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IAI E»romD APPLICATION FOR �YRT�FL <br />CITY OF C jNSTRUCTION <br />everett PERMIT e <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />C[NERALCON7RACTOR MAR ADDIPI, CITY ZIP PHONE VCINSLI <br />Mi CHANICaI CONTRACTOR MAIL ADDRISS CITY ZIP PHONE LICENSE <br />PIV MRING CONTRACTOR />/ MAI peE55 /J!"-SO Y CITY ZIP PHONE LICENSE <br />❑NLEW ❑ADDITION ❑ALTERATIOX ❑REPAIR ❑DENIOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION Of WORK <br />S <br />DESCRIBI WORK <br />PROPOStDVSI Of BDILDI%C <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME -, O 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 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 DAIS <br />X <br />LEGAL DISCRIPIIONOF PF.OPIL IY )SHOWN BILOW OR ATTACH ICOR COPES) <br />LOT _ BLOCK -OF <br />100 AD 0.l SS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />SEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />W ATLR CI OSII (TOL If T) <br />AIR COND UNITS-H P IA <br />BATHTUB <br />RffRICERATIONUN115-HP LA <br />I. AVATORY(WASH BASI N I <br />BOILERS -HP EA <br />SHOWER <br />CAS FIRED AC UNITS-IONNAGE LA <br />KITCHEN SINK A DISP <br />IORCED AIR SYSTI MS-B T U MCA <br />DISWASHIR <br />WALL HIATIRS-BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS-B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HIA.7tR <br />CLOICUS DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDI ING UNIT- C F M <br />VACUUM BREAKERS <br />SIOVF <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SI RVICE -BAR. ETC I <br />SUN TOTAL <br />SUN TOTAL N <br />PERMIT <br />S <br />PERMIT N <br />TOTAL f[[ <br />R <br />TOTAL it[ N <br />SIDI YARDS[ TB KCK <br />SIRttT SETBACK <br />REAR YARD SITRACK <br />PLAN Cu[Cf. NUMBER <br />PLAN CHECK FEE <br />fLE RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT 517E <br />DYES ONO <br />R[S <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY CROUP <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 />BAMMINT <br />fit DROOMS <br />FIR[ SPRINKLERS <br />RIQUIRID <br />'Yf S FNO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHIR <br />1 ENVIRONMENTAL CHICK LIST <br />PENALTY <br />URC <br />SEC 301(R) <br />2 BUILDING PLANS <br />1 FIRE HYDRANT <br />TOTAL <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPLRLY VALIDATED (IN I HIS SPACE) THIS IS YOUR PERMIT <br />S GRADINCIIXCAVATIONACLIARINGICRUBIIING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT S1AIIMENT <br />B HEALTH DISTRICT <br />APPLICAI ION ACC BY <br />PLANS CHECKED BY <br />APPR IOR ISSUANCE BY <br />9 1-79 <br />