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the L'ergreeF e, GiNSTRUCTION <br />everett PERMIT <br />CITY HALL 259-0745 <br />EVERETT, WA 80201 ❑ COMBINATION El BUILDING MECHANICAL PLUMBING <br />A9( IUTE T DE SIGN[a �ryoll FILSS wll ZIP <br />�LotescH-We9\1 ' 4".'Q <br />--I NI nAI CONir4L1D1+ 01,11 ADDgLS5 CITY ?If 1'� .14 LlGf ll'.i # <br />SAriFoRO �K\G\\� Q 0 8oX �a� 'r, - <br />LIT GIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP 1111141 LICENSE# <br />1'LUMBINGCONTRACICP MAIL ADDRESS CITY ZIP 11 (1.4 LICENSE # <br />❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE []SIGN ❑GARAGE <br />\At LATKIN OF WORK <br />-D-i sous# Wo(nK <br />'yNv MkIk or \NST(A\v Q\Wf Rol TCR�� Ks �� �� N��li-'r'E\\SE Snsa iieov a Cep s <br />OF RVIILLDING <br />vI "p PSLD U�s/5 `O <br />yy\% 1Y - MtVkER <br />I HEREBY CLRTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HLREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SioNnl pin Of (o'I INr Va AU1I'Wff)n dlll DATc <br />Lf GAL DLSL.RIruGNa PIKNRLn sHDw BELOW OR ATTACH FOI,N Eoart SI <br />F TI N'3nY 3 .4Yr %ml.. Q��� �p�� �a r� <br />Im IDc�'L�1oT Y\1 <br />\, <br />\c\ -`�\-� -7,0 YT�,-X� { -S <br />17\,r\ Alt1% <br />I ,AVVIALss <br />PLUMBING <br />MECHANICAL <br />NO. TY E OF EOUIPMENT _ FEE _ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET ROILET <br />AIR CONO ONES - HP CA <br />BATHTUB <br />RE 1 RIGLRA7ION UNITS -- 1/ P. EA <br />_ <br />LAVATORY (WASH HASINI <br />❑OII ENS - H P LA <br />SHOWER <br />GAS FIRED AC UNITS - TONNAGE EA. <br />KITCHEN SINK A UISP <br />FORCED AIR SYSTEMS - B T U M FA <br />DISHWASHER <br />WALL HEATERS - B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS - B 7 U IA <br />CLOIHES WASHE1I <br />( VAPORA71VL COOLERS <br />_ <br />WATER )CATER <br />C.107111 S DRYERS <br />URINAL <br />VI Ni ILAFTON FAN <br />_ <br />DRINKING FOUNTAIN <br />10414a HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C F IA <br />VACUUM BPEAKI RS <br />STOVE <br />ROOF DRAINS - HAINLEADLRS <br />ME TAI. F IRLPACL A CHIMNLY <br />$INK #SERVICE - BAR, ETC I <br />_ <br />SUBTOTAL <br />SUB TOTAL f <br />PERMIT t <br />PERMIT IF <br />TOTAL FEE { <br />TOTAL <br />FEE f <br />SIDE. YARD SLTHnCK <br />�— <br />STREET SLIBACK <br />'I-— <br />HEAR YARD SETBACK <br />PLAN CHECK NUMBER <br />� /Y <br />MAN LHFCK <br />ICU -Z ) <br />FEE L <br />L."I V <br />USE ZONE <br />L07 AREA <br />VACANT SITE <br />AYES E±NO <br />FEES <br />VALUATION <br />FEE <br />TYPE Of CONST. <br />-I i�R <br />' UPANCY GROUP <br />EMof�EL <br />NO. OF DWELLING UN115 <br />_� <br />— <br />BUILDING <br />�•'T <br />SIZE OF BLDG <br />_ <br />NO. OF STORIES <br />MAX OCC LOAD- <br />�• <br />PLUMBING <br />I IRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED - <br />II YES L <br />MECHANICAL <br />-- <br />_ — <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I ENVIRONMENTAL CHLCK LIST <br />PENALTY <br />U BC <br />SEC. 101 is) <br />J BUILDING PUNS <br />TOTAL <br />I FIRE HYDRANT <br />A FIRE PROTECPJN SYSTEM <br />- <br />GRADING <br />---- <br />PERMIT VALIDATION <br />WHEN PROM RLY VALIDATE[) (IN THIS SPACE) THIS IS YOUR PERMIT <br />L DRAINAGE <br />ENVIW'tNMENTAI 'I <br />