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f <br /> II <br /> APPLICATION FOR eye,e„ <br /> the CITY OF <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259.1715 <br /> EVERETT,WA 98201 ❑COMBINATION ❑ BUILDING El MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNER MAIL ADORE SS I CITY ZIP PHONE <br /> _ Z p I r ^ <br /> ARCHIiI OR DISICNER MAIL ADDRESS CITY ZIP PHONE <br /> CENIRAI CONTRA(FOR MAIL ADORE SS CITY ZIP PH/ONNE LICENSE 1 <br /> S yt C�;Ec c'n.v.G iS%� 7 l�l9� 2.) (�r� C4t 44PGf✓, Wt9 )LA �4 3K YC 2; -c-�J <br /> MICHANICAL CONTRACTOR MAIL ADDRESS CII ZIP PHONE LICENSE <br /> PIUMBIM..CONTRACTOR MAIL ADDRESS CITY DA PHONE ITCL HSII <br /> 1 _ <br /> CIASS Of NORR��{{ <br /> everett city of everett ❑NEW OADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE []SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES s.ALUATION OI woRR r <br /> msalM woRR <br /> CERTIFICATE OF OCCUPANCYIfoe-,)T <br /> PROPOSE Dust OF BUILDINC I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE ANU CORRECT ALL <br /> MAT OISCRIPTIONOF PROPERTY,sHOWN euow OR MTA(H TOUR town, PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> 8113 r t �- • r t e/J OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> Building Permit No. Lm F''XK�OF OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> 109 79th Place S.E. _ GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OI <br /> At —_ — (Addrest) ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> -- No Storip, One <br /> I <br /> SIGNATURE OF CONTRACTOR ORA INORI2ED AGENT DATE <br /> R-3 <br /> Occupancy IN I"' Y D s EOR ADOMss .� <br /> V_p Basement _. — 7 .. f U -�� X <br /> Tyye Comt _ _ --- posted <br /> Floor load signs _---- <br /> in place (per Sec. 2308) • Capacity signs _ PLUMnNG MECHANICAL <br /> (per Sec. 3.f01 (i). Floor load and room capacity signs, when requirlyd, must remain posted at all Mmes. No. TYPE Of FIXTURE FEE NO. TYPE Of EQUIPMENT FEE <br /> I WATER CLOSET ITOLIFTI AIR COND UNITS-IEP EA <br /> THE Bingle Family ResideneplAl BCEN INSPECTED AND APPROVED AS COMPLYING WITH BATHTUB 11141ME0.ATION UNITS-HP LA <br /> LAVAI ORY IWASH BASIN) BOILERS-HP FA <br /> PROVISIONS OF THE EVERETT BUILDING CODE, FIRE CODE, DRAINAGE AND RIGHT-OF•WAY USE Y OWER GAS FIRED AC UNITS-TONNAGE EA <br /> DARr15, AND HAS MET E"ONDITIONS MADE IN THE ENVIRONMENTAL REVIEW PROCESS. _ - uWIRSINK aDnP FORCED AIR SYS7FA/5-OTU MeA <br /> —� OISWASHIR WALL Hf ATERS-BTU M <br /> -- Dale S LAUNDRY TRAY I UEVAPORNIT HEATERS-BIU M <br /> FIRE MARS /� ���--- CLOTHES WASHER CLOTHES DRYTIVE C170t[RS <br /> DMP WATER HEATER CLOTHES DRYERS <br /> PURL WORKS OFFl L _. URINAL VENTILAIION FAN <br /> Dote 81 DRINKING FOUNTAIN RANGE HOOD <br /> PLANNING DIRECTOR Twenty—sixth February 19 FLOOR DRAIN AIR HANDLING UNIT- CFM <br /> IsSrday ofed this VACUUM BREAKERS SIUVI <br /> ROOF DRAINS-RAINUADIRS METAL FIREPLACE IS CHIMNEY <br /> This certificate shall be posted in be maintained <br /> pin lic egib Ace andshallnot be removed. BUILDING OFFICIAL 9.1.79 SINK(SERVICE—BAR.ETCI <br /> mutchange of occuated of pancy rand that <br /> requires new certificate <br /> � In legible condition at all times.Any <br /> EUl TOTAL fill TOTAL a <br /> PIRMIT a PERMIT a <br /> TOTAL FEE at TOIAI.fit a <br /> SIDE YARD SE TRACK STREET SETBACK RIAR YARD SETBACK PIAN CHICK NUMBER PLAN CHECK FEF <br /> f[[ RECEIPT NO <br /> USE ZONE [01 AREA VACANT SITE <br /> []YES ❑NO Fit% VALUATION TIE <br /> IYPf OF CONST OCCUPANCY GROUP NO Of DWELLING UNITS <br /> BUILDING I <br /> SIZE OF BLDG NO Of STORIES MAR OCC IOAD <br /> PLUMBING <br /> Flat ZONE BASEMENT HIONTH)MS FIRE SPRINKLERS <br /> RFVJIRID MECHANICAL <br /> ElYf1 C1110 <br /> APPROVALS lY DATE OTHER <br /> I ENVIRONMENTAL CHECK LIST UBC <br /> PENALTY <br /> SEC 30)(8) <br /> I 2 BUILDING PLANS <br /> 1 ) TELL HYDRANT TOTAL <br /> 1 FIRE PROTECTION SYSTEM PERIW,MNTIO <br /> PRON KEY VALIDATED TIN THIS SPACII THIS IS YOUR PERMIT <br /> S (:RADINGE M AVATION 6 CL 1 ARINOGRUBBINL <br />