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fM EmprBBR <br />cmyof <br />APPLICATION FOR <br />CONSTRUCTIOE. <br />everett PERMIT <br />DI PT Of COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT.WA99201 ❑COMBINATION <br />❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />%LIMRING CONTRACTOR MAIL ADDRESS CITY 711' PHONE LICENSf <br />CI ASS Of WORK <br />❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OT WC <br />DISCRIBI WORK <br />1 VYC.\lD\\ (,..a,A_ Gc,Er �cl l\Stl r� \ c-►S <br />Sl - - - <br />PROPOSE DOST of RUILDING <br />V)NIiK QpIF\Ct_- <br />IIGALDESCRIPTIONOTFROPLRTY(SHOWNBfLOWOR TT CH IOURCOPILSI <br />��� ` c <br />101OC RIK V�Of Y-�� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUF AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI5 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 CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT D•lf <br />w <br />JOB ADDRf SS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE Of FIXTURE <br />fit <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />ItiAIIR CLOSIT0(91111 <br />AIR COND UNITS—HPFA_ <br />_ <br />PAIHTUR <br />REFRIGIRATIONUNITS—HP IS <br />I AVATORY (WASH BASIN) <br />BOILIRS—H P [A <br />SHOWFR <br />GAS fIRED AC UNITS—TONNAr[ EA <br />KITCHIN SINK A DISP <br />FORCED AIR SYSTEMS—B T U M EA <br />DISWASHER <br />WAIL HEATERS —BTU M <br />LAUNDRY TRA• <br />UNIT HIATFRS—RTU M <br />CLOTHES WASHIR <br />IVAPORMIVI COOLERS <br />W'ATI R HI ATI R <br />CLOTHES ORVI RS <br />UkINAL <br />VI NTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />MOOR DRAIN <br />AIR HANDLING UNIT— (' F M <br />VACUUM BREAKIRS <br />STOVE <br />ROOF DRAINS—RAINLFADFRS <br />METAL IIRIPI AT A 1: 111MNIN <br />SINK(SERVICE —BAR FTC) <br />Sill TOIAI <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTA1'IE <br />S <br />TOTAL fit S <br />SIDE YARD Kf TRACK <br />SI RI I T St IPA( I <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />ITT <br />CHICK I[[ <br />FICHTE NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />' )YES 17N0 <br />F[ES <br />VALUATION <br />Fit <br />TYPE OF 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 />PLUMBING <br />FIRE ZONE <br />PAS[MINI <br />BEDRCRIAIS <br />TIRE SPRINKIIRS <br />RIQUIRE'1 <br />"YES NO <br />MECHANICAL <br />_ <br />APPROVALS <br />IV <br />BATC <br />OTHER <br />T ENVIRONMENTAL CHICK LIST <br />PENALTY <br />IJFIC <br />SIC 1f111eI <br />2 BUILDING PI ANS <br />IOTA) <br />E FIRE HYDRANT <br />4 TIRE PROTf CTION SYSTEM <br />S GR ADING4 K( AVAT ION A CI I AR INCIGRURBING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAFF <br />C ENVIRONMENTAL IMPACT STAIIMENT <br />A H ALTH DISTRICT <br />APPLICATION ACC RY <br />PLANS CHECK'J BY <br />APPR I.IR R11 11(I HI <br />