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ri ins EYu)grcyn CITY Of <br /> `_ A P�L ��C A T I O N F fl iw - cverett <br /> everett CONSTRUCTIO.A <br /> PERMIT I T <br /> ID <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259,8745 T� <br /> EVLRETT,wA982O1 in l✓ .BUILfING ❑MECHANICAL ❑PLUMBING PERMIT NO, <br /> OWNER MAIL ADDRESS CIIY ZIP <br /> P Jnl <br /> ILVfYR L F oPERTi s Po. e' 4 <br /> x / 3 L7/,NNVvF�nho voersP. 7â3p <br /> ANCHITLCI OR OISICN k MAIL ADDRESS CIT)' ZIP P110111 <br /> . jiHc.6 /A I7 rs /6/27 /43#V/Tr ,4t. P'o,efo?C lC -vE/Eferr Wt. <br /> CININAL[ONTO, ION MAIL ADDRESS CITY 211' P110,4 LICENSE/ <br /> I`SET WErr cope t '. BOACJ/EPMo/q.cs 1Asq• X60.20 <br /> MECHANICAL CONTRACTOR AWL AUORESS CITY LIP FIIONl LICENSE/ <br /> 1'INAYBIn,:CONINACEOR MAIL AUDRISS CITY IIP PIIONI LICENSE/ <br /> CI Ass W <br /> ]S OE UNK <br /> / -� <br /> R UIW '�4.%Giii ON ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑CARACE DBUILDING RELOCATION <br /> O LUAIII.II Of WORK 6/Q <br /> FO©O <br /> U IICRlul 5104/ 5, L/ ... 51?-31/CEc A Iii/264,1 rAckfy or. LONG. 131-i . C-Jf' <br /> J 'A1 -s ME ff <br /> INUYLWOSID uDI It DInG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> � Y/¢ Cfriz u4694 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ((CAL UI)CNIPIIOM OF PNDP Ail IS110WN BELOW AnAcl q R c r, PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> Eur, i f +r MC E5S" -57 Elr� 7 J OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> 772e4G A5 ft114 R'•4'149nti 114 OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> L. f 7SfJ E$ hS d ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> 110/460 CO, MP j 12 tai THE /y +' TH ' ORh NC OF CONSTRUCTION. <br /> ,02 .mt5s4a6ilca jefril ,., SIG T RE OF/3/ + /H AUTHORIZED AGENT DATE <br /> LOB ADDRESS I r/��� ��� <br /> . /6d/ /00, 0 PC... �, -.---=-15, :..,ss fr—r--- ..R7` 4F,ta <br /> PLUMBING M CHANICAL r <br /> NO. TYPE OF FIXTURE FEE O. TYPE Of EQUIPMENT FEE <br /> f WATER CLOSET IIOLIETI AIR CONI) UNITS-HP.EA <br /> BATHTUB HCI HICEHA LION UNITS-IIP LA — <br /> V LAVATORY(WASH BASIN) BOILERS-HP EA <br /> . SHOWER GAS FIRED A C UNITS-TONNAGE EA �—.. <br /> KITCHEN SINK I.17151' FORCED AIR SYSTEMS-B T U MEA -- <br /> DISWASHLH WALL MATINS-BTU M — <br /> LAUNDRY TRAY UNIT III ATI-RS-II T U. hl <br /> CLOTHES WASIltH EVAPORATIVE COOLERS <br /> NAT(H MATER CLOTHES DIETERS — <br /> iURINAL VENTILATION FAN <br /> 11 DRINKING FOUNTAIN RANGE HOOD <br /> TIOOR DRAIN AIR IfAND11NC UNIT- C F ht <br /> VACUIIAI hRUKf HS STILVL <br /> �I 11001 DRAINS-H.AINI L AWNS I METAL FIREPLACE&CHIMNIY <br /> 9 SINK ISEHVICI-BAH,1 IC I . <br /> Co N11— l2.90 __ <br /> a! <br /> • <br /> SUB TOTAL /2-&t-) SUB TOTAL R I <br /> ►UNIT i — � PERMIT R ,.ill <br /> MEAL FEC f /-Z.-'''4-J TOTAL FEE I _ <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SACK ELAN CIITC'HUNTER PLAN CHECK fEE <br /> I F I°4 °' _ 70 s�/'"V('� FES 33 S=- F` 6L5o <br /> USE LONE LOT ALA VACANT SIZE <br /> C'7 w/e" re"eT 271160 5f Dl�'ES ONO FEES VALUATION FEE <br /> TYPI Of COAST OCCUPANCY CROUP NO OF DWELLING UNITS <br /> V‘ti B.2. HoNE te., <br /> • SIZE OF TIED(. ND or STORIES MAX OCC LOAD BUILDING EQrIX'I('Y -,., r1 .3 ,hy <br /> z3Sz Sr / PLUMBING CC�� C VV 711' 'cc <br /> FIRE ZONE BASEMENT III OROUAp FIRE SPRINKLERS <br /> REQUIRED Ail CIIANICAL <br /> ELVIS [TND <br /> APPROVALS IX DATE OTHER <br /> 1 ENVIRONMENTAL CHICK LIST <br /> PI NAI TY IILC <br /> 2 BUILDING PLANS SLC 3211:1 <br /> 3 FIRE HI UHANT TOTAL <br /> 4 FIRE PROTECTION SYSILAI THOME VALIDATION +'�Ct�--()L/ <br /> S GRADINGS SCAVAT ION 11(:11 AILING/GRUBBING <br /> WHEN PRO!!KEY VAL DATED IN THIS SPACE)THIS IS YOUR PERMIT C�•.N <br /> L DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT SIATIAICNT <br /> II HEAL 111 DISTRICT <br /> APPLICATION ACC.BY PLANS CHECKED BY APER FOR ISSUANCE BY <br /> _ — / J <br />