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I <br /> or <br /> AP( LICATION FOR tYlFlH <br /> TAR EYR,1,IseD <br /> Cl"DP CONSTRUCTION <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-B74S <br /> EVERE7T,WA91701 OCOMBINATION E3BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNI■' ^I /y MAII ADUN11r I'll�j � IP T�IONI <br /> �c AxCLeI s C "C� IA:;/ <br /> 3 it Si CJ <br /> ARCHOICI OR DISIGNIR MAH ADONIS) Clrr ZIP rNONI <br /> AW <br /> CL CONTIM MOR MAII�f/pDRI SS Cliv IIP v�f11pN <�n LICINSF <br /> IF <br /> `� _lJ Vi ��I S �-G /�iiM / 4�� D�u7PH �S'�L✓E— _ <br /> +II HANI(M(ONIRACTOR MAIL APDRI SS (Ih IP PNONI n �l <br /> pi M"i%'.t'ONIR ACTOR MAIL ADDRHS CITY IIP PNDNI l.�S•7lICFH+I Ri <br /> I <br /> 11 AN,Ili )RX <br /> ❑ W ❑ADDITION UAI II RAT ION ❑NI PAIR ❑FENCE ❑SIGN GARAGE ❑BUILDING RE LOCATION <br /> S Al l'A11ON Of WORK <br /> III,(KIRI WORK_ . <br /> /AX <br /> PRnroMDyy01 pu.1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> 1 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> uLM m KIPIION OI IROIIRI ISIIONN NJ 10%ON All+(H TOUR COPIIAI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> IKrI �p1orR_�or OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> F 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 /> J W SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE <br /> C,., L <br /> uIp+'7'70.4 AS <br /> t <br /> PLUMBING MECHANICAL <br /> NO. TYPE Of FIXTURE TEF NO. TYPE OF EQUIPMENT <br /> FEE <br /> t <br /> "ALIKE CLOSIT ITOLIFTI AIRCOND UNITS-HP [A <br /> 1 BATHTUB RIFRIGIRATIONUNITS-HP FA <br /> ! 1 AVAIORV(WASH BASIN[ BOIIIRS-NP fA <br /> + <br /> SIIOW'I R LAS FIRED AC UNITS-TONNAGE FA <br /> K'1(HIN SINK IS DISP FORCED AIR SYSTIMS-BID MFA <br /> IIISWAS111R WALT HIATERS-BIU M <br /> [MINERS TRAI UNIT HIAIIRS-111U M <br /> (IOTIII'.WASHIR IVAPORATIVI COOLERS <br /> W'ATIR MATIR OOTHIS DRYERS <br /> URINAL VI NIILAIION UN <br /> DRINKING H)UNIAIN RANGE HOOD <br /> I IOOR DRAIN AIR HANDLING UNIT- C E M <br /> VA(UUM RRI AKI RS STOVI <br /> ROLM DRAINS-RAINLIADIRS M1II TAI 110.1 PL AC[ 6CHIMN[Y <br /> SINK ISIRVI(1-BAR ITC) <br /> SUR TOTAL SUR TOTAL S <br /> /tRMIT / IPIRMIT S <br /> TOTAL Fit S TOTAL FEE S <br /> SIO, I ARO)S II IIISCK STREIT SETBACK REAR YARD S1 PLAN CHICK NUMBER PIAN RECEICHICK PT <br /> 2 '7441 FEE D-J R[10 .7 <br /> USI ION1 107 ARU VACANT I ITT / 7 FITS VALUATION 'Fitt <br /> II.PRI�}0.1 CONS I OCCUPANCY GROUP NO Of OW^I!NL UNITS <br /> do <br /> BUILDING S <br /> SIl, O, HIM. NO Of STORIES MAX IXC LOAD <br /> 3a X 3 IFPIUMBING <br /> [IRI ION[ L�2: <br /> BI DOOOK15 [IRI SPRINK(IRS <br /> ` RFQUI MFCHANICAI <br /> I� nvl s uld <br /> MTROVALS By DATE OTHIR <br /> 1 INVIRONMtNTAt CIIICK LIST PENALTY UBC <br /> SFC R1XRI _ <br /> I BUILDING PLANS <br /> TOTAL to <br /> 1 ZINE HYDRANT <br /> X FIRE PROTECTION SVSIFM PFRMD VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE[THIS IS YOUR PERMIT <br /> S GR ADINQ1 RCAVAI IONA(I I MIIINGIGRUHRING / <br /> 6 DRAINAGE <br /> 7 INVIRONMINTAI IMPACT STAT(MINT �I.AE �� � W,,,, II I(,j�jE <br /> B HIAITHDISTRICT <br /> APPU(AIION ACC By PIANS CHTCKFD BY APPR FOR ISM 'NI 1 1I <br />