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APPLIC.4TION FOR <br />th• Evapmn �\�p N S T R U C T I O N / i <br />CITV OF <br />everett PE RM �T <br />DEVT. OF COMMUNITY �EVELOPMENT SERVICES . <br />CITY HALL 259�8745 <br />EVERETT, WA90201 �COMBINATION ❑ BUILDING C�,MECHANICAL ❑PLUMBING PERMIT NO. <br />np[HIIFCiOROESICNER MAIIAU�R65 aii� trv rn�ne <br />GFNENAI COnINA[lOR M�IL ADDPE55 CITY ZIP PHONf lIC[NSf I <br />n�lC,[�A��ICnI COVIR�CtON MAIL AOORE55 CILY LIP � PHONF LICENSf I <br />MAII AD�R[SS <br />PHONE IICENSE / <br />CU55 Uf �vORN <br />�W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑fENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAWAi���� � <br />� U <br />O[SCRIN( WOR/K � // ' <br />F%rii u � rnq -F r n 4fc��11 !� ��d,�7v�. i- I r�'l,d i'� •% n l��r S� �l�G�� <br />a oros�ousror nunninc �� I HERFBY CERTIFY Ihhi 1 HAVE READ AND E%AMINED THIS AP• <br />lFGel 0[$CRIPiION Oi PROP[RiT ISHOWN flFLOW OR AiUU1 fOUR COPR51 <br />tOt _ OLOCt _ 0{ _ <br />l011 nooPtsS <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />OATHTUD <br />LAVATORY �wASH 13ASIN� <br />SMOWEH <br />KITCNfN SINK S DISP <br />DISV�ASMER <br />CLOINES WASHER <br />1vATER HEATER <br />URINAL <br />ORIYKING iOUMAIN <br />FLOOB �RAIN <br />VACUUM BRFAKERS <br />ROOF DRAINS—RAIr+IEA� <br />SINK 6ERVICf —BAR, ETC � <br />SIDE YARD <br />OF CONST <br />FIRE ZONC <br />SU9 TOTAI <br />P[RMI7 <br />TOTAL iEE <br />STftiFT SCTOACM <br />LOi AREA <br />OCNPANCY Cft� <br />NO Of STORIES <br />A�IROVALS <br />1 ENVIRONh1ENiAl CMECK LIST <br />2 BUILDING PUNS <br />J FIRF HYDRANT <br />� FIRE PROTfCTION $YSTEM1I <br />5 GRADING!%CAVA�IONbCLFARINGfG0.UtlNINL <br />6 DRAINACE <br />7 FNVIRONMENThI IMPACT STATEMENT <br />B. HFALiH DISTRICT <br />PLICATION AND KNOI'i TI1E :�AR1E TO BE TRUE AND CORRECT ALL <br />PROVISION$ OF LAW$ AND ORDINANCES GOVERNING THIS TYPE <br />OF INORK WILL 6E COMPLIFD WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC; OF A PERMIT �OES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR C.4NCEL THE PROVISIONS JF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSiRUCT10N. <br />SIGNATU0.E OF CONTRACT00. OR AUTHORIZEO AGENT DAiE <br />X� �Q NI . � �.. �n- � � - � { <br />MECHANICAL <br />FFE NO. TYPE OF EQUIYMENT <br />AIR COYD UNITS—MP. EA <br />ftEFNIGERATION UNITS—H.P. EA <br />OORERS—H.P EA <br />WS iIRFD 1C UNITS—TONNACE FA <br />fOF(ED AB SYSTEMS—B TL M EA <br />WALLHEATERS-01U M <br />UNIiI{EATERS—BTU M <br />EVAPORATIVE COOLERS <br />CLOTHFS �ItYE65 <br />VENTIUTION FAN <br />RANGfMOOD <br />AIR MANDLING UNIT— C F M <br />STOVE <br />METAL FlkEPLACE 8 CHIMNEY <br />�S <br />RUR YAR� SET�ACK <br />VACANi $ITE <br />❑YE$ ❑NO <br />NO.OF DWELLING UI <br />A1A% OQ IOAD <br />FBF SPftINKLERS <br />REQUIR[D <br />ClYFS ❑NO <br />!7 DATF <br />APPLIUTION ACC BY PLANS CHECKED BY � APPR FOF ISSUANCE tlV <br />9 1�79 <br />PUN CH[CK NUb1HER <br />FEES <br />SU! TOTAL <br />FEE <br />NIT f <br />AL FEE s <br />PLAN CHECK FEE <br />F[F RECEIPi NO. <br />VALUATION iEE <br />�UILOING 3 <br />PLUM[11NC <br />MECNANIGL <br />OTHFR <br />NENALTY U.6 C. <br />SfC 307�a� <br />TOTAL <br />�EIIMIi VALIDATION <br />WHEN PROPERIY VALIDATEDpN THIS SPACE) THI515 YOUR PENMIT <br />2 <br />