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TAI EYIFpmn . <br /> ke <br /> coP oNSTRU/`TIONeR <br /> CITY 'r <br /> everett PERMIT <br /> [)[['I OF COMMUNITY DEVELOPMENT SFRVICES <br /> CIIY HALL 259-8745 �,( <br /> EVER ,IJ <br /> ETT.WA9B201 COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLIIMBINC PEf,lllT NO. <br /> NIR MUI AUUXIN C", -lip PITON! <br /> ^fes ;1F�tL^}1 1T 'rAl Fh10 (t1[iIFIP ne 1=11 EJEE I+A nr��nt _�6`2 1 QQn <br /> ARCHIIICT OR OISIGNER M LADDRISS ' COY ' ZIP PHONE <br /> GININAL CONTRACTOR MAIL AO[1RISS COY ZIP MON[ 1IC61S11 <br /> M�ANICII CONTRACTOR MALI ADORES% 1 I+Y LIP PHONE 11(INS!1 <br /> PIUI-111I4GCOEITRACTOR MAII ADDRISS CITY ZIP PHONE LICENSE 1 <br /> CLASS O/WORK <br /> NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE []BUILDING,RELOCATION <br /> VALUATION Or WORK <br /> 1 4 A,PYY) on <br /> DIKRIBI WORK <br /> PVSIJX-AJCF- <br /> PlROMStDUSII Or BURMNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LEGAL DIS[RVDONOF PROPERTY[SHOWN BELOW OR ATTACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> Cr-"el OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> 1,It IC) PLAT ct�F �L)EQF c' <br /> BLOCK OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> FL ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> S-1 7r2 G SIC ATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE <br /> Inn AOORIss l`414 r %7 f.'( p1w A_ s',� x e_ 7 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSETITOLIETI AIR CONE) UNITS–HP [A <br /> BATHTUB REFNIGERATIONUNITS–HP EA <br /> 79 LAVATORY IWASH BASIN) © BOILERS–HP [A <br /> SHOWER CAS SIRED AC UNITS–TONNAGE EA <br /> KITCHEN SINK B DISP FORCED AIR SYSTEMS–BTU MEA ec)CJ <br /> DISWASHER Iz WALT HI ATE RS–BTU M <br /> LAUNDRY TRAY UNIT HIATERS–BTU M <br /> CLOTHES WASHER Z - EVAPURATIVI COOLERS <br /> WATER MAIER _ Q CLOTHES DRYLRS sloo <br /> URINAL VENERATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD J5 By <br /> FLOOK DRAIN AIR HANDLING UNIT– CFM <br /> VACUUM SMARTIES STOV! <br /> ROOF DRAINS–RAINL[ADERS MI TAL HRFPI.AC[ B CHIMNEY <br /> SINK ISFRVICE–BAP.ITC 1 <br /> t OP <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT f P[RMIi / <br /> TOTAL FE[ R TOTAL FET f <br /> SIDE YARD SE TRACK STREET SETBACK REAR YARD SI IIIA, K PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> Z= <br /> USE ZONI LOT AREA VACANT SITE <br /> r <br /> PTTET CHO FI[f VALUATION fl[ <br /> TYPE yIN.�CON /T OCCUPANCY GROUP NO OF DWELLING UNITS <br /> 1 <br /> N+ _ %2—J BUILDING F rJ4�R� <br /> SIZE OF BLDG NO OF STORIES MAX OCC LOAD <br /> 3 ` PLUMRING C9D <br /> FIR( ZONE BASEMREQ <br /> –45 1ENT! BIIIRWMS FIRE RIOKLERS <br /> MECHANICAL <br /> G.J ❑YES RKIO C'N <br /> APPROVALS BY OAT[ OTHER <br /> E ENVIRONMENTAL CHECKLIST PENALTY UBC <br /> SEC )DNA) <br /> BUILDING PI ANS <br /> TOTAL <br /> S FIR[ HYDRANT <br /> A FIRE PROTECTION SYSTEM PERMITVALIOATION <br /> WHEN PROPIRAV VALIDAIIDIIN THIS SPACE)THIS IS YOUR PERMIT <br /> S GRADINGIE KCAVATION f CLI ARINGIGRUBBING <br /> 6 DRAINAGE <br /> 1 ENVIRONMENTAL IMPACT STATEMENT <br /> f �(AL11F DISTRICT <br /> ,-PLICATION ACC BY PLANS <br /> SCCHECK[D BY APPR FOR ISSUAn[! III <br /> I' <br /> 9-049 <br />