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%PPLICATION FO"'; <br />`= CONSTRUCTION ` <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />_ITY HALL 2596745 <br />EVERETT. WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />G <br />CRY DESIGNER / MAIL ADDRISS <br />ZIP PHONE <br />1'IUMRI\I:(ONIRACIOA MAIL ADDRISS (III ZIP PIIDY( (I(INSI IF <br />❑NEW ❑ADDITION [$$ALTERATION ❑REPAIR ❑DEMOLITION ❑IENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION M/wORA �/'� <br />f !.'J oA 00 <br />DISCRInI wORX <br />/7_ - JI- /l /. A <br />ATY�II'ZIAI(�P <br />norotlo uH of nuu DlNc <br />iia <br />u Cd1 ms RlnwN or vRD 1Y 15NOWH n LOW OR AIIA(N IODA CIT H5I <br />Lots nLocX�ori • `�'-/�f. �a <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME 10 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 />R 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 PERFORMANCE OF CONSTRUCTION. <br />SIUNATUR[ OF CONTRACTOR IT AUTHORIZED AGENT DATE <br />X <br />IOB XEHYMSS <br />PLUMBING <br />MFCH ICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO.q <br />TYPE Of EQUIPMENT <br />FEE <br />WATER CLOSET IIOLIE II <br />AIR COME) UNITS —TIP IA <br />BATHTUB <br />RTfRKARATIONUNIIS—HP EA <br />LAVATORY (WASH BASINI <br />BOIL(RS—H P EA <br />$NOWFR <br />GAS FIRED AC UNITS-70NNAGE [A <br />KITCHIN SINK A DISP <br />FORCIDAIR SYSTLMS—BTU Al[A <br />DISWASHtlt <br />WALL HLAILKS—B T U. M <br />LAUNDRY TRAY <br />UNIT HEATIRS-01 U M <br />CLOTIIES WASHIR <br />IVAPORATIVL COOLERS <br />WAVER MAUR <br />CIOTIMS DRYIRS <br />URINAL <br />VENTILATION IAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C f M <br />VACUUM PRIAKt RS <br />STOVE <br />ROOT DRAINS—RAINLEADERS <br />MI TAT IMILE ACE A CHIMNEY <br />SINK (SERVICE —BAR. I IC I <br />' <br />SUB TOT At <br />SUBTOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL IEf <br />f <br />TOTAL Fit f <br />SIDI YARD SE T RACK <br />SLIME SETBACK <br />REAR YARD 51 TRACK <br />PLAN CHICK NUMR(R <br />p <br />PLAN <br />fl[ <br />CHECK EFL <br />R[C[IP7 NO <br />Fq <br />USE ZONE <br />LOT ARIA <br />VACANT $I11 <br />CIYIS FIND <br />fits <br />VALUATION <br />fit <br />OI IT [�. <br />- 0— l <br />OC(:411�ANCY�C,7ROUP <br />L/1,.— ` <br />NO Of DWELLING UNITS <br />IIUILUING <br />S <br />SIZE Of fl1UG <br />NO Of SIORHS <br />MAX OCC LOAD <br />NUMBING <br />TIRE ZONE <br />BASIMLNT <br />III OROQNIS <br />FIRE SPRINKLIRS <br />HIQUIRED <br />IIY[S ('NO <br />ATICIIANICAL <br />APPROVALS <br />BY <br />ITAIT <br />0711IR <br />1 [NVIRONMENTAL CHECK LIST <br />P(NAIIY <br />URIC <br />SIC 1O1W <br />2 BUILDING PLANS <br />TOTAL <br />:� IL <br />S FIR[ HYDRANT <br />A TIRE PROIICTION SYSTIM <br />PERMIT VAIIIIAT ION <br />N'IMN PROPERTY VALIDAILD TIN 1111S SPACE) IRIS IS YOUR PERMIT <br />5 GRAUINGII XCAVAI IONA Cl I ARINGiGRUBBING <br />6 DKGINAGI <br />7 tNVIRONMINTAL IMPACT STAIIMLNI <br />R I/t ALTHDISIRICT <br />APPLICATION ACC DY <br />PLANS CHECKED BY <br />11 <br />AFPR FOR ISSUANCE BY <br />91.79 <br />