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, <br /> �'►P�LICATION FOR � e�e,e„ <br /> C'vNSTRIJCTION � <br /> everett PERMIT <br /> DF.P7. OF COMMUNITY DEVELOPMENT SFRVICES <br /> CITY HALL 259�B7J5 <br /> EVERETT, 1V,��szai �COMBINATION ❑ BUILDING �MECHANICAL �� L�PIOMBINC' � PERI11(T NC7. <br /> OWM[H h1All A�UHI55 U1Y lll' 1'110NF <br /> 4�cL_�/�NSrucIP 1��7 L����-, J2.-,�> �����ett �7 �'aoI �5y�� 1`� <br /> neaunerouocsicncx n� nnooaess ❑rv zir r�roH� <br /> CtNlNAICONIHAQOR A1AllADDNF55 CI11 LIP PMONC IICLNSEp <br /> n�f[MANIULCONTRACIOR AIAIIADDR[SS CIiY tIN PHONE lIC[NS[M <br /> �m� <br /> PWAIIIING CONiRACiOR AIAII AbORESS CI1Y T.IP PHONF UCENSE M <br /> CU55 Of N'ORA � <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DE�IOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VAIU�iION Of\vONY <br /> y <br /> oEscHmF woHK ttt <br /> � ly— � <br /> i <br /> raoroscouse o�nunoiNe I HERE6Y CERT�FY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br /> IFG�L DE5C0.1PLION O�PHOPFRiY�5H0\VN D[LOIV OR ATTACHlOUN COPI6) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HER[IN <br /> ior_nioiK_or OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �1NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION i <br /> OR THE PERFORM�NCE OF CONSTRUCTION. <br /> $IGNATURE OF CONTHACTOR OR AUTHORIZfD AGENT DATE <br /> �Ofi A�DR[55 L ���� � — _ � <br /> � l__ <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE FEE NO. TYPE Of EQUIPMENT FEE ; <br /> WAT�� 1 CLOSET pOl1ET) AIR COND.UNITS-H.P. EA <br /> PATHTU6 REFRIGEHATION 11NIT5-H.P.EA <br /> � LAVAIORV(WASN 6ASIN� OOLLERS-H.P. EA <br /> SHOWER GAS FlRED A.C.UNITS-TONNAGE EA � <br /> KITCHEN SINK 8 DISP. FORCED AIN SYSiEMS-O.T.U. M EA <br /> DISWASHER \VALL HEATERS-Ii.T.LL M <br /> LAUNDRY TRAY UNR HFATkRS-f17.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEftS <br /> WATER IIEATER CLOi11E5 DRYERS <br /> URINAL VCNTIIATION FAN <br /> ORINKING FOUNTAIN RANGF MOO� <br /> FLOOR DRAIN qlft HpNDIING UNIi- C.F.M. <br /> VACUUM�REAKERS STOVf <br /> ROOF�RAIN$-RAINIEADERS � METAL FlRENUCE 8 Ch11MNEY OO <br /> SINK(SERVICE-lIAR,ETC.) <br /> SUB 70TAL SUB TO'�L f OD <br /> PERMIT S PENMIT y ^� � <br /> TOTAL FEE 5 TOTAI FEE S Od <br /> $IDE YARD SCTOACK $TREET SET�ACK REAR YARD SET[7ACK PIAN CHECK NUA1R[N PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT ARCA VACANT$ITE <br /> ❑YES ❑M1n FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY CROUP NO.OF DWELLLYG UNITS <br /> [7UILDING S <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC LOAD <br /> PLUM�ING <br /> FIRE 7.ONE fiASEMENT Of�UHOOb15 FlRC SPRINKLERS <br /> ovQrs��oNo �+ecFinnica. Od <br /> APPROVAtS BY DATE OifiFR <br /> t ENVIRONMENTAL CHECK LI57 U.O.C. <br /> P[NALTY SEC.303W) <br /> 1. F7UILDING PLrNS <br /> 3. fIREHYORANT TOTAL �j d <br /> / <br /> Y FlRE PROiKTION$VREM PERMIT VALIDATION <br /> WHEN PROP[RL1'VALIDATEO IIN TN6 SPACE)THIS IS YOUR PERMIT <br /> 5.GRnUINGII%CAVATION R QCnNINGIf,RU1701NG <br /> G. DRAINAGE <br /> 7 ENVIRONMPNTALIMPACTSTAT[MENT <br /> 8. HLACfH DISTRICT <br /> APPLIGTION ACC. 1{Y PLAN$CHtCKEU 13Y APPR. FOR ISSUANCf I7Y <br /> q.l-oo <br />