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%,VwcLL PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 <br />OCOMBINASIGN ❑ BUILDING IMECHANICAI <br />OWNERCPLUMBINC PERMIT NO. <br />MAIL ADDRESS <br />❑Ty <br />1Tr�Y�r,S// /lrz�7= /cc 4-J)}�/= S/✓Ii/� ckZ�l/, ri��fC -S�%h <br />AR[NItFCT OR pL SIGNER MAILSDPRESS <br />CITY IF PHONE <br />PLUMBING CONTRA[tOR <br />MAIL ADDRESS COY <br />ZIP PHONE ll[[NYf <br />^^ - _ <br />❑NELV ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE VALUATION Of ❑BUILDING RELOCATION <br />WORK <br />ell 11 1, 7d <br />DI SCRIBE WORk <br />r.JPOSED USE (51 BUILDINC <br />1 <br />LEGAL DESCRIPTION OF PROPIRTY,SHOWN BELOW OR ATTACH FOUR [OPHS) <br />l01 F%-"% BLOCK,LC/% n <br />r- E- uFV . zz li <br />ZF 3`7/ -A 33 0 <br />IUH ADDRESS <br />PLUMBING <br />i A- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW TE:c SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS ANP ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEC 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 LOG.L LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONTRACTOR OR A.4HORIZFD AGENT DATE <br />WAM <br />NO. <br />TYPE OF FIXTURE <br />WATER CLOSET ITOLIRI <br />BATHTUB <br />LAVATORY (WASH BASIN, <br />SHOWER <br />FEE <br />'� <br />� <br />rn <br />O <br />OQ <br />G <br />........... <br />NO. <br />_ <br />TYPE OF EQUIPMENT <br />AIR COND UNITS-H P. EA <br />REFRIGERATION UNITS-H P. EA <br />BOILERS -HP EA <br />GAS FIRED AC. UNITS-IONNACL EA <br />FORCED AIR SYSTEMS-B T U MIA <br />WALL HEATERS -BTU M <br />UNIT HEATERS -BTU M <br />EVAPORATIVE COOLERS <br />FEE <br />SINK d DISP <br />DISWASKITCHEN <br />HFR <br />LAUND <br />LAUNDRY TRAY <br />T WASHER <br />WA <br />WATERR HEAT[R <br />URINAL <br />'1 <br />U <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />RANGE HOOD <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS -RA INIEADER5 <br />SINK (SERVICE -BAR, LiC I <br />AIR HANDLING UNIT- C F M. <br />S10VEMETAL FIREPLACE 8 CHIMNEY <br />' <br />�j- <br />SUB TOTAL <br />PERMIT S <br />d <br />SUB TOTAL S <br />PERMIT $ <br />TOTAL FEE S <br />TOTAL FIF S OD <br />SIDE YARD SETBACK STRI IT SI IR•.fK REAR YARD SETBACK <br />_ <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPAN[Y GROUP <br />NO OF DWELLING UNITS <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />BUILDING <br />S <br />PLUMBING <br />_ <br />Da <br />FIRE ZONE <br />BASEMENT <br />I BEDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />^V(S CNO <br />MECHANICAL <br />APPROVALS <br />BYNDA71OTHER <br />1 ENVIRONMENTAL CHECK I.ISIZ <br />PENALTY <br />UBC <br />SEC )D7I+) <br />BUILDING PLANS <br />E FIRE HYDRANT <br />TOTAL <br />D5 <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />PROPERLY VALIDATEDON THIS SPACE) THIS IS YOUR PERMIT <br />GRADINGIEXCAVATIONd CLEARINOIGRUBBINCWHEN <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />91 79 <br />L <br />