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MR Er4rpmn A• ■ AACATION FOR _ <br /> ar(or <br /> everett CONSTRUCTION <br /> DF PT OF COMMUNITY DEVELOPMENT SERVICES PERMIT <br /> CITY HALL 259-874S <br /> EVERETT, WA 98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> Ow'"IB MMI ADDKISS _ (III 7R IHONt <br /> -293--/ ele <br /> ABC II r1OR Of SIG IA _ M Il D]III SS Cllr Tp PHONE <br /> IA !..f % 1.�4�1�r/.t� y/! 7 7/ <br /> 41 NIMt CONTRA(EOR MAIL ADLMISS <br /> CITY 11P PNON! IICIHf11 <br /> NA51 I�i✓/Vr'irtic c'A [ s lu E S/l -Y� -I/ f <br /> nr vI M CDNIRAcIOt MALI ADC��`S NCITY ZIP / "7.-/ 'Sj IF <br /> raoNl uctesn <br /> NU MRWL I'oNIRACIOR MAN ADDRESS CITY ZIP PHONE <br /> LICENSE I <br /> tel "If"ORKll TOIwORB <br /> NtW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑$LGN OCARAGE ❑BURDINC RELOCATION <br /> \VV•nON 11 OBK V_- <br /> + 0 O <br /> I1 NI <br /> PROMISE D L'M Of RUIIOING <br /> j i4-/.-1 L 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> iAL.r G4 / <br /> \. ✓�r S f c�/ f �A E6 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> HGAI n M IPDON Of MOPIRIY ISH wN RDDw OR MUCH 1OUII OPHSI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> u\t LRL«B_cw L/1 Y/'•i/7.P,(.T L(' �.+ Of WORT:WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> Af OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> 4 / 7 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISInNS OF <br /> A> <br /> /- t '!/J. J,S ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> �✓N/LG I��+ S Z �J (, SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE <br /> ION AIInRI is <br /> /OS 79r" Oc. S.�• S -12. z x <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE Of EQUIPMENT FEE <br /> WATER CLOSE T ITOLIETI AIR COND UNITS-HP EA <br /> BATHTUB REFRIGERATION UNITS-H P [A <br /> IA%AIORY(WASH RASINI BOILERS-HP EA - <br /> HIn\IR <br /> (1 U GAS TIRED AC UNITS-TONNAGE [A <br /> All(HI N SINK 6 UISP 0 IORCID AIR SYSTEMS-BTU MIA LS (JLC <br /> DISWASHIR (90 WALL HIATIRS-BTU M <br /> IAUNDRI TRAY UNIT HIATIRS-BTU M <br /> CLOTHIS WASHER 0 EVAPORATIVE COOLIRS <br /> WATER HIATIR / CLOTHES DRYERS <br /> O <br /> URINAL 2 VINIILATION FAN O <br /> DRINKING FOUNTAIN RANGE HOOD Sion <br /> FLOOR DRAIN <br /> AIR HANDLING UNIT- CFM <br /> VACUUM BREAKERS STOVE <br /> ROOF GRAINS_RAINLF ADI IS / STOVEFIR[PIACF BCHIMNfY <br /> SINK ISE RVICI-PAR.I IC I METAL <br /> SU{TOTAL SUB TOTAL IF <br /> PERMIT { — - PERMIT { <br /> TOTAL fit { TOTAL IE[ { ! <br /> SIDE TART)SF TRACK STREET WRACK RIAR YARD SI IB�CK rI AN CHECK NUMBER PIAN CHECK IEE <br /> `� A 7 'G' f Z () f'/ Fit sU RECEIPT NO <br /> USE ZONE ,J/o - J- <br /> 10T AREA VACANT SITE v z " <br /> AA7_/ <br /> _ >ejfS ONO 1115 VALUATION ql <br /> TYPE Of CONST OLCUPANCY GROUP NO DID�Ell1NG UNITS <br /> :3r-NF 3 <br /> SIZE OFA (: O NO Of(}TORIES MAX OCC TOAD BUILDING S40 ocr� BD / / 0 <br /> 0 <br /> 2fY <br /> NUMBING ,TO O0 <br /> )IRI ZONE BASEMENT NI T)R(RIMA IIRf SPRINKII RS G <br /> 3 ES 3 REQUIRan MICHANICAt <br /> nvis / <br /> APPROVALS V"vDATtOTHIR <br /> 1 INVIRONMIN[AL CHICK LIST <br /> PINAtTY URC <br /> 7 BUILDING PLANS SIC 30X4) <br /> I FIRE HYDRANTTOTALO4 TIRE PROI[CIIONSYSIiMPERMIT VALIDATION SGRADINGIIXCAVATI(IN{CIIARINGIGRURBINr, WHEN PROPERLY VALIDATED JIN THIS SPACE)THIS IS YOUR PERMIT <br /> 6 DRAINAGE ,0 1. SIV0 MCi y/7I/PO <br /> 7 INVIRONMFNTAL IAIPACT STATEMENT <br /> IF HEALTH DISTRICT <br /> APPLICATION ACC BY PLANSCHECKED BY APrR ION rtw Aau NI <br /> vG <br /> 9.1.79 n- <br />