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AIDLICATIOIN, FOR <br />"D"'°"'" CONSTRUCTION Pi <br />everett PERMIT <br />DEPT OF COMMUNITYDEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADDRI SS CITY ZIP PHONE <br />ARCHITECT OR DISIGNIR MAIL ADORISS fly ZIP PBO E <br />/(/j <br />CITY <br />ZIP P"ON[ LICENSEE <br />GE NE RAL CONTRA(' FOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE IF <br />MECHANICAL CONTRACTOR <br /><1 A <br />MAIL ADDRI55 ( <br />S/� % NtEhC L <br />Sc.,mzl_ <br />�zy�/zt/3 <br />Cc C <br />PIUMHNII ICRACTOR MAIL ADDRESS <br />On PMO f LICENSE R <br />CI US Of WORK I-}� <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE LJ SIGN ❑GARAGE BUILDING RELOCATION <br />\ALL'Al1O%01 WORK <br />III KNIIO tSR4) O, C1 O L <br />-� _fig 1.. _ ('A IA111 SL,or-s <br />k 6 TI *, L_%,— <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PROPOSIDca OF HUIL DING <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />"ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />LtC. DIxa1PHON or PRO? SHOW NFlO1Y OR AILAOIfOU11 COP1151 <br />OR NOT THE GRANTING OF A PERMIT DOES NCT PRESUME TO <br />LOT _BLOCK_OF <br />TO VIOLATE OR CANCEL THE PROVISIONS OF <br />GIVE AUTHORITY <br />ANY OTHER STATE: OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />Z S <br />SIGNATURE O CONTRACTOR OFAIJT RIZEDAGENT %DATEIUII <br />ADORE St �/ <br />(�/�j/�/)'x /\v <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE FEE <br />AIR COND UNITS —HP (A <br />WATER CLOSE T(tOL It T1 <br />RE FRIGERATION UNITS—H P EA <br />BAIHTUH <br />BOILERS —HP LA <br />I M'ATORY (WASH BASIN( <br />GAS FIRED AC UND$—TONNAGE EA <br />SLOWER <br />FORCED AIR SYSTEM$—B 7 U M EA <br />KITCHEN SINK A DISH <br />W'AD Hk ATERS—B 7 'UM <br />DISWASIIER <br />UNIT HUTFR$—177 U M <br />t AUNDRY IRA\ <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINM <br />DRINKING FOUNTAIN <br />OOD <br />RANGE AIR IIANDEANDLINC UNIT— CFM <br />IIOCR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />ME IAl FIRE PIAC[ 6 CHIMNEY <br />ROOF DRAINS — RAINLfADT RS <br />SINK [SERVICE —BAR ITC) <br />SUB TOTAL <br />SUBTOTAL <br />PERMIT <br />S <br />S <br />_ <br />PERMIT <br />S <br />TOTAL <br />FEE <br />S <br />TOTAL FEE <br />STREET St TDACK RI <br />S <br />All YARD SE FDA( K <br />PLAN CIII CK �C,%MIR <br />PLAN CHECK <br />FEE <br />SIDE YARD 51 ILIA G K <br />Fit <br />RECEIPT NO <br />USE ZONE <br />IOL ARIA <br />VACANT SIZE <br />FEES <br />VALUATION <br />FEE <br />LINES ❑NO <br />TYPE OF CONSI <br />GCr UPANCY GROUP NO <br />OF DWELLING UNITS <br />BUILDING <br />5 <br />r <br />SIZE OF BLDG <br />NO OF STORIES <br />MAA Orr LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />III UNOOM$ <br />BEQU REIRE SPRINKLERS <br />MICHANICAL <br />C1YEs FTNO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PF NAL i1 <br />U BC <br />SEC 10l01 <br />2 BUILDING PLANS <br />TOTAL <br />,L <br />zz, <br />J FIRE HYDRANT <br />_ <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />J `, <br />5 GRADINGII KC AVATION A CLEARINOICVUHIIING <br />b DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICI <br />APPLICATION ACC BY <br />PLANS CHECKE D [IN <br />APPR TOR ISSUA.NCk BY <br />