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APPLICATION FOUR <br />CONSTRUCTIOI - <br />everett PERMIT <br />DEPt. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2SM745 <br />EVERETT, WA 98201 CICONIBINATION ❑ BUILDING ❑MECHANICAL pq PI <br />MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING [OMMCIU^. MAIL ADDRESS <br />CITY ZIP PHONE LICENSE 1 <br />CEASS Of WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE DBUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PROPOSED USE OI BUILDING <br />PLICATION AND KNOW THE SAMF TO 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 />SELAI DESCRIPTION Of PROIGIYISHOWN BELOW OR ATTACHIOJR COPRSI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />Lot __BLOCK -Of <br />TO VIOLATE OR CANCEL THE PROVISIONS OF <br />GIVE AUTHORITY <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />I„ <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />LOP ADDRESS <br />4ve `,{ <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE <br />AIR COND UNITS -HP FA <br />WATFR CLOSET ITOLIETI <br />REFRIGERATION UNITS -HP EA <br />BATHTUB <br />S-H P fA <br />LAVATORY IWASH BASIN) <br />GAS AC UNITS -TONNAGE FA <br />GASDO-FIRED <br />SHOWER <br />FOR(:FD AI0. SYSTEMS-8 T U M EA <br />AIRS <br />K ITCHfN SINK A DISP <br />WAIL NE AT[RS-BTU M <br />DISWASHFR <br />UNIT 11F ATEPS-BTU M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION LAN <br />URINAL _ <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UI(IT- C F M <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKER: <br />METAL FIREPLACE A CHIMNEY <br />META <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR. ETC ) <br />I <br />Eq <br />-� <br />SUIT TOTAL S <br />SUB <br />P[RMIi S <br />S <br />TOTAL Fit S <br />PLAN CHECK NUA@ER PLAN CHECK FEE <br />RECEIPT NO <br />S <br />SIDE YARD SETBACK <br />R[AR YARD S1 EBACK <br />Fit <br />USE ZONE <br />VACANT SIIE <br />FEES <br />VALUATION <br />FEE <br />OYES ONO <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNI1V <br />PUREEING <br />S <br />SIZE OI BLOC <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />IHOROOMS <br />BEAU NESPRINKLERS <br />MECHANICAL <br />(7YF5 ❑NO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />DEC <br />SEC 1DRR) <br />2. BUT PLANS <br />TOTAL <br />FIRE HYDRANT <br />R FIRE PROTECTION SYSTEM <br />WHEN:f=± <br />PERMIVALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADINGIIXCAVATION&CLtARINGIGRUBRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />R HEALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY <br />.r aERYR <br />APPR FOR ISSUANCE BY <br />