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I„ /F p <br /> CITY OF � y / "PLICA,TION For PYfPlLE <br /> ONSTRU�CTION e <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259.074S ��I <br /> EVFRETTI WA9B201 4COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OW NI♦I( MV'.AUHNI ss CIT, llr PIIU'�i <br /> `I)E11FL40PHP_hlT 'T).�. MIL) -r��ll"��� 'Fs1E21_TT� �LOI .�JB—%E,9S <br /> ARCHITECT OR DESIGNER EMIL ADDRESS a <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY 21P PHONE IICENSlI <br /> SANE <br /> IN) F1&C <br /> MICHANIUlCON1RACiOR MMI ADONISS CITY ZIP PHONE LICENSE <br /> Pll'MBINC.CONTRACTOR MAIL ADDRESS CITY LP PHONI LICENS!1 <br /> CLASS Or WORK <br /> 'MNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VALUATION Of WORK <br /> L 40.COO 00 <br /> DESCRIBE WORK <br /> u NEW EEAH IF <br /> ""PCISID us[Of RUIIDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> L I PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> l/':Al DI SCRIP110N Or PIIOPI RIY(SHOWN"TIMOR ATTACH IMRCOPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> COAT I R ATTACCOtJR OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> LOI BLrxK__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 /> C 17z 2 a�� SSIIGNATU CONTRACTOR OR AUTHORIZED AGENT DATE /; <br /> LOB ADORE SS�VO _I W / IIITT�� � � A x)/// " <br /> PLUMBING V MLC ANICAL <br /> NO. TYPE OF FIXTURE Fit NO. TYPE OF EQUIPMENT fEf <br /> W ATTR Cl05lT ITOLIFTI AIR GOND UNITS—HP EA <br /> BATHTUB !L' <br /> E FBIG' A110N UNITS—HP FA <br /> LAVATORY(WASH BASINI BOILERS—H P EA _ <br /> SHOWER GAS FIRED AC UNITS—TONNAGE EA _ <br /> KITCHEN SINK A OISP FORCED AIR SYSTEMS—BTU MEA s_L, <br /> WALT HEATERS—BTU M <br /> OISWASN[R _ <br /> DISWAS IR UNIT HIATIRS—BTU M <br /> I CLOTHES WASHER n 00 EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN 2 <br /> DRINKING/OUNTAIN RANGE MOOD <br /> FLOOR DRAIN AIR HANOI INC UNIT- C P M <br /> VACUUM BREAKERS SIOVI <br /> ROOF GRAINS-RAINUAMRS METAL FIRIPI.A.:1 A CHIMNEY <br /> SINK(SERVICE-BAR.ETC I <br /> SUBTOTAL SUNTOTAL I <br /> PERMIT S Wim—IT I <br /> TOTAL P <br /> iOTAl fel S EI S <br /> SIDE YARD SETBACK STREET SETBACK PLATE YnnG SETBACK PLAN CHICK NUMBER PLAN CHICKifE <br /> _ tLFv 'ZL9 LOFT 809/ FE� I.dJo ;yFxlk <br /> USE ZONE TOY AREAL VACANT SITE FEES VALUATION fit <br /> IfG'7_t 7 gg"O [MS ONO <br /> TYPE Of CONST OCCUPANCY GROUP NO OF DWELLING UNITS <br /> 'q:- $4 Q—3 BUILDING (�,BQ I(03 _)c)SIZE UI BIT)(, NO Of STORIES MAX OCC LOAD <br /> 24 <br /> L X %b '- PLUMBING — Q <br /> FIRE ZONE BAST MI NT BI OR(X)Mt REQUIREFuct IDNKII Rs MICHANICAL O <br /> 05 Yc 3 ElYfs EMO _ <br /> APPROVALS BY DATE OTHER <br /> 1 ENVIRONMENTAL CHECK LIST PENALTY U BC <br /> SEC bK11 <br /> 2 BUILDING PLANS <br /> TOTAL ty Qo <br /> FIRE HYDRANT <br /> A TIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN THIS SPACE(THIS IS YOUR PERMIT <br /> 5 GRADINGII KC AVAT ION&Cl 1 AN INGIGRUBBING <br /> A DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT STATEMENT <br /> B HEALTH DISTRICT <br /> APPLICATION ACC BY PLANS CHECKED By .APPR ION ISSUAN(I In <br /> V. C, <br />