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nPPLICATION FOR <br />the _+er9ro°^ C O N S T R U C T I O(v <br />cm oF <br />everett PERMIT <br />DEPT OF COMMUNITV DFVELOPMENT $ERVICES . <br />CI7Y HALL 259-8745 <br />EVERETT, WA98201 nCOMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT h0. <br />O1YNf R <br />' ;'�� p ti F �i T �) . �' <br />ANCMITFCTONOESIGNFR � <br />�- � <br />everett <br />� <br />�5 TD�y r-v���r�� j7 �jZ��.a�� s`"3`� 3-�3 �t7 <br />ul <br />ra n� 5��, , <br />Zlp PNONE , � � <br />{ • 1 <br />cu+ie�icovtaeaoa meu�ooncu cnr <�. .�..�. ......... <br />� <br />n�iCHAniUI COuiNnCi00. null �DOPfA ��tY LIP PNONf IICENSF M <br />l <br />PLUMPIUG CONiR�CiON M�II AOURFA C�TV ZIP PHONE IICENSE M <br />Cl 5Of WORK <br />EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLiTION ❑FENCE ❑SIGN ARAGE ❑BUILDING RELOCATION <br />- _ f <br />VAWAiIONOfN'ORY� .� <br />, �Cc�,� <br />��s�a��� °� i o R T y� S i v i? /a C� - <br />c <br />ruorosto usF oi xmmmc �• <br />lf Wl UfSCRICtIOV OF C0.0PFRLY ISNO1VfyA(LOW OR �Ii�CN iOUN COPIF5) <br />S �t, < <br />l01 �BIOCN�Oi <br />�. �/=%p�c) _ ` v �. <br />ioo �u�p i�/ !`�� r1 � � q�� <br />C ' l0 <br />PLUMBING <br />NO. TYPE OF FI%7URE <br />� WATENCLOSET�iOLIETI <br />fln1MIUB <br />UVATORV �WASM ItA51N� <br />SHOwER <br />KIT�MEN SINK 6 OISP <br />DISWASHIR <br />IAUM1DRYT0.AY <br />CLO1Mk5\Y�SHFR <br />\VATEN HkATER <br />f LOOR ONAIN <br />\'ACUUMI4REAKFftS � <br />NOOf �RAINS—NAINIFADEHS <br />SINK 6[FVICE—OAR ETC 1 <br />SUB <br />� - TOTALFEE <br />YARD $CT[fACK STHEET SCT[I/ <br />rnHf LOT AREA <br />TVPF OFCONST. OCCUPANCY GNOUP <br />Y-rJ ��� <br />� 5¢E OF tlIDG. NO. OF STORIES <br />,� � t7 '�.� • � <br />• <br />S <br />FlRE ZONE y I fiASEMENT I NWMUu' <br />APPROVALS <br />1. ENVIFONMLN�.\L CMECK L15T <br />a ouuoinc ri��s <br />3 FIRF HYDRANT _ <br />6 FIRE PNOTECTION SYSTEM <br />5 GRAO�NL!f%UVA710NdQfARINGLRUNHING <br />6 DRAINACE <br />7. ENVIftONMENTAI IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLIUTION ACC. 9Y PLANS CHFCKfD BY <br />� 1'.,i !i <br />Sti9 <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />O� WORK WILL BE COMPLIED WITH WHETHER SPECIFI[D HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL TfIE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE Of CONSTRUCT ON. <br />$IGNATURE OF (ANTRACTOR O AaTHO IZE� A NT DA <br />� � � � ^1 ��j7'` <br />X .. Lr( �. - ( K_�, � � ~ � _ -�1 G� - `'-/ i <br />/ <br />V <br />MSCHANICAL <br />NO. 7YPE OF EQUIPMENT FEE <br />AIH COND UNITS—M P EA <br />RkFftIGERATION UNRS—MP. EA <br />OOLLFHS—HP CA <br />GA$ FlNEU A.C. UNITS—TONNAGE EA <br />FORC[DAIft5Y5TEM5—O7L. MEA <br />K'ALIHEATEHS—I1TL. M <br />UPili HkATERS-0 T V. M <br />CLOiHkS ORYENS <br />V[NTIUTION fAN <br />NANGEHOOD <br />AIR HANOLING UN11— C F M <br />STOVE <br />METAL FlREPLACF 6 CHIMNEV <br />f PERMIT f <br />s TOTALFEE s <br />RUR YAHD $kTOACK PIAN CHLCA NUMIIER PLAN CI <br />���/�Y-� FEE i l= � <br />VACANT SIIE <br />❑YES ❑NO <br />NO. OF DWFLIING U <br />n1Ax OCC.LOAD <br />FIHE SPRINKlERS <br />REQUIRE U. , <br />�IYkS (%1N0 <br />9Y DATE <br />APPN. FON ISSUANCE BV <br />BWIDING s <br />PLUMl71NG <br />MECHANIGI <br />UTHER <br />PtNALTV U.B C. <br />SEC. 3071a) <br />70TAL <br />P[flMIT VAIIDATION <br />WHEN PROPERLV VALIDATED fIN TMIS SPACE) iH15 �5 YOUR PERMIT <br />1 <br />� <br />