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TAB Ev"rv*n AP ' LICATION FOR <br />CITY OF CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />PII'SlBWY.COn ,ACIOa MAIL ADDRISS COY ZIP PHONF LICINSIE <br />I 1 AAA OI NORK <br />❑NIW ❑ADDITION []ALTERATION ❑REPAIR DEMOLITION ❑FENCE []SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VMl A11O101 wONK <br />0 <br />III}AY�NINI WOF\ , <br />PRO10111)L 11 I I RUlmrvl) <br />FILM} 'DIscRIPTION pr�ROPl aIr ISF OW Rnq�w aN AneCH 10 Loracl <br />1 _YES. X-1 N,'AO yY� V f�qn OFVC 1�- <br />,III _xI OCK Syr ` L�1 <br />DP Wlks\ - 0-\-�'�i- - 7.i, I- <br />I HLREBY 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 10 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE <br />MECHANICAL <br />i�IN AI>IrRI St <br />�XAv\ <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />Tm OF EQUIPMENT <br />FEE <br />WATIRCLOSITITOLI[11 <br />AIRCOND UNITS -HP EA <br />BATHTUB <br />REIRIGIRATION UNITS-H P EA <br />1 A%AIORY (WASH BASIN) <br />BOILERS —HP (A <br />SHOW'IR <br />GAS EKED AC UNITS —TONNAGE [A <br />KIICHIN SINK A DISP <br />FORCID AIR SYSTEMS —BTU MCA <br />DISW'ASHIR <br />WALL HT ACT RS—BTU M <br />IAUNDRN IRAN <br />UNIT HIAIIRS—BIU M <br />UOIHIS WASHER <br />IVAPDRAIIVF COOLERS <br />WATER HEATIR <br />CLOIHIS DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGI HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— CFM <br />VACUUM BRI AKI RS <br />SID%,[ <br />ROOK DRAINS — RAINLf AD[ RS <br />MT TAL I IRF PLACI A CHIMNEY <br />SINK ISERVICI —BAR. ETC) <br />SUB TOTAL <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT ! <br />TOTAL TEE <br />F <br />TOTAL FEE S <br />SIDE YARD SE IBACK <br />SIFFII St TBAL <br />RI AR YARD UTBACK <br />PLAN CHECK NUMBER <br />PLAN <br />fEE <br />CHECK FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SIT[ <br />❑YES GNO <br />TEES <br />VAlUAT10N <br />FEE <br />TYPE OI CONST <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PIUMBING <br />FIR[ ZONE <br />BAST MI NI <br />NIORDOMS <br />f iRt SPRINKLERS <br />rYIS FIND <br />MICHANB SL <br />APPBOVALS <br />BY <br />DATE <br />0111IR <br />1 INVIRONMTNTALCHICKLIST <br />PINMIN. <br />UBC <br />SEC LOX.) <br />2 BUILDING PLANS <br />TOTAL <br />7 FIRE HYDRANT <br />R FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPI RLY VALIDAT[ D TIN THIS SPACE) THIS IS YOUR PERMIT <br />S GRAOINC,I M AVAHONA CLIARINGIGRUBBING <br />b DRAINAGE <br />17•v IRONM[NTAL IMPACT STO!IIINT <br />