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FBR Ewrgmn - A..(P L I C A T I O N FOR <br /> COY <br /> OFCONSTRUCTION e <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HAIL 2S9 8745 <br /> EVERETT,WA96201 MCCIMBINATION '® BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNIR MAIL ALTO RI SS CITY Zlr rHOM <br /> eaR rF ('n �rTl h f �cr�� <br /> ARCHIIIC OR OISIGNI4 MUI AUURISS CITY 21r rN0111 <br /> C/)InnQ. <br /> GINIRAI CONIRACIOR MALI ADDRESS CITY LP PHONI IICINSI6 <br /> `'l:rm­Q� eA - R:;- - --*? gc3m <br /> MIfHANKAI COI MAIL ADDRESS city ZIP PHONE LICENSE I <br /> I <br /> 1 <br /> N VMMNr.eunaAeloR .uB ADDRESS arY zip rllorNe uuNHR <br /> (I AY\LN WORK <br /> _ •_ <br /> AIN11V ❑ADDITION ❑ALTERATION 12REF-AIR ❑DEMOLITION []FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \V VADON OI WORk <br /> 4�, QA 0 y <br /> IN YI'RIPI WORk <br /> nnln�-1�ibl_ It1.� � i.WLT � <br /> PRON)SIOI'S1 01 &Dlmwc I HEREBY CERTIFI THAT I HAVE READ AND EXAMINED THIS AN <br /> PLICATION AND KNOW THE SAME TO BE TRUE D CORRECT ALL <br /> IIL,L nl Rlr ON OI MOIIRIVISHONN A lOW OA Al1ACN10URCOP H PROVISIONS OF LAWS AND ORDINANCESEG <br /> NTNG THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH W PECIFIED HEREIN <br /> LOI ,RLaA_or ,.. (�etLRIQ I 1-� OR NOT THE GRANTING OF A PERM NOT PRESUME TO <br /> .l GIVE AUTHORITY DILATE O N THE PROVISIONS OF <br /> ANY OTHER ST T CAL L E ATING CONSTRUCTION <br /> OR THE.P N O 1 N. <br /> SIGNATURE OR UT AG NT DATE <br /> �r <br /> IDP AOPRI is -+t­F V �. <br /> PLUMBING ME A CA <br /> NO. TYPE OF FIXTURE FTE XOA <br /> OTY UIPMENT FEE <br /> WATER CLOSIT(TOOflI O CND UNA <br /> BATHTUB cc I REFRIGERATION UNITS-HP EA <br /> IAVAIORI IO ASI(BASIN( BOILERS-AP FA <br /> SHOWIP 12 00 GASFIREDAC UNITS-TONNAGE CA <br /> KIICHI N SI\I. A DISP co I ORCED AIR SYSTEMS-0 TU ICIMIA Zj <br /> DRWASHIN O \YAtI HIATIRS-BTU hol <br /> LAUNDRY TRAY UNIIHIAIIRS BTU M <br /> CIOTHISWASHfR (`,Q IVAPORATISI COOLERS <br /> NATIR HEATER C1011IE5 DRVI ITS oO <br /> URINAL VENTILATION SAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING IINIT- C F M <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINII Atli ITS ME At IIRE PLACE 6 CHIMNIV <br /> SINY ISI R%Wl-BAR ITCI <br /> SUBTOTAL SUBTOTAL { <br /> PERMIT { PERMIT { <br /> TOTAL fit S 1w1oo /I TOTAL FEE If -c <br /> SIO MRO SETBACK SERI f I SE TRACK REAR YARD SE TBACK PIANC141C NUMBER PLAN CHECK FEE <br /> Lo n Z� Il tt' RECEIPT NO <br /> USE ZONE TOT ARIA VACANT SIII <br /> I 4YfS ONO FEES VALUATION FlE - <br /> TYPE OF CONST (ICC UPANCY CROUP NO Of OWILtING UNITS <br /> — hl BIaNnNG {(I d0 I Si OQ <br /> SIII OF PLUG NO OF STORIIS MAX IXC IOAD <br /> Lt+a1 PLUMBING ZO on <br /> FIRE ZONE FA_SLMENI HIIIR(K)MS TIRE SPRINKIIRS <br /> YREQUIRED MICIIANICAI <br /> �► rIV'IS UNo <br /> AnBOVALS 1Y PATE OTHER <br /> I ENVIRONMENTALCHECKIIST PENAITY UBC <br /> SEC RIRRI <br /> 7 BUILDING PLANS n 100 <br /> TOTAL L <br /> FIRE HYDRANT <br /> A HRT PROTECIION SVSTfM PERMIT VALIDATION <br /> WHEN PROPERTY VAt1OATEDIIN THIS SPACE THIS 15 YOUR PERM T <br /> S GRADINGII KC AVA I ION&CL I ARINGIGRURBING <br /> 6 DRAINAGE <br /> T ENVIRONMENTAL IMPACT SIAIIM[NT <br /> 6 HIALTH DISTRICT <br /> APPLICATION ACC BY PLANS CHECKED I r APPR FOR ISSUANCE BY <br /> vG <br /> 9.1 79 <br />