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fMEmM� APPLICATION FOR <br />Q <br />1Y OF . CONSTRUCTION e everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CIT\HALL 2598745 <br />EVER EAT, WA 98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. _ <br />or <br />M\IR <br />MAIL AunRsset�tifT nr Pllovt —• <br />&jn�a <br />ARCHITECT OR DISIGNIR u MAIL ADDFF 5 Clh nr hlnNl <br />GI NI MI CONIR4'1 R MAII ADDIi (1 Zlr PHONE LICENSER <br />�� �� �,y�35 98;/7y <br />VII I.A A COVRACIOR MAIL ADDRI55 I OV JIP PHONE LICENSE L <br />PI I aRtNC(ONTRKIOR MAIL ADDRESS (111 2Ir r11DN1 UCENSTK <br />CI US OI WORK <br />❑NEW []ADDITION ALTERATION ❑REPAIR ❑DEMOLITION Of I NC[ ❑SIGN ❑GARAGL ❑BUILDING RELOCATION <br />V V l AIION OI WORk <br />D14 "HIT AAnRl <br />rRor... I m nI Inn V, <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING 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 CONSTRUCT ION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />StCN HURL OF ONTRA'.IOR AUTHORIZED AG(NT DATE <br />x die <br />11UI DESCRIPT 1 PROPIRTYISHOW'N RILOW OR A17ACH IOURCOPBA <br />:Ol _ O K--OI <br />uIs nUURI.. /� <br />/w/ / <br />PLUMBING <br />MECHANI AL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE Off IPMENT <br />FEE <br />MAIER ❑OSET(IOLIIT) <br />MRIONI -1 IA <br />HAIHTOB <br />R1 I RI61 RATION UNIIS-HP IA <br />I AVAIORY (MASH IIASINI <br />H1)I1I RS-H P [A <br />SHOSPIR <br />(.AS IITT[ D AC USE IS-IONN ACT LA <br />KOCIII N SINK A DISP <br />FORCED AIR SYSTEMS-B T U MIA <br />DISSSASHLR <br />WAIT HE Alf RS-IIIU M <br />IAUNDRS IRA] <br />UNIT IIIATINS-fllU M <br />(I OIHI S SVASIII N <br />I VAP07ATIVI COOLERS <br />MAIIR HIA11R <br />CIOTHISORYIRS <br />URINAL <br />tI%TRAIION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />f100R DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BRIAKERS <br />STOVE <br />ROOF DRAINS- RAIN[ i ADE RS <br />METAL FIREPLACE A CHIMNI Y <br />SINK ISI R\'ICI -HAR ITT I <br />SUBTOTAL <br />SUB TOTAL f <br />PERMIT <br />S <br />1 <br />PERMIT IF <br />TOTAL LEE <br />S <br />TOTAL FEE R <br />SIDE TAROS 111•-K <br />SIR[(I SET ACK <br />v!.R.ARUU ILA, 1. <br />PI AN CH KNUMB[ I <br />PI AN <br />CHECK FEE <br />RI`sl9�r9�� <br />USf to <br />EDT AR A <br />eu Aai vll <br />NIS EyKi <br />f[[S <br />VAIIlAl10N <br />FEE <br />IYPF F/� <br />Ojj!! <br />+R J%i� <br />Y GROUP <br />OCCUPANCY <br />9_0- <br />vU IF D111 IN1, 1'�.i IN <br />N <br />BUILDING <br />SC <br />��5 <br />�� <br />_ <br />SIJI OE BILL, <br />NO OF STORH5 <br />MAX OCC LOAF) <br />NUMBING <br />, rAl <br />VL. <br />TIRE 7U'd � <br />BAST AtI NI <br />❑I BROOMS <br />fill[ SPRINKII RN <br />RI f]NIRID <br />IS MNO <br />MICHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHI(K LIST <br />PINAII) <br />NIL 10"el <br />2 BUILDING PLANS <br />TOTAL <br />n <br />�7 <br />7 <br />FIRE HYDRANT <br />R FIRE PROTECTION SYSTIM <br />S GRADINGII XCAVA110N A (1I ARING'GRUIl111NG <br />PERMIT VALIDATION <br />WAIN PROPERLY VAIIDATEDDN THIS SPACFI THIS IS YOUR PERMIT <br />6 DRAINAGE <br />2 [NVIRONMENIAL IMPACT SIATIM[NI <br />B MAITIADISTRICI <br />APPLICATION ACC BY <br />PUNS OIECKID BY <br />,,, c. <br />APPR FOR fSSUANCI HY <br />91 79 <br />