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t <br /> I11Lr EYBryFBBR APPLICATION 1`01 PY�CRH <br /> CITY OF `"' CONSTRUCTION <br /> everett PERMIT <br /> DFPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 25"745 <br /> FVERErT,WA95201 OCOMBINATION C1 BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWN[To <br /> MAIL ADDAIi$ • 1111 hP [� NIONI <br /> ! /L . IiNr (�� ERj '�7n �/'�3� �Tf'�a i'y_)"�S ° 1 .3- I <br /> AA HIIIEt ORDIS)GN{r �� MAIL ADDRIS K Cn, IIP PHONI <br /> GIN RAI CONIRA[f Dll MAII ADDRIS% 1111 IIP rI1ON1 UCI Nsf <br /> (y)-r- J. 14C r _ <br /> MICHANICAI CONTRACTOR MAIL ADURISS 111, IIP NW vI LICLNs11 <br /> PLUMRINI:CONTRACTOR MAIL ADDRIS$ 1111 IIP PHUIII LICINst8 <br /> CIA%$Of WORK <br /> 04W ❑ADDITION ❑ALTIRA71ON ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑DUIL DING RELOCATION <br /> VALUATION Of MORN <br /> l,�p A rL 41 — <br /> UISCR1111 wORN <br /> PROPD$to Us[of BDIIOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> r ' 1 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ticAl DISCRVt PAIN MONRIYJBIOWN KILO OR AT fACH FOUR COPIRI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> " I OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> LOT�BLOCR_or ' ,,I.��,f •� �• - OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> �� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OF TATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR TL PLRF RMANCE OF CONSTRUCTION. <br /> SIGNAI Of C NTRACTOR C IRA I1HOR12ED AGINT DATE <br /> TOB ADDRIS% , <br /> 3 Some-, PL . S. E x q1111h -3 <br /> PLUMBING MECHANICAL <br /> NO. TYPE Of FIXTURE FEE NO. TTPE OF EQUIPMENT FEE <br /> WATIRCLOSITIIOLIFTI I AIR CORD UNIIS-HP IA <br /> I BATHTUB RtIRIGIRATION UNITS-HP [A <br /> LAVATORV fWASH BASINI PUMAS-HP IA <br /> SHOWIR GASIIRIO AC UNITS-IONNAGE [A <br /> K17CHIN SINK B DISP IORCIDAIRSISTEMS-BTU MEA <br /> DISWASHIR WALL HIAIER%-BTU M <br /> IAUNDRYTRAY UNIT HFAIIRS-BTU M <br /> CLOTHES WASHIR IVAPORATIVt COOLIRS <br /> WATIR H[AIlRTo CLOTHES DRVIRS <br /> URINAL VINTILAIION FAN <br /> DRINKING FOUNTAIN RANG[ HOOD <br /> MOOR DRAIN AIR HANDLING UNIT- C F M <br /> VACUUM BRFAKIRS STOVE <br /> ROOF DRAINS-PATNI[ADERS ME IAL 11RIP ACE A CHIMNEY <br /> SINK D(RVICI-BAR.[TC) <br /> SUE TOTAL SUB TOTAL L Z <br /> PIRMIT S PERMIT S <br /> TOTAL fl[ 1 TOTAL FIE F ,a <br /> SIDE YARD SI IBACK SIR[IT SETBACK REAR YARD SI(BACK PLAN CHIC NUMBER PLAN CHECK FEF <br /> &fz /l� 171, FEE R CHPT W) <br /> USI 20 IOT AREA VA!' I SIfF <br /> CiYfS ONO RES VALUATION Ill <br /> TYPE Of CONST OCCUPANCY GROUP NO Of DWELLING UNITS <br /> N K5 I BUILDING <br /> S12[Of BLD%: NO OF STORMS MAX IXC LOAD n <br /> 1270 S.F I 5 PLUMBING ! O✓ <br /> DRE ZONE BASIMINT BI OROCIMS FIRI SPRINKLERS <br /> REQUIRED--- MICHANICAL 211 so <br /> nYls 1,11110 <br /> APPROVALS It DATE OIIHR <br /> I (NVIRONMINTAL CHICK LIST PINAITY UBC <br /> SIC bXRI <br /> 7 BUIL DING PUNS' Vc) <br /> ] ETR[ HYDRANT TOTAL I✓ . <br /> • A FIRI PROUCTION SYSTEM 11111411 VALIDATION <br /> S GPADINCJI XCAVAI ION 1.Lit ARINGIGRUBBING W Ht N PROMPTLY VALIDATE O ON THIS SMCH THIS IS YOUR PERMIT <br /> 6 DRAINAGE <br /> I INVNIONMENTAL IMPACT STATEMENT <br /> B HIALTH DISTRII T <br /> APPLICATION ACC BY PLANS CHECKID BY APPR FOR ISSUANCE BY <br /> nsw <br />