIS f1NO <br /> APPROVALS BY DATE OTHER <br /> 1 FNVIRONMENIALCHECKIIST PI NAI TV URC <br /> SIC U)N.l <br /> 2 BUILDING PLANS IOTA( 2 OtJ <br /> I FIRE HYDRANT <br /> ON <br /> R FIRE PRG" TION SYSTEM NRMITA <br /> WHIN PRROP(OMBAY <br /> VALIDATED TIN THIS SPACFI THIS t5 YOUR FERMI <br /> 5 GRADING((KCAVAT IONS CI I ARINGIGRURRING <br /> 6 DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT STATEMENT <br /> S HEALTH DI=STRICT BY PLANS/C IHECKED BY APPR FOR ISSUANCE BY <br /> �1 C <br /> 4 1 7H <br />