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the EYergra.En P° P I_ I C AL T I O N F O R <br />CITY OF CONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />Dwwe <br />MAIL <br />GENERAL CONTRACTOR <br />MAII AODRE55 <br />CITY <br />ZIP <br />PHONE <br />LICENSE R <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LIC[NS[ R <br />PLUMBING CONTRACTOR <br />F RADDRESS <br />CITY <br />ZIP <br />PHONF <br />IICINSf <br />❑NEW ❑ADDITION ❑ALTERATION P EPAIR ❑DEMOLITION []FENCE ❑SIGN ❑GARAGE ❑BUHDINC. RFInrATNlN <br />DESCRIBE WORK <br />/KL IOYID(— <br />PROPOSED USE Of BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <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 PERFORMANCE OF CONSTRUCTION. <br />SIGNATU E OF CONTRACTOR OR AU HORIZiD AGENT DATE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN THEM 0 ATTACH LOUR COPI(SI <br />OCK OF EVE,pA: 7/' /�/ /�, i✓% <br />JOB AD RISS <br />PLUMBING — /` �hT ) u�+1 $ ! . <br />NO. <br />TYPE OF FIXTURE <br />WATER CLOSET I TOLIET) <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />AIR COND UNITS —HP EA <br />FFE <br />BATHTUB <br />REFRIGERATION UNITS—H P EA <br />LAVATORY (WASH BASIN) <br />IIOILERS—H P EA <br />SHOWER <br />GAS FIRED AC UNITS —TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS—B T U M EA <br />DISSVASHER <br />WALL HEATERS —BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS —BTU M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C.F M <br />VACUUM EAKERS PER <br />STOVE <br />ROOF DRAINS —TRAINEE ADERS <br />_ <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE —BAR, ETC 1 <br />SUBTOTAL <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE $ <br />TOTAL ED S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT 517E <br />OYES ONO <br />FEES <br />VALUATION <br />FEL <br />TYPE OF CONST <br />SIZE OF BLDG <br />OCCUPANCY GROUP <br />NO OF STORIES <br />NO OF DWELLING UNITS <br />ASA% OCC. LOAD <br />BUILDING <br />S <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />BEDROOMS <br />FIRE SPRINKIF RS <br />REQUIRED <br />MECHANICAL <br />OTHER <br />1 ENVIRONMENTAL CHECK LISTPENALTY <br />URIC2. <br />SEC 303(11) <br />BUILDING PLAN$ <br />J FIRE HYDRANT <br />MMINOAPPROVALS <br />TOTAL <br />A FIRE PROTECTION SYSTEMPERMIT <br />VALIDATION <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADINLIE%CAVATION A CLEARINGIGRUBRINGWHEN <br />6 DRMN,AF <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />6 HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />A TER FOR ISSOANCE III <br />9-1-79 <br />