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APPLICATION FOR <br />cm OF CONSTRUCTIOI• <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA95201 ❑COMBINATION Cl BUILDING <br />[]MECHANICAL ❑PLUMBING PERMIT NO. <br />PHONE <br />COY <br />CITY <br />w <br />EIP PtlOrl[ LICTNSt B <br />AK3-W k-KTA\r3 "'A"I'EV <br />LIP "ONE LIONS; B <br />ZIP PROM uctNst I <br />CC ASS OF WORK <br />❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />WIUkT`ION Of WORK <br />S Qm &Ez <br />DESCRIBE WORK <br />1Y�5�,\a Sn �� �\ n�N� <br />o I NCRE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PROPOSED USEBUILDING TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />(� <br />WAvk OFF\C� <br />PLICA <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />of ISHOWN BELOW OR TT CH EOUR COPRSI <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />«GAL DESCRIPTION �PROPERTY <br />5-�I � <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />wT BLOCk V�Of <br />To VIOLATE OR CANCEL THE <br />GIVE <br />LOCAL LAW REGULATING CONSTRUCTION <br />ANY OTHERSTATEPROVISIONSTY <br />ATE OR <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE <br />JOB ADD <br />R�S:, \ ( <br />X <br />O\ <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FI%TURI <br />ECE <br />AIR COND UNITS —HP IA <br />WAT I R C LOSE T ITOIII iI <br />REFRIGIRATION UNIIS—NP CA <br />BATHTUB <br />DOILERS—HP EA <br />II VATORY (WASH BASINI <br />CAS IIRE D AC UNI75-70NNAGI EA <br />SHOWIR <br />I ORCT D AIR SYSI E MS — ETU MLA <br />KITCHEN SINK S DISP <br />WALL HE AT ERS—B T U M <br />DISW'ASHIR <br />UNIT HEAIE R5-01U M <br />LAUNDRY TRAY <br />f YAPURATIVE COOLL RS <br />(101HIS WASHER <br />CLOTNtS URYLRS <br />W'ATI R HI All R <br />VI NTILAWN FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR H.ANUIING UNIT— C F M <br />i I OOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL EIRi PI AC[ 6 GHIMNII <br />ROOF DRAINS—RAINLIADERi <br />SINK (SERVICE —BAR. ETC T <br />SUB TOTAI B <br />SIIB TOTAL <br />PIRMIT B <br />PERMIT <br />f <br />TOIAL FEE B <br />TOTAL FIE <br />S <br />FL AN CHICK NL'MBIR PLAN CH[CK III <br />SIDI YARD SETBACK SIREII SETBACK <br />RI AR YARD SIIBACI; <br />111 RECEIPT NO <br />USE ZONE LOT AREA <br />VACANT SITE <br />FEES VALU AIION tat <br />DYES ONO <br />TYPE Of CONST OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />BUII DING S <br />SIZE Of BLDG NO OF STORIES <br />MAX OCC LOAD <br />PI UMBING <br />FIRE ZONE BASEMENT RI DROOMS <br />I IRE <br />SPRINKLERSRtQuI <br />MECHANICAL <br />❑YES CNO <br />APPROVALS <br />BY DATE <br />OTHER <br />1 ENVIRONMENTAL CHICK 115t <br />PENALTY ll` 101'.el <br />2 BUILDINGPIANS <br />TOTAL <br />T LIRE HIORANT <br />PERMIT VALIDATION <br />(IN THIS SPACI) THIS is YOUR PERMIT <br />A FIRE PROUCTIONSYSIESS <br />IN PROPERLY VALIDATED <br />S GRADINGIE KCAVAT IONS CIA ARINGIGRUSHINCV <br />E DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATLMENT <br />R HEAIIH DISTRICT <br />APPIICATION ACC BY PLANS CHECKED BY <br />APPP IIIR IASt. BY <br />91 79 <br />