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9�rn <br /> AF► LICATION FOR <br /> city OF CONSTRUCTION <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 2S"745 <br /> EVERETT.WA90201 ECOMBINATION ❑ BUILDING ❑MECHANICAL EI PLUMBING PERMIT NO. <br /> /O�WNI/A �{'�� MAIL ACIDMY15 l 11 1 CI11 �I' -'}�� PIIONI <br /> ARCNHI/ a =g c1�+..-lc Ars, 4h <br /> :)-r S�f1�C•WSL• T.z* 92i c)5 - / /1)ADDRISS rill NOM! <br /> 1.I�ul-P..��tL I OR I 1 I Jll CIL'` it 1 CA -PT- FT "Il-2nA M <br /> CINLRAL CONTRACTOR MAIL ADDRISS Ott !m MONT ncltia0 <br /> n 11 ,S II <br /> %II(HANI('A1 CONTRACTOR MALI ADDRISS CITY /IP PHONE 111551 <br /> T4s ;o{ HcnA�rlo 11839 �raTER F►� t4,4a 9snrn RzA�ow ySisrxr 2 ?R7 <br /> PH'MNrvI.(ONIMCTOR -� •AAII AODRI St city ZIP NIONI n I'nl T <br /> YI AN(11 NOKK <br /> fNEW ❑ADDITION ❑ALTERATION ❑RIPAIR ❑DEMOLITION [:]FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> t All4llDNyoT woRK <br /> Ill N RINI NtYRA <br /> CROP051U 151 OI NUH DIYI%A I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> (-Z <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> HCM DIMR v FIT noPlRtY ISl1OW 1,Num OR ATTAHUOUR(OPDH PROVISIONS OF LAWS AND ORDINANC S GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH ETHER SPECIFIED HEREIN <br /> 101 Q -AIOCK-OI OR NOT THE GRANTING OF E IT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VI TE ANGEL THE PROVISIONS OF <br /> ^ ANY OTHER STATE OR CAL EGULATING CONSTRUCTION <br /> OR THE PERFORMAN OF S UCTION. <br /> SIGNATURI Of I C R 1H ILEDAGENT D <br /> ATE <br /> I A( <br /> I1IP AOOR �1 Z� <br /> x <br /> PLUMBING MITI NICAL <br /> NO. TYPE Of FIXTURE 111 E OF EQUIPMENT ITE <br /> AAIIR CLOUT ITOLIIII AIR D UNITS-HP TA <br /> BATHTUB QLy RIIRIG[RAIIONUNITS-HP [A <br /> LAVATORY IWASH BASIN) OO DOILIRS-HP EA <br /> SHOWIR fe co (IASFIRIDA C UNITS-TONNACE [A <br /> KITCHIN SINK A UIW 12,ft I IORCM AIR SVSTl MS-61 <br /> OISWASHIR 12 W WALT HIATIRS-BTU M <br /> IAUNURI IRA) PNIT IIIATIRS-RIU M <br /> CIOIHIS t%ASHIR I' All RATIVI COOLIRS <br /> WATIRHIATIR a [1111115 ORYI RS <br /> URINAL S i N I h A I I ON 1 AN Da <br /> DRINKING FOUNTAIN RANG) H(N)D 3 Q7 <br /> ACTOR DRAIN AIR HANDLIND UNIT- C F M <br /> VACUUM BRIAKIRS SIOVL <br /> ROOF DRAINS-RAINLI ADI ITS VITAL I IRI PIACI 6 CHIMNEY <br /> SINK 151 RVICI-BAR.ITC 1 <br /> SUB TOTAL O OD SUB TOTAL f <br /> "LIMIT f PERMIT f TOTAL Ill It f TOTAL fit f I <br /> SID) YARDSIIBACK SIR)115511 TRACKER RIAR YARD 5111LAIA PLAN CIL CK <br /> NUMBB'IR PLAN CHICK IfI <br /> ' GOT 25of 201 1 ' 201 / 7 / I /it I'd RICEIPT NO <br /> US! ZONI LOT ARIA ACANT Sill Ills VALUATION fl[ <br /> IS C7NO <br /> It Of CONST OCCUPANCY C.R UP NO OF DWILLING UNITS <br /> �N c'1-3 WRITING 5¢7/& DO /Pj/ 00 <br /> 5171 OI pt DC NO Of 5CR1E5 MAX OCC LOAD <br /> I PLUMBING 20 <br /> IIRI ION[ -F?T 14111}(N INS pip�l IRRINKLI RS MICHANK At <br /> NO <br /> APPROVALS RY DAT[ OTHIN <br /> 1 ENVIRONMINIAL CHICK LISTPI NARY I lit <br /> 511 ill linl <br /> 2 BUILDING PLANS �j <br /> TOTAL 2�7 <br /> 1 IIRf HYDRANT <br /> A IIRI PROTICTION SVSTI.M ►[RMI)VALIDATION <br /> WHIN PROPERLY VAIIDATI U TIN THIS SPA(Ii I11IS IS YOUR PIRMII <br /> 5 CRAOwI,1 M AVAIION 6(11 ARINGICRUBBING <br /> 6 DRAINACI <br /> 7 INWRONMINTAL IMPACT SIATEMINI <br /> S HIALTH OISTRICI <br /> APPL ICA I ION ACC BY PUNSSCHICKED NY +I'I R IOR ISSUANCI fly <br /> VI <br /> 4 1 711 <br />