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APPLICATION FQ49 40mir <br />Cms ITYor M" �"C_ONSTRUCTIO14 <br />CITY <br />PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259•874S <br />EVERETT, WA 95201 OCOMBINAYION ® BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNIR MAR ADOMSS •� r ( - ' Jir fund <br />I-c.�lY/.A) f•�JSj.lA1 /ri':1dr'� J _ .. <br />ARfRI11C1 OR DI SICNIR MAIL/ AOORI St Ut. JR Na1Nl <br />CINIRAL CONTRACTOR MAIL ADDM SS CITY llf NIONI llCl M41 I <br />A,— f. .. naml LICIN11I <br />PILAININC.(OtVOACIW MNII ADLPR15S (III JIP PIIUNI IICINHI <br />CI MA DI WORK <br />©NEW []ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />VAWAIION Of WORK <br />DIN RIM WORK <br />.0 <br />PROIOIin USE 01 BURRING <br />LICAL DISCMPNON 01 PROrflOV DHOwN BIIOW OII AIIACH IOUR LOHISI <br />- f"iA 7 <br />Iol yeLocR__a <br />TOR ADDRI Si f <br />PLUMBING <br />NO. TYPE OT FIXTURE <br />'A ASAIIRI LOST I I IULII II <br />RAIHIUB <br />I AVATORY I1Nk%H RASINI <br />/ SHOWIR <br />KII(HIN SINK A I115P <br />OIS W ASHI R <br />LAUNDRY IRA) <br />(IOIHIS WASHER <br />WAIIR HIAIIR <br />UR NAI <br />DRINKING fI IUNTAIN <br />I IOOR OR' _ <br />VACUUM BRIAKIRS <br />ROOF DRAINS-RAINLIAOINS <br />UNK ISIRVIC(-RAR. ITC) <br />,GQd>7 (f.'11 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />Pt ICAIION AND KNOW THE SAME TO BE 1RUF AND CORRECT ALL <br />PROVISIONS OF i AWS AND ORDINANCES GUVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />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 THE PEKFORMANCE OF CONSTRUCTION <br />SIGNATURE OI CONTRACTOR OR AUIHORIZ(D ACENT DAIF <br />MECHANICAL I / <br />{(( <br />No <br />TYPE OF EQUIPMFIEQUIPPMFI <br />AIN(UND U�IIS-TIP IA -TIP IA <br />VU <br />RIIRIGl4AilUN 11NI1S-TIP lA <br />Oo <br />BOIII RS-TIP IA <br />(SAS IN LAC UNITS - IUNNAC' <br />/. <br />I (III I U A:R SYSTEMS-9I U <br />d2CJ <br />WAII IIIAIIRS-BIU M <br />-- <br />UNIT HIAIIRS-BIU M <br />p <br />IVAPORAIIVI COOIIRS <br />ap <br />CI111ITIORVIRS <br />VINTILAIION FAN <br />RNNG(HOOO <br />AIR HANDLING UNIT- CFM <br />STOVE <br />MI IAI FIRIPIACI BCHIMNIY <br />SIDE TBA(K <br />G <br />SIRIII SIIM(K <br />26 <br />RE AN TARO 11 BACK <br />st <br />USE ZONE <br />IUI ARIA <br />G') <br />VACANT SIIE <br />pla(S ONO <br />IV'PI Of CONSI <br />v o.: A A11 <br />OCCUPANCY GROUP <br />-S. <br />NO DI DWIIIING UNIIS <br />4) a <'• <br />$ly LE OF Bloc <br />NO OF 510RHs <br />MAX ac LOAD <br />FIRE ZONE I <br />IIASf M(NT RI UKOLYMS <br />IINI SPON"Ll NS <br />NIQUIRID <br />IIYEt O <br />APPROVALS <br />RY <br />DATE <br />I ENVIRONMENTAL CHICK LIST <br />2 BUILDING PLANS <br />7. <br />S TINE HYDRANT <br />A FIRE PROIECTIONSYST(M <br />5 GRADINGIIX(AVAIIUN&CLIARINGICRUBRING <br />S DRAINAGE <br />) ENVIRONMENTAL IMPACT SIAIFMWI <br />E HEAt IHOISIRICI <br />APPLICATION ACC IV <br />a; g <br />r.ANSCHECKFDST <br />JEc' <br />APPR ION ISSUAN(I BY <br />C.. e-- . <br />TEE <br />MLA <br />SUB TOTAL • (_ <br />ry RM1T S <br />]DEAL FIE B I_ <br />IR AN (111,k NUMIR R PLAN CHECK III <br />Ill jr AECI I P I NO <br />FEES VALUATION FEE <br />HUII 1)INI. 5 (r•I(J Ck(�C ) ,� 3 - <br />PIONIHIN . 2U O <br />MIl IIANI( AI <br />OTHIR <br />UB( <br />PINAIH SIC IOKAI <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VMIDAIFDIIN THIS SPAC(I THIS IS YOUR PERMIT <br />Z <br />O <br />m <br />Z <br />O <br />♦-r <br />n <br />m <br />9119 <br />