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APP ( (CATION FOR ,. e <br /> COASTRUCTION <br /> everett PERMIT <br /> DEPT.OF COMMUNITY DEVELOPMENT SERVICCS <br /> CITY HALL 25"715 —_ <br /> EVERETT,WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT <br /> MAIL ADORI IA CITY <br /> °rR <br /> /L Z {(r . LIF <br /> DEA 5� ZIP P11nNI <br /> AMIL ADnREss C❑Y <br /> ARCIIHECI OR <br /> / n[L SI � <br /> n1 11o DO , C � LICENSE IF <br /> TY&45 city ZIP <br /> PHONE <br /> _ <br /> /GENERAL CONIRACIOR �AIAIIIA,DDR[SS N(/. <br /> ESS CIi' I p Q TY /L(. <br /> TVpI!py �q y I !IPP <br /> PHONE IICFNSE <br /> MECHANICAL CONTRACTOR <br /> AIAII ADDR <br /> CLNtRFhL7- ,uLlr L�:% £T PHONE <br /> MAI(ADDRlIC[NSII <br /> [SS <br /> LIEN ZIP <br /> �i PLUMPING CONTRACTOR <br /> f /✓ e/ <br /> CLASS Of WORK ,, DDITION 'ALTERATION ❑REPAIR// <br /> []DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br /> []NEW EA <br /> VALUATION OF WORK <br /> S +?p6e>d <br /> DE ECRIaI WORK <br /> up USE 60X /2cY //4'rF 1�LUk _ no/r/L'� <br /> PROPOIID or am[oINI, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> ��P 0-4t- �p /SF PLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> LEGA(6tSCRIPTIONOF PROPERTY ISNOWNaELO'VOR ATTACH FOUR COPIES) OF WORK WILT.BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> LOI BIOCK01 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR TH PE FORMANCE OF TRUCTION. p.�] <br /> SIGNAT RE F CONT0.ACTOR OR iHORI AGENT DATE/��D R/ <br /> 100 ADDRI SS �/ Sr X <br /> Y L. <br /> G1• MCUH ICAL <br /> PLUMBING TYPE OF EQUIPMENT IFF <br /> NO. TYPE OF FIXTURE <br /> FEE NO. <br /> AIR GOND UNITS-N P.EA <br /> WATIR CLOSET(TO""' REFRIGERATION UNITS-HP IA <br /> BATIOUB BOILERS-HP.[A <br /> LAVATORY(WASH BASIN) GAS FIRE.AC.UNITS-TONNAGE fA <br /> SHOWER <br /> FORCE AIR SYSTEMS-B.LU MEA — <br /> KITCHENSINKA.ISP WALL Hf AT[RS-B.IU M <br /> DISWASHER UNIT HUTERS-B.T.U. M <br /> LAUNDRY TRAY FVAPORATIVE COOLERS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER WAlER VLNTILA110N FAN <br /> UR'NAL RANGE MOOD <br /> DRINKING fOUNTAIN AIR HANDLING UNIT- <br /> FLOOR DRAIN STOVE <br /> VACUUM BRE AM M METAL THIEF ACE 6 CHIMNEY <br /> ROOT DRAINS-RAINLIADFRS - <br /> SINK(SERVICE-BAR.I IC I <br /> SUB TOTAL S <br /> SUB TOTAL PERMIT S .- <br /> PERMIT ff <br /> TOTAL IF[ <br /> TOTAL RI IS PL6N CHICK IFI <br /> SIDE YARD S IIIA(K SERI I I SI I A(K RI AR YARD SFA CK PLAN CH[C/�� f1I 5-/ F RCI 1PI NO <br /> Ifo �1a /VV, jN 4 SC <br /> L01 AREA VACANT SITE TIES <br /> VALUATION FE[ <br /> USE ZONE <br /> M M 17YES IRYO <br /> - <br /> 1VPE OF CONST <br /> OCCUPANCY GROUP NO OF DWF LUNG UNITS jr- N S Z pcDl'r'loti' BUILDING <br /> S7d39�' <br /> 512[Of .LUG <br /> NO OF STORIES MAX OCC LOAD <br /> I Z� PLUMBING <br /> FIR[ ZONE BASEMENT III DRUOMS REQUIRFULL KLERS <br /> [ND/ MECHANICAL <br /> 13 CIYFS ffFFIMR�O6 <br /> APPROVALS BY DATE OTHER <br /> UflC <br /> 1 ENVIRONMENTAL CHECK LIST PINALTY SFC 101(s) <br /> t BUILDING PIANS HW L-Vow-So 2�7 00 <br /> TOTAL <br /> 1 FIRE HYDRANT <br /> PERMIT VALIDATION <br /> A. FIRE PROTECTION SYSTEM WHEN 1'ROPf RLY VAlIDA1FC(lh THIS SPACE)THIS If YOUR PERMIT <br /> S GRADINGILXCAVATIONa C[IARIHGIGRUBIIING <br />