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"l <br />7 <br />L <br />the Ewrpr..n APPLICATION For <br />0"If OF CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT, WA98201 ]COMBINATION <br />m U1ET1TUG nMFCHANICAL ❑PLUMBING PERMIT NO. <br />CITY <br />YG ' <br />ARCHITECT OR OESIGNF0. MAIL ADDRESS CITY Dv PHONE <br />GENERALCONTRACI0 MAIL ADDRESS CITY ZIP PHONE LICENSE IF <br />S.arco Ji �lJ �ortly� !r-gew �'1dG ;? 20 �G <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY !Y PHONE LICENSEE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE SIGN ❑GARAGE DBUILDING RELOCATION <br />VALUATION OF WORK <br />DESCRIBE WORK <br />o <br />v <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PROPOSED USE OF BUILDING <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />,/' <br />OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW oR ATTACH FOUR <br />COPIES) <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OF <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT _ BLOCK __Of <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />GIVE <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF TR O OR AUTHORIZED AGENT DATE <br />v <br />A <br />LOB ADDRESS <br />3a6 s a:9_v <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE <br />FEE <br />AIR COND. UNITS—H.P. EA <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS—M.P. EA <br />BATHTUB <br />BOILERS—H P. EA <br />LAVATORY (WASH OASIN) <br />' <br />GAS FIRED A.C. UNITS —TONNAGE EA <br />SHOWER <br />FORCED AIR SYSTEMS—B.T.0 M EA <br />KITCHEN SINK & DISP <br />WAIL HEATERS—B.T.U. M <br />DISWASHFR <br />UNIT HEATERS —BTU. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <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 b CHIMNEY <br />ROOF DRAINS— RAINLEADERS <br />SINK (SERVICE —BAR. ETC) <br />SU8 TOTAL S <br />SUB TOTAL <br />PERMIT S <br />PERMIT <br />S <br />TOTAL FEE IF <br />TOTAL FEE f <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK <br />PLAN CHECK NUMBER PUN CHECK FEE <br />RECEIPT NO. <br />FEE <br />FEES VALUATION FEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ON <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />OF DWELLING UNITS <br />BUILDING $ <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX. OCC LOAD <br />PLUMBING <br />MECHANICAL <br />FIRE ZONE <br />BASEMENT <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES ONO <br />BY [LATE <br />OTHER <br />APPROVALS <br />UBC <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY SEC 71H(a) <br />2 BUILDING PLANS <br />TOTAL <br />1 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADINGIUCAVAT ION& CII ARINGIGRUBRING <br />B DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />D <br />APPLICATION ACC. BY PLANS CHECK BY <br />APPR. FOR ISS E B <br />91-79 / <br />