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� � � � � �P�ICATION FO* � <br />�� . <br />CONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HAIL 2548715 � <br />EVEIIETT. WA�9B201 ❑COMBINATION � SU:!.DING ❑MECHANICAL <br />� <br />MAII <br />arr <br />�PLUMBING PERMIT NO. <br />zir PHONE <br />�� <br />� <br />PII�.��Nv+f.IUNfRACiOR MM!:.ODR[55 CItY ZIP PNOHF LICENSE/ <br />t I N? Of NONN <br />�NEW ❑ADDITION ❑ALTERnI'ION ❑REPAIR ❑DEMULITION ❑FENCF I,4�IGN ❑GARAGE ❑BUILDING RELOCATION <br />�.u��nnn� 7or`,woaa <br />� !/7W �i � <br />UItiCNIHf WORK <br />uu o� n�nui�c <br />l!G �1 IlI SCRfI <br />lUl � <br />� <br />ION +��P155 <br />� <br />►LUMlING <br />IION Oi PFDPINIY �SMOWN PfIOW ON ennln �Uun wnui <br />Bl0[K �_ Of <br />NO. TYPE OF FIXTURE <br />WATER CLOSET ITOl1Ep <br />BATHTUB <br />LAVATOXY�WASH BAS�YI <br />SHOWFR <br />KITCHEN SINK A OISP <br />DISwASMf R <br />UUND4Y iRAI <br />CIOTH�S wASMFR <br />WATiR HEATER <br />UEINAL <br />fIRINKING fOUNTAIN <br />IIOOR DRAIN <br />V,\CUUM BRFAKERS <br />RqO� DRAINS—RAINLEAOf0.5 <br />S�.NK 6ERVICf —PAR, ETC 1 <br />SUlTOTAL <br />►EIIMIT <br />iOiAl FFE <br />ilpF YARO SIT[1ACK STRE[T SCTOACK <br />JSF ZONf lOT AREA <br />fYPf OF CONST OCCUPANCY GROUP <br />SiZE OF BIDL NO OI STOXIES <br />FINEZONF dASfMEN1 I41UH� <br />A/►ROVALS <br />1 fNVIRONM[NTALCHECKLIST <br />7 BUILDING PLANS <br />7 FiRF H:'URANT <br />� FIRE FROTECTION SYSTEM <br />5 GRADINQf%UVATIONbCLfARINC�LRUBBING <br />6 DR�IN�GE <br />7 fNVIXONMFNTALIMPACTSTATEMFNT <br />FEE <br />RUR YARD SETBA <br />VACANT SIIF <br />❑YES GNO <br />NO OF DWlLLING <br />MA% OCC IOAD <br />FBE SPRINKlENS <br />RFOUIRE� <br />!T � DAiE <br />p HEAITH DISTRICT <br />APPLICATION ACC BY J P� S CHE�KE�� Y � P�B�O <br />f-�! YY /� <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THI$ AP- <br />PLlCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS Or LAWS AND ORDINANCES GOVERNING THIS TYPE <br />Of WORK WILL BE COMPLIED WITH WHETHER Sr'ECIfIED HEREIN <br />OR NOT. THE CRANTINC 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 NSTRUCTION. <br />$iCNATU0.E OF �1�tACTOR ASJTHORIZED AGFNT �ATE G/p�� <br />MECHANIUI 1� <br />NO. TYPF uF EQl <br />AIR COND UNITS—HP FA <br />HEFRIf:BATlO� UNITS—H <br />GAS FIRED AC UNITS—TONNAGt <br />fORCED AIR SYSTEMS—B T U <br />WALL HEKiERS—tl 1 U. M <br />UNITHEATEBS-8T11 M <br />fVAPORATNCCOOLERS <br />CLOTHFS ORYFRS <br />V(NTIIATION FAN <br />RANGFHOOD <br />Alfl HANOLINC UNIT— C F M. <br />STOVF <br />METAI FBEPLACE d CHIMNEY <br />EA <br />M <br />SU! iOTAL • <br />PERMIT S <br />70TAL FEF. f <br />PLAN CII[CK NUMOLR PL�N CMECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEF <br />BUIIOINL S �� � <br />PWM111NG <br />MKMANIUL <br />0T11FR <br />U.B C <br />PENALIY SEC l0)lal <br />i07A1 <br />rftMlT VALIDATION <br />WHEN PROPEH.Y VALIDAT�IIN iH15 SPACf.I TMIS IS YOU0. PERMIT <br />�— �Cr! ' 19�� � � <br />�� <br />/� <br />