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APPLICATION FOR Aj <br />TAREW LJNSTRUCTION <br />or <br />CITY <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL ]IN1❑ <br />EVE0.ETT, WAA911f01 COMBINATION ©BUILDING ❑MECHANICAL []PLUMBING PERMIT NO. <br />owMR <br />wen Aunxr+s ulT nr PruINI <br />.11 <br />GIN111,1 CONl.-C1Ux � _ -, MAI^OnRLSYLI. if C .e r�-9— -IJ� 9 iYa G 2, dVYS- A :3. �n <br />RUMRIYC COHIRAOCM <br />MAIL ADDRESS CITY 11P PHONE IICINS! I <br />CI AW Or WINK <br />❑NEW ❑ADDITION ❑ALTERATION EPAIR ❑DEMOLITION ❑FENCE ❑SIGN JGAR AGI ❑RUIIOING RELOCATION <br />VAIUAI ION OF w01% J <br />24 90` <br />FECAL Dr SLRiRIION of PROPIRIY HHOWN RtIOW OR ATI ACH FOUR COPIISI <br />101—RIock—of <br />1m .nnu x <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME 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 />OR THEOES NOT PRESUME TO <br />GIVE NOT <br />AUTHOR TYANG TOIVIO ATE OR CANCOF A PERMIT ELL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR[ OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />F­ ' <br />L � <br />A <br />MECHANICAL <br />HUMPING <br />NO. TYPE OF [QUI►MINT FEE <br />Np, <br />TYPE 0► FIXTURE FEE <br />AIR COND UNITS-H P EA <br />W All R CLOST T ITOI IE TI <br />REFRIGERATION UNITS -HP fA <br />PATNTUfl <br />B')IIFRS-HP fA <br />LAVATORY IW ASH flASINI <br />GAS FIELD AC UNITS- TONNAGE EA <br />SHOWER <br />EDICT AIR SYAFMS-BTU MIA <br />KII111S, SINK 6 DISP <br />WAll Mf ATf RS-BTU M <br />DISWASHfR <br />UNIT NI ATf RS-OtU M <br />IAUNORY TRAY <br />l VAPOM TIVf t WlIRS <br />Cl UTH15 WASHER <br />CLOT HIS NOT RS <br />WA1fR NI AIFP <br />Vl Nill AilON FAN <br />URINAL <br />RANGE NOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT- C E M <br />11 WR DRAW <br />S10V1 <br />VACUUM WHAKIRS <br />MI IAI IIRf RACE L CNIMN[Y <br />RWf DRAINS -RAINY ADI RS <br />Sue TOM1 <br />SINK ISIRVICI -OAR I IC 1 <br />fU6 TO7Al <br />PERMIT 6 <br />PERMIT 1 <br />IOTAL Fit IS <br />TOTAL 111 L, <br />PLAN CHICK NI <br />SIDI YARD SI IBAC x S111 II SETBACK REAR IARDSIIMACK <br />PLAN CIIICK NUMHI R F11 RfC110I NO <br />Fits A MUAYION fit <br />USE ZONE LOT ARIA <br />VACANT SOL <br />❑YES LINO <br />TYPE OF CONSI OCCUPANCY GROUP NO <br />OF DWELLING UNITS <br />1 �d <br />BUILDING <br />SIZE of BLDG NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE 11MIMINI ,j)RO)M% <br />FINRI E SR INNK ERS <br />MECHANICALYIS <br />❑NO <br />A"NOVAtl <br />OF DATE <br />OTHER <br />1 ENVIRONMENTAL CHICK LIST <br />a LET <br />NAI IY 91 to Nal <br />7 BUILDING PLANS <br />`o Q (i <br />TOTAL 0 <br />I FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PEIMERIY VALIDATED TIN THIS SPACEI IRIS IS YOUR PERMIT <br />I GRADIN 'I XCAVATION 6 CST ARINGIGRUBRING <br />L DRAINAGE <br />1 ENVIRONMENTAL IMPACT STATIMINT <br />6 HEALTH DISTRICT <br />AIPIICAl10H ACC BY PUNT CHECKED BY <br />AI/R TOR/ISSUANCE By <br />1 r <br />9179 <br />