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Fb EYfrg »nA AP. LICATION FOR lVPFQ„ <br /> VITY OF CONSTRUCTION lam' -� <br /> everett PERMIT <br /> DFPI OF COMMUNITY DEVELOPMENT SERVICES <br /> C I I Y HALL 259-874S <br /> EVERETT.WA9a201 DCOMBINATION ® BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. — <br /> OWNIK MAII ADDRISS lily ZIP PIICMI <br /> SherstT.d a Williams. Inc. P.O. Box 419 Kirkland 98033 827-0494 <br /> ARCHIIf Il OR U1 MC.NIR MAII ADDRISS CITY ZIP PHONE <br /> Same <br /> CANIAAI CONTRA(IPR MAIL AODR144 CITY ZIP PHONE IICIN51 I <br /> Same S/� .iir sw 2IV6/3 <br /> All(HANE(AI(Ohl RAC ION MAN ADDRISS CITY ZV PHONE IICf N51I <br /> Pit-M111%,I ONTRAC CR MAR ADDMSS city ZIP PHONE IICINSIP <br /> ('I o\OI NURK <br /> ®NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑PUIIDING RELOCATION <br /> \All4itOY OI ne <br /> Ill\(0.1X1 N(1RA <br /> New construction Plan S-1075 <br /> PROPOMD VH Of IILAMN(1 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 /> ucM O14CRIPO0N ro PROPIAn ISHO%N MIO%00.+n+nu our aovnAl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> 28Plat of Cedar Midge Estates OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ull_RIO(A�_Or 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 /> I"7—o2g-411 SIGNATURE Of CONIRACIOR O UTHORIZED AGENT DATE <br /> TUN M111RIA4 l (� <br /> 10-77th St. S.40 Everett, We 98203 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE Fit NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSLT IIOLIETI AIR COND UNITS-HP (A <br /> 1 BATHTUB RIIRIGERATIONUNITS-IIP IA <br /> I AVATORY(WASH BASIN) BOILERS-HP EA <br /> SNOWIR /j GAS IIRIDAC UNITS-TONNAGIU <br /> E KITCHEN SINK 6 DISP FORCED AIR SYSI(MS-PTU MIA rj <br /> DISWASHIR WALT HIAIIRS-NIU M <br /> IAUNDRYIRAY' UNIT Hf All RS-NIU AI <br /> (lO1HlS WASHER IVAPORAIIVI (r)OL[RS <br /> 1 WATER HIAI(R C1O1111S 1"`165 <br /> URINALAIR VINI.IA .U4I.AN- <br /> D111"INGIOUNTAIN RANGE DUOU <br /> MOOR DRAIN AR HANDLING UNIT- C I M <br /> VACUUM BREAKIRS STOVE <br /> ROOF DRAINS-RAINLI ADI ITS MI IAL 1IRI PLAT f &CHIMNEY CO <br /> SINK(SERVICE-NAR.TIC) <br /> SUB TOTAI. SUR TOTAL ) <br /> "OMIT f ripMII 1 <br /> TOTAL FEE K TOLAL TEF L <br /> SIDE YARDS[TRACK STREET$I TRACK PI All YARD SI TBACK PLAN CHI LK NUNINIR PLAN CHECK fit <br /> ,7615 <br /> fit RECE RT NO. <br /> USI ZONI IOT ARIA VACANT SITE FEES VALUATION FEE <br /> t2—( '+''is CNO <br /> IYPI—OI CONST OCCUPANCY GROUP NO OI DWf II TNG UNITS <br /> 'SZ-- ENL 0.s 1 NUIIDING +74 fcz�Ito- <br /> SIZI Of HIDG NO OF STORIES MAX OCC LOAD <br /> L PIUMBING <br /> FIRE ZONE NASf MINI III IIKIN)MS RIQURIIDNKIIRS MICHANICAI. <br /> F7Y15 K'9RD <br /> A►PR .LS RV DATE OTHIR <br /> T INVIRONMINIALCIHCK LIST UIIC <br /> PINAI I) <br /> SIC 10441 <br /> Z BUILDING PIANS <br /> TOTAL Z p <br /> ) DRI HYDRANT <br /> 4 [IRI PROTECIIONSVSIIM PERMIT VALIDATION <br /> WHEN PROPIRLV VALIDATED TIN THIS SPACE 111115 IS YOUR PERMIT <br /> S GRADINGR M.AVA I IONRCl 1 A.:INGIGRUBNING <br /> 6 DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT SIAIEMENI <br /> B HIAIiHOISINICI <br /> APPOCATION ACC BY PIANS CHECKED By APPR IOR ISSUANCE RV <br /> V, <br /> 91 :9 <br />