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(heEwrproen �►�'PI.�CA�ION Fr � <br />����F CONSTRUCTION <br />eve�~ett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2i9�8745 <br />EVERETT, WA98701 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERh11T NO. <br />/� M�IIADDXE55 CITY ZIP ` PMONE <br />�2u e� r ��O..c./ � 1�'� �= L- !/e'r 9r'r�.CJ C�U.¢ Y.c�v�2,r�,�- �YZu 3 <br />GENj.gAL <br />L <br />S� <br />everen <br />� <br />,� ��P,��� as�•-� <br />+ ZIP PHONE UCFNSC� <br />MECH�NIUL CONTRAOOR MAIL ADDRF55 CITY 21P PMONE IICENSE / <br />PIVMBIVGCONTpACTOR MAIIADDRFSS CITY ZIP pHONE ��CENSEI <br />CL�SS OF WORN <br />❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUAIION Of WORK e-� �/) � <br />s b�� l/OV <br />OESCNI9F WORK ��� ��o <br />C� <br />PROPOS[Fj�{ 113� OF OUIIOING <br />LEGOAt OESCRIPtION�OPERiY ISMOWN fiFIOW OR �iT�CM fOUR COPIFS) <br />lOi _ BIOCK _ Oi <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATER CIOiET �TOLIET� <br />BATHTUB <br />IAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISWASHER <br />URINAL <br />ORINKINC FOUNTAIN <br />FLOOH DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS—RAINIEAOERS <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIOE YARD TOAIX STREET 5[lt1 lR <br />M�1 ,c�e <br />USE Z NE lOT AREA <br />�� <br />TYPE OFCONST OCCUPANCYGROUP <br />Y- i ++rc AL'1'�F�� �'L <br />SIZE OF BIOG NO. OF 5T00.1E5 <br />� � <br />RRE ZGNE �ASEMENT 17kUR00 <br />APPROVALS <br />1 ENYIRONMENTAL CHECK LI57 <br />I. �UILOING PLANS <br />J. FIRE HYDRANT <br />l FBE PROTECTION SYSTEM <br />5 GRAOINC/E%CAVnTION6QEARINGIGRUHBINC <br />fi. OHAINAGE <br />7. ENVI0.0NMENTAL IMPACT STATEMENT <br />B. HEALTN DISTRICT <br />APPLICAT�ON ACC. BY PLANS CHECKED BY <br />E.� f;r�;�; � <br />94 79 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI$ AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC 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 />SILNATUNF OF CONTRACTOR OR A�I� ENT DA�� <br />�� <br />Y ��i i ,. o . l�..(- . <br />FEF NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS—H.P. EA <br />REFRIGERATION UNITS—M.P. EA <br />BOILERS—H.P. EA <br />GAS FIRED A.C. UNITS—TONNAGE EA <br />FORCEDAIRSVSTEMS—B.T.U. M <br />WALL HfATERS—O.T.U. M <br />UNITHEATERS-6T.U. M <br />EVAPORATIVE COOLERS <br />RANGE HOOD <br />Alk HANOLING UNIT— CEM. <br />STOVE <br />METAL FIREPLACE d CHIMNEY <br />S <br />3 <br />NEAR YARD 5 TOACK PLAN CHECK NUMU <br />�,o �� ia3 <br />VAUNT SR�. FFES <br />OYES C3FT0 <br />NO OF DWELIING UNITS <br />MAX.00C.LOAD <br />FIRE SPRINKLERS <br />HEQUIRED�/ <br />OVfS d1N0 <br />er DATE <br />APPR. FON ISSUAN( <br />G r�� <br />SUB 70TAL • <br />PERMIT f <br />TOTAL FFE f <br />PLAN CMECK FEE <br />iEE 3�> RECEIPTNO. <br />� <br />V IIIATION fEE <br />Bl11LDING s�0 /1/L1_�'" / <br />ffv(l <br />PLUMBING <br />MECHANIUL <br />OTHFR <br />PENALTY U,B.C- <br />SEC. JO7(a) <br />iOTAI / <br />�ERMIT VAtIDA710N <br />WHEN PROPERLY VALIDATED �IN THIS SPACfI THIS IS YOUR PERMIT <br />