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f��Ewrprosn �PPLICATION FOP <br />anoF CONSTRUCYION <br />everett PERMIT <br />DEPT. Of COMMUNITY DE\'ELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA 98:07 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />�Wh� � ,� _r MAII DNf55 _ <br />CITY 11P PMONE <br />everetl <br />� <br />PIUNqI�C CONINACIOR M11Ml eOpXfSS CIIY ZIP PMON[ �ICERSF / <br />I�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE GSIGN ❑GARACE ❑9UILDING RELOUTION <br />�'MUAiIONpf�YORN ��� <br />' .3 C"�OC� <br />O[S[RIOE \10N6 � <br />-t� �,�s��W l l ti� ,3 i�' � �= s� a o ti,. Fk r <br />r'NoroSto ust or xun wc I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />I _� PLICAIION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />ieeni o�scairno� or rxoeterv iv�owH etiow aa n�tncn �oue mrns� PROVISIONS OF LAWS AND ORDINANCE$ GOVERNING THI$ TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER $PECIFIED HEREIN <br />ioi _mocr:_or _ UR NOT THE GRANTING Of A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION$ OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN�TURE OP CONTHACTOR OR AUTHORIZED AGENT DATE <br />100 nppRE55 <br />X 3�c�D�� � � <br />PLUMBING MECHANICAL <br />NO. TYPE OF FI%TURE <br />N'ATER CLOSET �WLIETj <br />17ATHTUO <br />UVATORV �\YASH OASIN� <br />SI10lYF R <br />KITCHPN SINK 8 DISP <br />^ISWASHER <br />LAUNDNVTHAY <br />CLOiH[5 �1'ASMEH <br />WA7FR MkATkR <br />URINAL <br />ORINKING fOUNTAIN <br />FLOOR DRAIN <br />VACWM BREAKENS <br />ROOF DRAINS—RAINlEAOlRS <br />SINK �SERVICE—l�AR, ETC) <br />SUB TOTAI <br />PFRMII <br />SIDf YAkn SC <br />S <br />5 <br />FEE NO. TYPE OF EQUIPMENT <br />AIR CONO UNIi'S—H P. [n <br />NEFRIGERATION UNITS—HP FA <br />IIOILERS—HP [A <br />GAS FlREO AC UNITS—TONNAGE EA <br />FOHCFD AIR SYST[h15—fl T U M <br />WAIL MEATERS—17.7U M <br />UNIT HU1ER5-11 T U. M <br />EVAPOftATIVF COOL[RS <br />CLOiMES ORYER$ <br />\'tNTILATION fAN <br />RANLEHOOD <br />AIR MANDLINL UNIT— C F M <br />STOVE <br />METAL FIRFPUCF 8 CHIhiNEY <br />YARD $FTOACK � PLAN CH[CK <br />USE ZONE LOT AHEA VAGNi SRE <br />�YES ❑NO <br />TYP[ O(CONST OCCUPANCY GROUP NO OF DWkL <br />SIZE OF OLOG NO OF STORIES MAx OCC LC <br />FINC ZONF BASEMENT DfUNOONS FIHf SPHINRL <br />APPNOVAlS <br />1. ENVIRONMENTAL CMECK LIST <br />]. BUILDING PLAN$ <br />J FlH[ HYDRANT <br />J FIHE PROTECTION SYSTEAt <br />S GRADINCII�CAVATIONSCIfAHINpGRU11171NL <br />6 DRAINAGE <br />7.ENVIBONMENTAIIMPACTSTATEMENT <br />B. MEALTH OISTRICT <br />APPLIUTION ACC OY PLANS iM 'KED tlY <br />/�/�� <br />L-%!C� �/�- <br />e-i��e <br />BY <br />APPR <br />OATE <br />�191BZ <br />BY <br />fEES <br />FEE <br />SUB TOTAL S <br />PERMIT S <br />TOTALfEE f <br />PLAN CMKK FEE <br />FEE i ftKEIPT NO. <br />i <br />VAlUA710N FEE <br />u�a�iNc s ��,oci <br />NWMBING <br />MECHANIUL <br />OiH[H <br />PENALTY U.0 C. <br />SEC. JOi(al <br />TOTAL 1 <br />PEPAIIT VALIDATION <br />WMEN PNOPERLY VALIDATEO �IN TMIS SPACEI TMIS IS YOUR PEAMI f <br />� <br />�4 <br />� <br />