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the crg <br />CiTY cli lyCONSTRUCTION <br />(JI <br />everett PERMIT <br />L.ITY HALL Z59R745 <br />uIRETT. WA 98201 ❑ COMBINATION ❑ BUILDING Ll MECHANICAL l7 PLUMBING <br />D M \c EaV_m\v Wg:II\ <br />AK-ILC) 5"'NIR MAK APD SS CAT, ZIP PII'jNE <br />V��1N OCCSDEI� 3'�\� u1F� o IA u <br />4L NUU CONIMCTDA MAIL ADDRESS CITY iIP IYIUtRLKANSEF <br />- <br />MICIIANICAL CONTRACTOR <br />MAIL AD b6 <br />CITY ZM`^pFNSE <br />•� <br />11 UMUING CONTMCIOR <br />MAIL AUDRLSS <br />LIT♦ ZIP <br />RKA1E LK.ENU0 <br />L1Ay501 WgIM <br />❑NEW <br />❑ADDITION XALTEMTION ❑REPAIR <br />[]DEMOLITION UFCIFcc USIGN <br />CIGARAGE <br />VALUATION Of WORK <br />C - <br />IF 'i.CAO <br />DL LCRIBL. `iIRS \ \\ . <br />(`Y.a\el►nn�C �nnM �w� `C��FLIY.LL\!aF FCaU\TJl✓l�N�l1N �L� �ndZ <br />1wuI(Y'I�AD V5[ RULLUwG <br />T)nH� <br />I HEREBY CERTIFY THAT I HAVE RLAD AND EXAMINED THIS AP - <br />PLICATION AND K14OW 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 />HEREIN 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 />SIONATUnI OF fA aIiWTDA UP ALIT .rAI:: i.".Ef11 `uAlp <br />It GAL DLSCPIPIION OF P1KNq RTY;;HOW BELOW OR AIIACH FMA COPIES1 <br />5 ` „� r .F`� <br />LOI _b [LXN b_b` <br />Ntl ADONC55 <br />PLUMBING <br />MECHANICAL <br />—NO]-- YPE OP EOUIPMENT FEE <br />-- <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WA1LR CLOSET (TOILET) <br />AIR coND UN!15 -- fl P 1 A <br />BATHTUB <br />BI 1 RIGf.RA1KNf UNITS — HP LA <br />LAVAIOM i WASH BASIN) <br />(40111115 — H P LA <br />SHOWER <br />MS VIREO AC UNITS — TONNAGE EA <br />_ <br />K IC!ILN SINK A UISP <br />f ORCI D AIR SYSTI MS — BTU MFA <br />OIS14WASHER <br />WAI I HF ATEPS — B T U M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS — B T U M <br />(-L01HCS WASHLR <br />EVAPORATIVL COOLERS <br />_ <br />WATER HEATER <br />CI DIMS DRYERS <br />URINAL <br />VINTILA71ON TAN <br />_ <br />DRINKING FOUNTAIN <br />PANOE HOOD <br />f LOOR DRAIN <br />AIR HANDLING UNIT — C F M <br />_ <br />VACUUM 9RCAV.I RS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />MN —AL FIREPLACE A CHIMNEY <br />SINK (St RVICE — BAR, LIC ) <br />SUBTOTAL <br />_ SUB TOTAL B <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />{ <br />TOTAL iCF. i <br />61DL YARD SETBACK <br />STREET SLIBACK <br />REAR YARD SETBACK <br />PLAN CIO CK NUMBER <br />PLAN HFCK <br />1 LE <br />1 LE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />CxUPANCY GROUP <br />NO, OF DWELLING UNITS <br />ilUtLOINO <br />L <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />I IRE ZONE <br />BASEMENT <br />FIRE <br />REOUIRLD <br />I IY'S <br />SPRINKLERS <br />FIND <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I LNVIRONMENTAL CIIFCK LIST <br />IrINALTY <br />D B G <br />SEC, 303(A) <br />BUILDING PLANS <br />TOTAL <br />- <br />7 FIRE HYDRANT <br />K f 16L PROTECTION SYSILM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPAGF) THIS IS YOUR PLRIAIT <br />E GRADING <br />G DRAINAGE <br />7 LNVIRONMENTALIMPACT STAIEMCNT <br />tl HEALTH DISTRICT <br />APPlICA71ON ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />610 <br />I. <br />