114 79TH PL SE 2016-01-01 MF Import

IMEFRFPFMn APPELIrATION FOR CITY OF CYR�N., TRUCTION e everett PERMIT DEPT OF COMMUNITY DEVELOPMENT SERI CITY HALL 259.8215 EVERETT,WA98201 UCCEMBINATICIN -1 BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. OWNER MAIL AODKIts CITE IIP PHONE •)AnF �i llF lroF,F UT TLk in 4('IFIt' A,F+� I �c,r q, h �E7(11 -ar�5i-q(As - ARCWfICIORDISILMR MAIL OMSS L• Y LIP PHO ! GINIRA.CONTRACTOR MAIL ADORI 5% CITY ZIP PHOT.! OCINSE F !,/, w G MIU4NICAl CONTRACTOR MAIL ADONIS% CI7r !IP PHONE ❑[I N%[F PIVMRIv1.CONTRACTOR MAIL AODRI%S CITY ZIP PHONE LICIN31F CIA%S Of WORK gNEW ❑ADOITION ❑ALTERATION E:1 RE PAIR ❑DIE Mot II ION ❑FETICE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION YALVANDN Of WORK s -4z CICn DI%CRIRI WORK O ) WSJ PROPDS10 ISM DI Run DING. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- tJCr Lr,- T I PLICATION AND:.NOW THE SAME TO BE TRUE AND CORRECT ALL IILAL'DESCRIPTION OF PROPIRIY ISHOMN MEOW OF ATTAC IF IOUR COPIISI PROVISIONS riF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN LOT FROCK-01 - F' - OR NOT THE GRANTING OF A F_RMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ) ILC ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION l OR THE PERFORMANCE OF CONSTRUCTION. ;IGNAIURE OF CONTRACTOR OR AUTHORIZED AGENT DATE IJNAUDIT SS I 10 ��Tl•I R.. S.� I X PLUMBING ME ANICAI NO. TYPE OF FIXTURE FEF NO. TYPE OF EQUIPMENT FEE WATIR CLOS[I(TOO 1171 AIR GOND UNITS-H P IA BATHTUB REFRIGERATION UNITS-HP IA BOIIFRS-H P FA LAVATORY(WASH flASINI GAS FIRED AC UNITS-70NNAGE EA SHOWER L KITCHEN SINK 6 UISP FORCED AIR SYSIFMS-B T U M FA DISWASHIR WALL HIATFRS-BTU M LAUNDRY TRAY - UNIT HIAIFRS-PIU M CLOTHES WASHER B EVAPORATIVE COOLERS WATER 141ATIR CLOTHES DRYERS L URINAL VI N10ATION IAN DRINKING FOUNTAIN RANGE HOOD FLOOR DRAIN AIR HANDLING UNIT- C F M VACUUM BRIAKIRS S70VI ROOF DRAINS-RAINLIADERS METAL HRFPIACI 6 CHIMNEY SINK I51 RVICI-BAR IHEI SUR TOTAL SUR TOTAL PERMIT 6 PERMIT S TOTAL IEE S \ TOTAL FEE S SIDI YARD%17 PACK STREET SETBACK BEAR SAND SETBACK PLAN CHECK NUMBER PIAN CHECKF[f ?� FEI RECEIPT NO USE ZONE LOT AREA ,/� %ACANT SI71 FEES VALUATION FIT TYPUI CONST OCCUPANCY GROUP NO OF DWILIING UNITS Irl- 164 2--3 1 BUIL GING S d 5121 O flI% NO OF STORIES MAX OCC LOAD IPLUMBING 00 FIRE ZONE BASIMEN7 BI DR(N)MS FINE REQUIRED IKLERS M!l'l1ANICAI lb I YIlyls faNO I , APPROVALS BE DAT! OTHER I ENVIRONMENTAL CHECK LIST FINALLY UBC SFC FORK) 7 BUILDING PLANS � ` TOTAL q 1 FIRE HYDRANT 40 () 1 IIRF PROTEC710N SYSTEM PERMIT VALIDATION WHEN PROPERTY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT S GRADINGIFIUVAIION&CLLARINGIGLELNRING 6 NRA' AGE 7 ENVMCINMENTAL IMPACT SIAUMENT 6 HFAL11.DISTRICT APPIICF.TION ACC BY PLANS CHECKED BY APPLE FOR ISSUALCI BY A.