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PLICATION FOR BYRFBtl <br /> 'mTYO " TONSTRUCTION e <br /> e�ett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259.5745 <br /> EVERETT,WA91201 ❑COMBINATION L BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNIR MAIL ADORISS CITY ZIP PHONI <br /> Oo�VNiA1 /AicgYzof 3ss5b30. <br /> ARCHITECT OR DISIGNIlk <br /> -1,ADDRESS CITY I I ENO f <br /> xp,A/ To.vA/sc7i✓ <br /> MAII ADDUSS CIT2 P ENO ! lICi 451 I <br /> CINIRAL CONTRACTOR /]O <br /> T !P <br /> Lp-,d/ - Z3J <br /> .4s SLN <br /> SICNANICONTRACTOR WAIL ADDRESS <br /> 'A " <br /> CITY ZIP fNONI II:INH I <br /> PLUMBMI;CONTRACTOR MAIL ADDRISS <br /> SI ur,s+ cou Y lLyi`��7�'�(a- `YNA't�b� q8D 3 Co <br /> CgLASS WORK <br /> 1EW [-]ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VACUATION Of WOITRP(� <br /> S 3 o oa <br /> DESCRIBE WORK <br /> HOdS/. CORS/ . <br /> rllvroav AP- <br /> us,OF FLU ImING _ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS RT' G/ PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISION5 OF LAWS AND ORDINANCES GOVERNING THI5 TYPE <br /> uw vuc I110N Of PROPEIIY ISNOWN RIIOW OR ATTACH FOUR COPH9 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> IOi / BLOCK-OF OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE_fROVISIONS OF <br /> I � ee/ m• U` ./RGor- �� / OR TOTHERHE PER TRV7 NOR CE OF CLOAW RECTION. CONSTRUCTION <br /> SIGNATURE Of C ;}MCTO UTHORIZED AGENT DA)T! /yam <br /> TOR ADOPT SS S <br /> MECHANICAL <br /> PLUMBING --0. iFE <br /> NO. TYPE Of FIXTURE IEE NTYPE of EQUIPMENT <br /> AIR CONES UNITS-HP lA <br /> S WATER CLOSE 11TOlIFT1 <br /> RIFRIGERA.AN UNITS-HP EA <br /> BATHTUB <br /> BOILERS-HP EA <br /> LAVATORY IWASH SASIFO <br /> GAS FIRED AC UNITS-IONNAG[ LS SHOWER Bd <br /> KITCM[N SINN 6 UISP IORCIES AIR SYSTf MS-B 7 U MEA <br /> WALL HIAIERS-R T U M <br /> DISWASHlR <br /> UNIT HI All RS-OTU M <br /> LAUNDRY TRAY <br /> CLOIIILS WASHER1. Qp R'APORAIIVE COOLERS <br /> W AIIR NIATER O CIOTHISO IYFRS - <br /> VINTILAIION FAN <br /> URINAL <br /> RANGE HOOD <br /> DRINKING FOUNTAIN <br /> AIR HANDLING UNIT- FAS <br /> MOOR DRAIN <br /> VACUUM BRF AK10.5 <br /> META _ b� <br /> METAI FIREPLACE :I.HIMNIY <br /> ROOF DRAINS-RA <br /> SINK ISIRVICI-OARR ITADERS <br /> . TC.1 - <br /> SEEN TOTAL S � <br /> SUN TOTAL PERMIT S <br /> PERMIT S S <br /> TOTAL FEE S TOIAU[F <br /> ELAN CHECK FEE <br /> SIDI YARD�.(TFI STRIIT SETBACK AI AR�YAIRD SI(BACK PIAN CIIfCK NVMI1fR ITE !/� RECEIPT NO <br /> .Z TUSE ZON! LOT ARIA VACSITE FEES VALUATION IEE <br /> —� CMS DNO <br /> TYPE Of CGNSI OCCUPANCY GROUP NO OI 'WELTING UNITS /S <br /> BUIIDING f?,aem. <br /> e l-{3 <br /> [ 01 flIUG NO Of S�ONits MAX OCC LOAD <br /> SI7 <br /> ZSF< PIUMBING <br /> FIRE ZONE BASIMINI HIDRIH)MS FIRE KIIRl MECHANICAL LO 5'v <br /> p A joa 2 rim IHND <br /> APPROVAIb BY DATE OTHER <br /> 1 INVIR014MENIAL CHECK LIST PE NALIV SF c <br /> SEC 1DN0 <br /> 1 BUILDIP G PLANS Sm <br /> 7771 '.VDRAN7 <br /> PERMIT VALIDATPROPERLY <br /> ON <br /> VA <br /> I FIRE PROTECTION SYSTEM WHIN PpOPI RIY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT <br /> S GRADINGIUICAVATIONLCLIARINGICRUBRING <br /> 6 DRAINAGE <br /> 7 ENVIRCINMINTAL IMPACT STATIMINT <br /> S HEAITH DISTRICT <br /> APPLICATION ACC BY PLANS CHECKED BY APPR EOR ISSUANCE flY <br /> 91.79 <br />