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TIIR EYRr9fift <br />CITY OF <br />AdPLICATION FOR <br />CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT.WA98201 []COMBINATION <br />❑ BUILDING <br />• <br />MECHANICAL ❑PLUMBING PERMIT NO. <br />w <br />�11 ��lJ/�/LtAA1 ,OAA,fCO•fl Q^�' MAIL AOoDPI55� ,L /,� r /�E� ♦ I I CITY <br /><�,�.L.. P) ` l,IP/ {� //�PHONE <br />�(/E\7 y/S,`�� LICENSE 1 <br />eA,1 4F,s )590 � l3016 LlALL ` // 7 A1i1y TN E '515A/ /R.L /VA 9aP/� O/W/ v ' 36 NE LICENSE <br />PII VIIPd CONTRACTOR MAIL WDR155 <br />(S 6 / / Pl c)/ Y <br />It All OF N9RN <br />XNEW -]ADDITION []ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />5 uc5unN nl woRK //a <br />E 250 000.= <br />n L, NIIII WORK <br />/ A I <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PROPosHO I SF OF xueDwC. <br />PLICATION <br />AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />Itcsl rnscRlrnoN or PROPERTY lvlowN Ruowo Ai 1ACIITOUR COPII SI PROVISIONS <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />,,,I _Rloc._ot <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />ANY OTHER <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />DATE <br />SIGNATU I- NT RACTOR OR T I D AGENT <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE <br />FEE <br />L -7 d <br />AIR COND UNITS -MP EA <br />Y%ATIR CLOSET LTOLHTI <br />REFRIGERATION UNI71-H P EA <br />BATHTUB <br />BOILERS-H P LA <br />I M'ATORY I\VASH BASIN) <br />GAS FIRED AC UNITS -TONNAGE EA <br />HOW'1 R <br />FORCED AIP SYSTEMS -BTU M EA <br />KITCHEN SINK & DISP <br />WALL HEATERS -BTU M <br />DISWASHER <br />UNIT HEATERS -BTU M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN 7' Al CpY/s / Q83 <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT- C f M <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />.METAL FIREPLACE &CHIMNEY <br />ROOF DRAINS -RAINI ITS. <br />/ COA11) P S <br />SINK ESE RVICF-BAR ITC) <br />'Q/'e <br />/o <br />Z 1 0 0 <br />/Q COA.D /T-N.P. EA 25 ) <br />/Q g5 10 UN - •. � 3os t0 o _ <br />SUB TOTAL 5 S <br />SUB TOTAL <br />PERMIT 5 <br />PERMIT <br />S <br />i 70 <br />TOTALFEEIf a-5r <br />TOTAL FEF S <br />YARD SETBACK STREET SETBACK REAR YARD SETBACK <br />PLAN CIItCK NUMBER PLAN CHECK FEE <br />RECEIPT NO <br />SIDE <br />FEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />PEES <br />VALUATION <br />FEE <br />OYES DNO <br />TYPE OF CONST <br />OCCUPANCY GROUP NO <br />Of DWELLING LNI IS <br />BUILDING <br />$ <br />S1ZE OF BLDG <br />NO OF STORIES <br />MAX OCC TOAD <br />PLUMBING <br />FIRE ZONE BASEMENT BEORIlONIS <br />REQUIRED <br />MECHANICAL <br />LOL <br />ER <br />DYES nNO <br />APPROVALS <br />BY DATE <br />OTHER <br />URIC <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC 301(a1 <br />2 BUILDING PLANS <br />TOTAL <br />T FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ;IN THIS SPACE)THIS IS YOUR PERMIT <br />5 GRADI NCIE XCAVAT ION& C L E ARINGIGRUH BIND <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC BY BY <br />APPLE FOR ISSUANCE BY <br />7FLANICKfD <br />91 79 <br />