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APPLICATION FO� everett <br />CONSTRUCTIOn e <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA98201 ��UMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />� O\1'Nf0. AtNLnUUk155 CIt1' LIP i'1104[ <br />FAr'Ji�y GRocE�e �O. Box 37�3 SfArr�E 98i2 s� i��- ft7/% <br />nHo�nict oe ntsicn�tx <br />mnu no�u� s� <br />LI,N/IRAI CONikACiJN M,111 nDUN(55 CI1V lll' PIIONE lK[NSE N <br />//fAT/1 NyV .t'NG //ko5 /VE //G rN <T �.GKGANO 9�0.33 l023-3/00 ��-NN +".330?T <br />.._ AflC11ANIUlCO.\iRAC10R MAILADDN[55 Q(Y J.II' PIION[ LICENSEp <br />PWh1111NG CONTRACiON MAII ADOH65 CR1 ZIP PIIONf LICENSE Y <br />CL455 O�1VOftA <br />�NE\N ❑ADDITION <br />VnW�110N OF \VORK <br />S . � _�U � � <br />�[SC�ORK <br />L�ALTERATION ❑REPAIR ❑DEMOIITION ❑FENCE �SICN ❑GARAGE ❑BUILDING RELOCATION <br />Ziv.cr.o�G NEW 5/�ni.PcjF HrTA� <br />PNOPOStU USL Of IIUIl01NG <br />lI WL I)6CRIPTION Of 1'ROPEHiY ISHD\1'N IILIO\5' OX Aii�Cll fOUR COPIES) <br />io� uwa_ov <br />100 �DDHE55 <br />9/Z I �vE,e6eFfni �t/A y ,��n� <br />PLUMBING <br />NO. TYPE OF FI%TURE FEE <br />WATER CLOSET �TOLIEi� <br />BATHTUD <br />LAVATORVI�VASH NASIN) <br />$HOWER <br />KITCHEN SINK 8 DISP. <br />DISWASHER <br />UUNDRY TRAY <br />CLOTHE$ WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUf�TAIN <br />FLOON DRAIN <br />VACWM OREAKERS <br />ROOF �RTINS—RAINLEA�ERS <br />SINK �SfRVICE-6AR FTC.1 <br />SUB TOTAL <br />PERMIT f <br />9DE YARO $ETBACK <br />USE 7.ONF <br />TYPE OF CONST. <br />52E OF 13LOG. <br />FINL ZONE <br />TO7AL FEE S <br />STBEET SET6ACK R[AR YAHD 51 <br />LOT ARU VACANT SRE <br />❑YES ❑NO <br />OCCUPANCVGNOUP ND OF DWEL <br />NO. OF STORILS MiX. OCC LC <br />l7ASEMENT IilUH00�\6 FlRkSPRINKL <br />APPROVALS <br />1 FN\'IRONMENTAL CMECK L157 <br />2. IlUILDING PLAN$ <br />, 7 F'IRE HYDRANT <br />� 4 FlNE PROTECTION SVSTFM <br />5. f,RADWC�f%CAVA7ION R CLI ANINGIGNUIIBWG <br />6. ORAINAGf. <br />Z [NVIHONMFN7AI. IMPACT STNlMCN7 <br />B HFA:TH DISTNICT <br />BY <br />DATF <br />.1PPLICATION ACC 11\' PI.AN$ CH(CKl O I1Y � APPN. I OR ISSUANCI. IIY <br />�114 <br />�—.- <br />� HEREBY CERTIFY ?HAT I HAVE READ AND EXAMINED THIS AP- <br />PLICAT�ON AND KNOW iHE SAME TO RE TRUE AND CORRECT ALL <br />PROV{�IONS 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 LnCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCF JF CONSTRUCTION. <br />SIGNATURE OF CONiRACiOR OR AUTIiORIZED AGENT� �ATE <br />MECHANICAL <br />TYPE OF EQUIPMENT <br />AIH COYD. UNITS—H.P. EA <br />REfRIC,FNATION UNITS—HP. EA <br />1101LfR5—HP. U <br />GAS FINED A C UNITS—TONNAGE EA <br />FOHCED AIN SYSTEMS—II.T U. N <br />UNIT HEATI IiS—[i.T.U. M <br />[VAPORATI�'k COOLERS <br />CLOiHkS DRYkRS <br />VfNTIIATION FAN <br />knucEH000 <br />AIR HAN�LING UNR— CF <br />STOVk <br />MFTAI. FIHEPIACk 8 CHIAtNEV <br />PLAN CHCCK NUMOFR <br />FEES <br />SUBTOTAL <br />PERMIT <br />TJTALFEE <br />FkE <br />� <br />f <br />f <br />CHECK FEE <br />RECEIPT NO. <br />FFE <br />IIUILDING 3 <br />YWMRING <br />MCCHANICAL <br />OTHER <br />PENALTV U.11L. <br />SEC. 3071a) <br />TOTAL <br />PERMIT VAIIDAiION <br />N'H[N PROPFHLV VALIDATCD (IN TIIIS :PACf) TMIS IS YOUR PERn;If <br />