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eyerett <br />0 <br />• JN-irILE"l <br />the EYRrprnn CONSTRUCTIONCITY CF <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259 8745 <br />EVERETT. WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER <br />MAIL AODRIA rl" LIP PHONE <br />�LFv7 1 L'nz c.(). =/'r 7f% IACX{ C/v5 1',-- 17e i/ <br />ARCHIIICT OR DFSICNIR MAIL ADDRESS - CITY ur --- <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CI1Y <br />21P <br />((,, <br />9D 7 <br />HONL <br />2=2-u <br />LICENSE a <br />5/F+IL CSL 2'�lP 'J <br />�j 1IVLCC'% -.L41J CeX'--(' • <br />L �E ri �LPLI•if+ <br />L'M� <br />NSE I <br />CITY <br />LIP <br />PHONE <br />lICf <br />NICH+NI[AL CONTRACTOR <br />A1All AOORf SS <br />- <br />PI l'MBI•.I: L'ONiRA(lOR <br />MAIL ADORE SS <br />CITY <br />21P <br />PNONE <br />IICf' ' <br />I ASS OF WORK <br />❑YEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE IGN ❑GARAGE ❑BUILDING RELOCATION <br />\AI U+TION OF WORK <br />fL(SSLIO <br />I,[,, RIBf WORK I I :HA <br />CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PROPOSMUS101 RUIIDINC --- <br />I HEREBY <br />AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PLICATION <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />u r.0 Df scalPnoN o; PROPI RIY ISHOWH Rf LON'OR ATTACH TOUR COPH SI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT _BLOCK —Of <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />ANY <br />OR THE PERFORMANCE OF CONSTRUCTION, <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />Il1N +Goal ss <br />W!a-o �/ J <br />A <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE <br />AIR COND UNITS -MP LA <br />WATER CLOSET ITOLIETI <br />Rf lRIGE0.A710N UNITS -TIP [A <br />BAfi4UB <br />BOILERS -HP EA <br />I AVATORY (WASH BASIN) <br />LAS FIRED AC UNITS -TONNAGE EA <br />S140WF0. <br />IORC[D AIR SYSTEMS -BTU AI EA <br />KITCHEN SINK A DISP <br />WAIL HEATERS -BTU M <br />DISWASHER <br />UNIT HEATERS -BTU M <br />I AUNDRY TRAY <br />1 \'APORATI\'E COOLERS <br />('LOTHES WASHER <br />WATER HEATER <br />CLOTHES DRYERS <br />V! NTILATION FAN <br />_ <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />I LOOR DRAIN _ <br />VACUUM BREAKERS <br />AIR HANDLING UNIT- C F M <br />STOVE <br />MI lAt FINE PLAC[ A CHIMNEY <br />HOOF DRAINS -RAINLEAD[RS <br />SINK(SIRVICI -BAR FTC <br />-_ <br />- <br />SUBTOTAL t <br />SUB TOTAL <br />PERMIT t <br />PERMIT <br />t <br />TOTAL F([ S <br />TOTAL FEE <br />t <br />YARD $F TRACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />RECEIPT NO, <br />$iR[FT SETBACK REAR <br />SIDE YARD $TIBACK <br />11I <br />USE ZONE TOT AREA <br />VACANT SHE <br />FEES VALUATION FIE <br />OYES ONO <br />IYPf OF CONST OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />M' <br />Sp�• R <br />BUILDING / of <br />SIZE OF BLDG NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING _ <br />FIRE ZONE BASEMENT BIOROOMS <br />FIRE SPRINKLERS <br />FNKLERSREQUIR <br />MECHANICAL <br />nyFS FIND <br />APPROVALS <br />BY DATE <br />n111IR <br />UBC <br />i ENVIRONMENTAI. CHECK LIST <br />PI NATTY SEC TDAa) <br />2 BUILDING PLANS <br />p <br />TOTAL f e <br />I FIRE HYDRANT <br />1 fl0.f PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN HI SPACE) THIS IS YOUR PERKIiT <br />5 GRAGINGf%(AVAlIONB CLI ARINCIGRUflflING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />'O <br />B HEALTH DISTRICT <br />PL NSSICCHECKKEEE <br />APPR FOR ISSUANCE BY <br />APPLICATION ACC BY �BY <br />9.179 <br />