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Al/ v L i L A i i O I \� T O R <br />CITYOF CONSTRUCTION C� <br />everett PERMIT l <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT,,WAAA9822201 C�OLM B�IV/yNAI TION KIRL L[PiNG ❑AECii�ANICA/rLL ❑PLt:..;u'G .PERMIT INC. <br />/AIOVCITY PHONE <br />•f7o,6�(.%MV-C9-- <br />A,RCEHIlICT OR D[ ICNllt L- "AliADDRESS CITY PIIP PHONE <br />YINERAI vl,ACICd {Fj} MAIL/♦/A�D�D,RJIAS�: ��� �)/�JC}�I�F�P/[T�� �E}(IyI�Py,/ <br />�N.I� YI r WII� Y �_((�___SL•i-- "�. <br />ME�CHAN�ICAAL CONIRACIOK MAILADDR65 <br />P�MQJOn( <br />'"" _ of ( <br />LICENSEI <br />' IJKI•�//F/ <br />LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CHY <br />10"I <br />UCE�SlR <br />!+<W LJAC)DITION LJALTERA <br />ALUATION P WORK <br />ESC DBE WOgI !l �/�/ <br />❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN LIGARAGF. LI BUILDING RELOCATION <br />If, 1mlF I LIVL I. LA-, -• E <br />- <br />I HEREBY CERTIFY THAT I HAVE° READ AND EX.4'•UNED THIS AP- <br />vzo��o""stD L E or BunDINc <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONSOFS ORD INANCF.S GOVERNING THIS TYPE <br />ANO <br />DECAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR <br />COPIES) <br />OF WORK WILL BE CLAW <br />.I D WITH WHETHER SPECIFIED HEREIN <br />01` <br />OR NOT. THE GI A G F A PERMIT DOES NOT PRESUME TO <br />DOT_BLOCK_ <br />GIVE AUTHORITY O VI ATE OR CANCEL THE PROVISIONS OF <br />CAL LAW REGULATING CONSTRUCTION <br />ANY OT R STAVNC <br />OR THE ERFORF CONSTRUCTION. <br />,/)E <br />SIGNATUR OF CONTR AUTHO ZED .AGENT DATE%L ,DOB <br />{I//E j <br />ADDRESS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />i E OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOLIETI <br />AIR CONE. UNITS-H.P. EA <br />REFRIGERATION UNITS -HT, EA <br />BATHTUB <br />AVATORY(WASH BASIN) <br />2 <br />(� <br />BOILERS -HP EA <br />GAS FIRED AC UNITS -TONNAGE EA <br />SHOWER <br />—�' <br />FORCED AIR SYSTEMS-B M T U EA <br />KITCHEN SINK d DISP <br />DISWASHCR <br />WALL HEATERS-B. T.0 M <br />LAUNDRY TRAY <br />UNIT HEATERS-0 T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOIHFS DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />-- <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLEADERS <br />METAL FIREPLACE d CHIMNEY <br />SINK ;SERVICE -BAR. ETC I <br />SUN TOTAL <br />SUN TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />S <br />TOTAL FEE E <br />SIDE YARD SCTEIACK <br />STeFFT SETBACK <br />REAR YAA0 SETBACK <br />PLAN CHECK NUMBER <br />PLfN <br />FEE <br />CHECK FEE <br />RECEIPT <br />T <br />)p�-6� <br />O <br />��S <br />: <br />0 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VAt L'ATION <br />FEE <br />OYES CTNO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />fro l' A D�'P <br />3 3 <br />Oo <br />$r- I H19, <br />5:2 <br />— <br />SIZE OF BLDG. <br />NO OF STORIES <br />MAX. OCC LOAD <br />—� <br />I W/ M[-$.- <br />PLUMBING. <br />FIRE ZONE <br />BASEM[f:T <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUI0.Ep� <br />MECHANICAL <br />- <br />OYES <br />APPROVALS <br />NY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTP <br />L FBC <br />. <br />$CJ17(a) - <br />1 BUILDING PLANS <br />_ <br />TOTAL <br />:3 V3 <br />00 <br />FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY V ALIDATED(IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADINGIFXCAVATION d CLEARINGIGRUBBING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />N. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />d�btri t <br />9-1 J9 <br />