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I OYI/PINA APLACATION FOR <br />CITY CONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 159-8745 <br />EVERETT, WA9BZ01 ❑COMBINATION <br />CT OR <br />.. <br />❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />II tS 3 •+� C111 LIP (NONE <br />evereH <br />e <br />PIDAIRINIICONTRACTOR MAIL ADDRESS CITY IIP PHONE LICENSE <br />Co 4"01 WORK <br />❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑ ii NCE ❑SIGN []GARAGE [:]BUILDING RELOCATION <br />SMUMIO ORR pp <br />0451 d -- <br />III SCRIBE WORK <br />A, 141,1V <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />rxunlHo Oa O1 BmLDINc <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />_ <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />IIf.AI 015CRIITION OF PROPERTY [SHOWN RIIOW OR ALLACH 10UR [OVIISI <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />lol _BLOCK —Of <br />TO VIOLATE OR CANCEL THE PROVISIONS OF <br />GIVE AUTHORITY <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED ACENT DATE <br />v �+YYJ Ale <br />LOB A00Rt SS <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE <br />WATER CLOSET (TOLIET) <br />AIR CCND UNITS—H P EA <br />REFRIGERATION UNITS—H P EA <br />BATHTUB <br />BOILERS —HP EA <br />LAVATORY (WASHBASIN) <br />GAS FIRED AC UNITS—TONNAGEEA <br />SHOWER <br />y <br />FORCED AIR SYSTEMS—B T U M EA <br />KITCHEN SINK B DISP <br />HEATERS — BTU M <br />DISWASHWALL <br />UNIT HEAIf0.5—B/U M <br />TRAY <br />LAUNDT <br />LAUNDRY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WAIFR HATER <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT— C.F M. <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />M[IAl FIREPLACE 8 CHIMNEY <br />ROOF DRAINS—RAINLFADERS <br />SINK (SERVICE —BAR. ETC) <br />SUB TOTAL S <br />SUP TOTAL <br />PERMIT S <br />PERMIT <br />S <br />�- <br />TOTAL FEE i <br />TOTAL FEE <br />S <br />r <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />RECEIPT NO. <br />S10T SARU SETBACK <br />$TRFf! SETBACK <br />REARYARD SFTBA:K <br />FEE /O <br />/ <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FFE <br />DYES ONO <br />TYPE OF CONST OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />SIZE OF BLDG NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT NDROOMS <br />KLERS <br />SPRIN <br />REQUIREID <br />MECHANICAL <br />ClYfS FIND <br />APPROVALS <br />BT DATE <br />OTHER <br />PENALTY <br />UBC <br />SEC Ltl%R) <br />—� <br />1 ENVIRONMENTAL CHECK LISI <br />T BUILDING PLANS <br />TOTAL <br />T FIRE HYDRANT <br />R FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOU0. PERMIT <br />S GRADING11 XCAVATION& CIE ARINGIGRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />V' C <br />7 <br />9.1 79 <br />