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r <br />L <br />the Evergreen <br />CITY OF <br />APPLICATION FOR <br />everett CONPERMITTIOL . <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259 8745 <br />EVERETT,WA98201 ❑COMBINATION <br />BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />United Way of Sno. Co. 4526 Federal Everett 98201 <br />ARCHITI(i OR Of SICMK MAIL ADDRESS CITY ZIP PHONE <br />CENTRAL CONTRACTOR <br />MAIL ADORISS <br />CITY <br />ZIP <br />PHONE LICENSE I <br />Cobra Construction <br />Co. P.O. Box 1299 <br />Everett <br />98206 <br />258-3667 <br />MI(HANH: AL CONTRACTOR <br />MAIL ADDNISS <br />CITY <br />ZIP <br />PHONE LICENSE 1 <br />I'IUMNINC( DNINAL FOR MAIL ADDRIS1 CITY ZIP PHONE LICENSEE <br />CI ASS OF WORK tTppv�� <br />I NEW ❑ADDITION UALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAIUATION OI WORK <br />15 000.00 <br />CIS(.NIRF WORK <br />ReTnndel interior <br />PROPOSED UST OF BULL urvC <br />Office <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS 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 LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIC TUBE OF CONTRACTOR OR AUT HORDED AGENT DATE <br />X� �7�Lw• <br />Lf6AL OLSCRIPIION OFPROPERTY (SHOWN RILOA OR A77ACII FOUR COPHSI <br />LOT _FLOCK— OF <br />TOR ADDRESS <br />4526 Federal Everett 14A <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WAIL R CIOSI T ITCH ITT) <br />AIR COND UNITS —TIP EA <br />HAIIITUB <br />REFRIGERATION UNITS—H P. FA <br />lAA'AIORY IWASII BASIN( <br />BOILERS —HP fA <br />SHOIYIR <br />GAS FIRED AC UNITS—IONNAGE EA <br />KII(HtN SINK A OISP <br />FORCED AIR SYSTEMS —BTU MEA <br />DISWASHIR <br />WALL WATt RS—BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS-61 U M <br />CLOTHES WASHtR <br />IVAPORATIVE COOLERS <br />WATER lit A7tR <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C F M <br />VAL UUM HRI AKI RS <br />SLOW <br />ROOF DRAINS—RAINI E ADt RS <br />METAL FIRI PI ACE A CHIMNEY <br />SINK ISIRVICI—BAR TIC) <br />�— <br />SUB TOTAL <br />A <br />SEAR TOTAL <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />SIDE YARD 51 TRACK <br />STREET SI 1HACK <br />RI AR YARD St I IIACK <br />PL AN CHLC' NUMBI R <br />O / ( 3 <br />PLAN <br />fE[//O� <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FIVES LINO <br />FEES <br />VAWA710N <br />FEE <br />TYPE OL CONS( <br />OCCUPANCY CROUP <br />NO Of DWEELING UNITS <br />BUILDING <br />$ <br />/ <br />3 <br />SIZE OF HIDC <br />NO OF Si ONIfS <br />MAX OCC TOAD <br />PIUMBING <br />FIRE ZONL <br />IIASIMINI <br />III I]FOR ]A15 <br />FIRE SPRREQUIREDINKILN1 <br />FIY'S I'INO <br />MECHANICAL <br />APPROVALS <br />RY <br />DAT) <br />OTHER <br />I ENVIRONMFNTAL CHECK LIST <br />PENALTY <br />Uj <br />SECBC 307(a) <br />2 BUILUINGNANS <br />TOTAL <br />7/ <br />2 <br />� <br />J fIN111YDNANi <br />4 FIRE PROTECTION SYS71M <br />5 CRADINC I K( M'A T'•ON A CI I AN INC'GRLOB RING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7 INVIRONMINTAL IMPACT STATEMENT <br />B HIAIIH DISTRICI <br />APPI ICAIION ACC BY <br />PLANS CHECKEU BY <br />APPR IOR ISSUANCE IF <br />El <br />9.179 <br />