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the CITY OF mn GIIACc �110 <br />un or' 9 <br />APOLICATION FOR <br />CL NSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEYE.OPMENT SERVICES <br />CITY HALL 25L}8745 <br />CVKOKTT wAQRlnt rT�,.0 n.0 •tLf�Kl <br />rl no III I IASPCHANICAL ❑PLUMBING PERMIT NO. <br />everen <br />3 <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL 400R.FSS CITY LIP <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE R <br />CUSS OF WORK((� <br />t1KIEw PIAITrnTION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN CGARAGE ❑BUILDING RELOCATION <br />OF WORK <br />PRU.' -ED USE OF <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK —OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED EHIS Ar- <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 Pf REED - Vt L,unolrcuuwrv. <br />SIGaltCO T C OR AUTHORIZED AGENT DATE <br />/� <br />v Zq' QG I / ��YU <br />JEE <br />JOB ADDRESS ^ S�l O <br />MECHRAIRCOND <br />PLUMBING <br />NO.TYPE <br />OF EQUIPMENT <br />FEE <br />FEE <br />NO. <br />TYPE OF FIXTURE <br />we) <br />UNIT5-H.P. EA <br />_._ <br />I <br />WATER CLOSET ITOLIETI <br />RErRICERATION UNITS-H P. EA <br />BATHTUB <br />LAVATORY [WASH BASINI <br />QO <br />BOILERS -HT EA <br />GAS FIREDAC UNITS -TONNAGE EA <br />S FIOWER <br />E)0 <br />( <br />FORCED AIR SYSTEMS-B T U M EA <br />7 <br />KITCHEN SINK b DISY <br />_ <br />WALL NE ATERS-B.T.U. M <br />, <br />{ <br />DISWASHER <br />UNIT HEATERS -BTU M <br />_ <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />WATER HEATER <br />lZ <br />00 <br />CLOTHES DRYERS <br />t' <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT- CF M. <br />_ <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />I <br />SINK (SERVICE -BAR, ETC) <br />E <br />C7 <br />SUBTOTAL f <br />SUB TOTAL <br />PERMIT f <br />PERMIT <br />f <br />- <br />TOTAL <br />FEE f <br />glIEDID <br />TOTAL FEE <br />! <br />L <br />19O <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAY <br />FEE �-RECEIPT <br />CHECK FEE <br />NO. <br />i <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />DYES *KNO <br />OFCCONST— <br />TYP-i <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />DING L I BU <br />S <br />pF <br />p� p 3 <br />00 <br />T <br />tJ <br />�� Z- <br />/ <br />SIZE OF BLDG <br />NO. OF S' RIES <br />MAX. OCC. LOAD <br />''/41 <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />Itt DROOMS <br />FIRE SPRINKLERS <br />RE UIRED <br />MECHANICAL <br />ES ONO <br />jDa <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENAI TY <br />U.B.C. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />3 Q 6 <br />Q 1 <br />7 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADINOIEXCAVA71ONb CLEARINGIGRUBHINC <br />b. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. By <br />PLANS CHECKED BY <br />!APPROUANCE <br />vc. <br />9.1.7Y <br />