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„RE„ro,,B APR LIGATION FOR CY-TPn <br />CITY OF .-- CONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2598715 ,�.,/ <br />EVIRETT, WA9B201 L COMBINATION ❑BUIIDING ❑MECHANICAL <br />❑PLUMBING PERMIT NO. <br />OWNI➢ \TALI ADDRISS <br />CITY Ilr PIIONI <br />1 Illlll UP Ul Slldl /) /J- MAII �IIIM} <br />Clir 71P PITON•. <br />f�fin�/oS/ C�it� <br />2Lc `%L3'ZOt'a <br />,�5%-7d <br />NI RAI UNIMCIOR All ADDRI SS <br />CID 71r PITON! ll NSI I <br />�AYske-I43ro <br />MIC w ANKAI CONTRAC IVA MAIL AUDRISS <br />Cllr Llr PNON[ IICINSII <br />NI'AININII CONTRACTOR MAIL ADDRISS <br />(11, 711, PIIOVI IICINSII <br />11AN%OI \BURS <br />lW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />WIU 111N Or WIIRR CCI <br />C� O r <br />�s_CS{•�. <br />O <br />DIH RIR WORA <br />H <br />1- <br />C-) <br />m <br />rkaroeu usl DI emlDl"c <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED iH15 AP- <br />•' <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />p <br />llcAl u15CR1Itlow or rllOrlRD lst1O� I IW nR U R Il1FI1 tI <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />-1 �1 <br />•17--[[-� <br />1 <br />OF WORK WILL RE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />!AV_A1�__JS <br />L///ir1�L. <br />LOT elDl:k_or <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />to <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />m <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />c <br />m a) <br />_ <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />c) <br />%icNAiWft Of CONIR IO AUTHORIZED AGENT DAL [ <br />0 e'er <br />IUD AOIIPT SS A�t <br />ZT'�U ��3 Ot <br />/�I��/[ G fry <br />Ci ^/✓ �L <br />�•11yj <br />im <br />aS La <br />x Y <br />PLUMBING <br />ME ANICAL <br />r--1 <br />AD Z <br />C <br />NO. <br />TYPE Of FORTUNE <br />([[ <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WAIIII CIOSIT Il O11111 <br />AIR COND UNITS-IIP IA <br />1-y Tn <br />•-I N <br />BATIDUB <br />RI FRIGIRAIION I WITS-11P [A <br />LAVATORY VASII IIASINI <br />BOILf RS-11P IA <br />AIOwfR <br />GAS FIRID AC UNITS-10AINAGE [A <br />-1 <br />KITCIIIN SINK A UIM' <br />FORCED AIR SYSTEMS -BTU MIA <br />(�'[{% <br />m <br />DISWASIOR <br />WALL 11lATIRS-11 I U. M <br />N <br />O <br />LAUNDRY TR%Y <br />UNIT NIATENS-9 T U M <br />C� lrr'I <br />Cm <br />C1011l[S WASHIR <br />)U <br />l VAPORATIVE COOLERS <br />WAHR HIAIIR <br />CIOIIIIS DRYERS <br />- <br />JU <br />LA <br />URINAL <br />%i <br />VI NIILATION FAN <br />(p <br />DRINKING IOIINIAIN <br />RANG HOOD <br />• m <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C(M <br />C.D <br />VACUUM BR[AK(RS <br />STOV( <br />_ <br />ROOF DRAINS —RAINLI AUI RS <br />MI JAI FIRIPLACE A CIIIMNFY <br />y <br />Z <br />SINK ISfRVRCf -BAR, I ICI <br />S <br />1•-1 <br />N <br />Z <br />O <br />SUB TOIAl <br />SUB TOTAL S <br />—1 <br />1--1 <br />WIWI S <br />PIRMII S <br />TOTAL III <br />t <br />TOTAL <br />If[ <br />S <br />SIDI YARD SI I RUC K SIFIT II%I1 RnkK <br />CIILCk (lk <br />R I All S AN I) 511 BAC K <br />PLAN CHECK NUMBI R <br />PLAN <br />��—•+.—�� <br />zpF <br />FI! ]CP <br />0.[C[IPI NO. <br />VACA I CINO <br />N0 <br />A <br />USE ZONE LOl ARESill <br />/.� .—/ <br />// <br />fl[ <br />fits <br />VALUATION <br />TYPEIt CON1SI OCCUPANCC�V•.GROUP <br />NO OI DWILLING UNIIS <br />FJ r\ [J <br />I <br />BUILDING <br />MAX OCC LOAD <br />S12I OFBLDG NO or STORIIS <br />PLUMBING <br />I � SC_, $, 17 1 <br />� <br />/ O <br />TIRE TUN[ UA5I MENI IIIIINLNIAIS <br />IIRF SPRINkII RS <br />A <br />"-' �E <br />REQUIRED <br />IIYfs Itlk <br />MICIIANIUI <br />/L7 dir—r— <br />1/V <br />■Y <br />OAIf —_ <br />OTHER <br />AP►ROVAIs <br />1 (NVIRONMLNIAL CHICK LIST <br />PINALTY <br />U C <br />SIC fOXRI <br />3 BUILDING PLANS <br />I IIRI HYDRANT <br />TOTAL <br />-?3 7 QQ <br />J <br />A IIRI PROJECTION SVSI(M <br />P(RMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACEII AIS IS YOUR PI RMI I <br />S GRADINGI%CAVAT ION 6CHARINGICR1111111NG <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT SIATIMINI <br />B 111At TlI DISTRICT <br />APPLICATION ACC BY PLANS CNECKID BY APPR FOR ISSUANCI Iry <br />s� /Jwrt G.c. <br />9.1.79 <br />