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MlEmpnln APPLICATION FOR BYRFP„ <br /> CITY OF F]ONSTRUCTION <br /> everett PERMIT <br /> Ill Pl OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259.8745 <br /> IVIRITT•WA98201 OCOMBINATION E) BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> UWNIR MAIL ADORI SS CITY ZIP PHONE <br /> I IF L 79 R 5 EG✓reF_rr 355 /5116, <br /> ARCHOICT OR DfSIGNp MAIL ADMITS CITY SIP PHONI <br /> GENIRAL CONTRACTOR MAR AODRi SS CITY ZIP PHONI 11(1'511 <br /> MICHANICAI CONTRACTOR MAIL AOORI SS CITY IIP PHONE U(INSII I <br /> PIUMRINGCONTRACIOR MAIL ADMITS ([TV ZIP PHONE 11CINSFI <br /> Cl IV$01 WORK <br /> ❑NEW ❑ADDITION L�Y�( <br /> ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCAT ION <br /> V4IV41I0401 WORK <br /> 1 4 ODD n - <br /> OHCRIBI wou r <br /> • ml I +J-eAonJr T�I L r' \n)S IPA16DR <br /> PROPOSED FST OF ROLDING I HEREBY CERTIFY THAT I HAVE 9EAD AND EXAMINED THIS AP- <br /> H O M L PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT ALL <br /> II I,M LTI SCR ITT ION OF PRON RIS ISNOWb IFLOW OR AI In(.H IOUR CONI SI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> �/� _ OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> IT,,,(�(�PIOCK�01 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 /> SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE / 3C) <br /> I1IB AUDRI S 7 fti P sr <br /> x /0�4121 J_ N. 621 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT Fit <br /> WATER CLOSITLTOLIETI AIRCOND UNITS-HP EA <br /> BATHTUB REFRIGERATION UNITS-HP FA <br /> LAVATORY(WASH BASINI BOILERS-HP [A <br /> SHOWER GASFIRIDAC UNITS-TONNAGEIA <br /> KITCHEN SINK B DISP FORCED AIR SYSTEMS-BT U MEA <br /> DISWASHER WALL HIAIIRS-BTU M <br /> LAUNDRY TRAY ) NII HIAHRS-B I U M <br /> CLOTHES WASHIR I%APURAHVI COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL <br /> VENTILATION MN <br /> 11 DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C I NI <br /> VACUUM 6RIAKI ITS SIOVE <br /> ROOF DRAINS-RAINL[ADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK(S[R%'ICI -BAR.TIC) <br /> i <br /> SUR TOUT SUB TOTAL 1 <br /> PERMIT / PERMIT S <br /> TOTAL F[[ 1 TOTAL FIT / <br /> SIDI YARDS[TRACK STREFISITOACK RI AR i IRD SI TRAC K PLAN CHECK NUMBI R PUN CHECK FEE <br /> fit RECEIPT NO. <br /> USE ZONE LOT AREA %AL ANI %III <br /> :.SIS i:NU 1[[/ VALUATION I[[ <br /> TYPE Of CONST OCCUPANCY GROUP NO OF DWELLING UNITS <br /> / BUILDING 1 <br /> SIZE OF BLDG NO OF STORIES MAX OCC LOAD <br /> PLUMBING <br /> FIRE ZONE BASIMINT III 11 nomS FIRE <br /> QI SPRINKLIKS IRED MFLIIANICAI <br /> (IVES nN0 <br /> APPROVAL$ IT OAT[ OTHIK <br /> 1 ENVIRONMENTALCHECAUST URC <br /> PENALTY <br /> SIC ]011.) <br /> 2 BUILDING PLANS <br /> L FIRE HYDRANT TOTAL <br /> A TER[ PROTECTION SYSTEM PERMIT VALIDATION <br /> I WIZEN PROPERLY VALIDATIO TIN THIS SPACE)THIS IS YOUR PERMIT <br /> S GRADINGII KCAVAI IONA CLI ARINGIGRUBBING <br /> 6 DRAINAGE <br /> 7 ENVIRONMINTAL IMPACTSTAT[MENT <br /> K HULTHDISTRICT <br /> APPLICATION ACC BY PLANS CHECKED BY APPR FOR ISSUANCI BY <br /> 9.1.79 <br />