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APPVICATION FOR <br /> ;i;l ! ,r,rrrF, rYPmll <br /> COASTRUCTION e <br /> everett PERMIT <br /> DFPF OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 3598715 <br /> EVERETT.WA98301 ❑COMBINATION El BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> Tt5,51R MAIL 4100 11 1111 ZIP PH011 <br /> o FIU14L H�s iac r/L i Qo� sSu, L)Fe <br /> ARCHITECT OR DESIGNER I MAIL ADDRESS p CITY �y ZIP PHONE <br /> a2t)CYED0Dog2t) �fb'7o& Bw* �SPF77Zf 9'S/Im <br /> GFNIRAI CONTRACTOR / MAIL ADDRESS �,1 CITY ZIP PHONI LICINSIF <br /> 1�OQA1 ANoeesoT_ t/tur RQ BE,( �� P I424gp/ %i1 98a)c <br /> MECHANICAL CONTRACTOR MAII ADDRESS CITY ZIP PHONI LICENSE <br /> 64•Nrfzd-Lr L+:: j/E r- <br /> PLUMIII GCONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICINSIR <br /> Zoe,y <br /> CLASS Of WORK ,�// <br /> ❑NEW E7ADDITION •❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VALUATE1I-O/�N/Of�W^SORK <br /> S / G+�L'l� <br /> OE�S7CRI RI WORK <br /> ry Up 30X /td Ar'1YTA1- �[p�;_ /�av,r,c� <br /> PROPOSED USE Of BUILDING III RIBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> / BGA/04-56— PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> II GAL Of SCRIPIION Of PROP[RIY(SHOWN RHOW OR ATTACH I JUN COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> Lor_EIOCK_Dr 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 TH /PEFORMANCE OF ?RUCTION.SIGNAT CONTRACTOR OR THOILI AGENT DATE/meq 60./ <br /> TOP 4100R[SS <br /> oL $T ,51,[61 tt s 'i X <br /> PLUMBING Mf H ICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> %VAT[R CIOSF I(101IIT) AIRCOND UNITS-HP [A <br /> BATHTUB RFFRIG[RATION UNITS-HP IA <br /> LAVATORY(WASH BASIN) BOILIRS-H P.FA <br /> SHOWER GAS FIRED AC.UNITS-TONNAGE IA <br /> K'TCHEN SINK 8 DISP FORCTD AIR SYSTEMS-11.T U. MEA <br /> DISWASHFR SVAII HIAIIRS-BTU M <br /> LAUNDRY TRAY ON11 III ATERS-11IU M <br /> CLOTHES WASHER IVAPORATIVI COOLERS <br /> WATER HEATER (101111S DRYIRS <br /> URINAL VI NTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- CFM <br /> VACUUM BREAKERS SIOVI <br /> ROOF DRAINS-RAINI[AD[RS Mf UL FIRLPLACI A CHIMNEY <br /> SINK(SERVICE-OAR,ETC I <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT { PERMIT If <br /> TOTAL FIE S TOTAL FEE { <br /> SIDE )ARDS (BACK Sl RE I T Sf l ACK REAR YARD SE PACK PLAN CHECK NUMBER '/�/ PL pN CHECK fl[ <br /> 1 /- f Q /�J0 //✓ / f 1 f � 7/ RF_SF.?NO <br /> USE ZONE IOT ARIA VACANT SITE <br /> Ifo <br /> 14 gym_ OYES RNO FEES VALUATION FEE <br /> TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS <br /> :lrN B $749E.,6-0c' <br /> - Z A0Pi rIOAJI BUILDING <br /> SIZE 01 111 DC NO OF STORIES MAX OCC LOAD <br /> 595 Z S.F 1 20 PLUMBING <br /> FIRE ZONE RASISITNI EIIDROOMS FIRE SPRINKLERS <br /> ^� REQUIRED �� MICHANICAL <br /> nv[s W45 <br /> APPROVALS BY DATE OTHER <br /> 1 FNV:RONM[NTALCHICK LIST UBC <br /> PI NALTY SEC.301(m)7 nunnwcrlANs HW <br /> 1 FIRE HYDRANT TOTAL 2S7 lon <br /> 1 FIRI PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> S GRADINGIEXCAVATIONACIIARINGIGRUBIIING <br /> 6 DRAINAGE <br /> 7. ENVIRONMENIAL IMPACT STATIMINT <br /> 8. HEALTH DISTRICT <br /> ' APPLIC77 PIANwSCHECKFU nY APPR FOR ISSUANCE BT <br /> • ra N/F 1 <br /> A <br /> 91.79 <br />