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r <br /> the EYPrgmn APPLICATION FOP everelt <br /> CITY OF CONSTRUCTION <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259•874S <br /> I EVERETT•WA98201 )]COMBINATION El BUILDING C,MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNER MAIL ADDRESS CITY ZIP PHUN1M414 7"7 Y3 -703 iK, <br /> A 1� QI {11L1(`u,N /77 7571+ `[x• S, k. Ctg�gekrr Sgzo3 35-5 - 72-zG, EfaLr/f <br /> ARCHITECT OR Di SIGNIR MAIL ADDRESS CITY IIP PHONE <br /> e}eo_" Nv v 1/fssx cS9 N.E. fSc1nY ti. _VAor2E 99/a_ 522- 0 P 33•f <br /> GENIRAL CONTRACTOR MAN ADDRESS CITY IIP PHONE LICINSE F <br /> —ow NI- <br /> MIC HAN ICAL CONTRACTOR MAIL ADDRESS CITY LIP PHONE LICENSE I <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY IIP PHONE LICENSE IF <br /> CARS Of WORK <br /> 07NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VAIUAlION 01 aORR <br /> S ��V� <br /> DISCRTBI Wolf / gfT i/Ii P+ .7Arh `�(- L...}[L F7..0 C.&nLDSfv A TL ,,L& iy/NL NIJi& rr rC�A)PE <br /> Qf*E,A,,l(-/„e-cL Aav�, 3) it ir. vi, 4.1 olr L,Ni,- . af- <br /> •� N <br /> PROPOsm USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AN <br /> • PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IIGM DLSGIP110N OI PROP)RIY)SHOWN RIlO oR MrecH F corn SI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> �_OE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> LOT RIOrA 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 <br /> TOR ADDRESS <br /> Ila 7e) no- At. S .E. Asvi-AFE rr X E � ' � L � Z <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> W'AT[R CLOSE T ITOTH 71 AIR COND UNITS—SIP !A <br /> BA7HTUB REFRIGERATION UNITS—HP [A <br /> I AVATORY(WASH BASIN) BOtLt RS—HP EA <br /> 5140WIR GAS FIRED AC UNITS—TONNAGE[A <br /> K17CHIN SINK&DISP fORCID AIR SVST(MS—BTU MEA <br /> DISWASHIR WALL HEATERS—BTU M <br /> IAUNDRYTRAY UNIT HEATERS—BTU M <br /> 1IOTHIS WASHER IVAPORATIVE COOLERS <br /> N AOR 111 ATIR CLOTHES DRYERS <br /> t*1NAI VINTILATION FAN <br /> DRINKING FOUNTAIN RANGE FLOOD <br /> I IOOR DRAIN AIR HANDLING UNIT— C F AT <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLF ADH ITS METAL FIREPLACE 6 CHIMNEY <br /> 51NK ISIRVICI—BAR.TICE <br /> sue TOTAL FUR TOTAL E <br /> PERMIT F PERMIT I <br /> IOTAS FIE f TOTAL FEE I <br /> SIDE YARD Sl TRACK STREET SETBACK RE AR YARD SETBACK PLAN CHICK NUMBER 9 PLAN(111(), 111 <br /> TE �a /vW F 9 fit RECEIPT NO <br /> US! 20N( lOi AREA SA( ANT SITE <br /> lJYIS !.NU T[[f VALUATION t[E <br /> TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS v l <br /> � I'V <br /> SR[ OF BlOL NO OF STORIES MAX IXC TOAD BUILDING f Ofj <br /> PI UMBING <br /> L FIR[ ZONE HASt MENT Of DROOMS FIRE SPRINKLERS <br /> REQUIRED MICHANICAL <br /> TMS ❑NO <br /> APPROVALS RY DATE OIHER <br /> I fNVIRONMIN7ALCHECK LIST UBC <br /> PINAl7Y SEC 70X1) <br /> 7 BUILDING PLANS <br /> 1 FIRE HYDRANT TOTAL .1 I,w <br /> A FIRE PROTICTIONSYSTIM PERMIT VALIDATION <br /> (IJL,.J <br /> WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT <br /> S GRADING)KCAVAT ION&CL I ARINGIGRUBBING <br /> 6 DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT STATEMINT <br /> B HIALTH DISTRICT <br /> APPLICATION ACC BY PLANS CHECKID IH APPR ION 55UAN11 IIY <br /> 9.179 <br />