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A. PLICATION FORS <br />FyFBBD <br />the CITY O�/ONSTRUCTION <br />CITY OF <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 MECHANICAL ❑PLUMBING PERMIT NO. <br />EVERETT,WA9B201 []COMBINATION ❑ BUILDING CITY ZIp pnoNE <br />♦1//•A/pDRESS <br />CITY <br />� l 5i 1.Iv PHONE <br />ARCHITECT 00. Of51GNE0. <br />MAIL AODRE55 <br />PHONE UCFNSE <br />CITY = <br />_ MAIL ADDRESS <br />CLASS OF WORK <br />TION ❑FENCE ❑SIGN ❑GARAGE []BUILDING RELOCATION <br />♦I TF R ATION ❑REPAIR ❑DEMOLI <br />D I�NevY un�� <br />IALUAIION OF WORK <br />f <br />D [SCRIBE WORK <br />PROSE OF BUILDING <br />LEGAL DESCRIPTION OE PROPERtx (SNJM NB[LOW ORyATTACH FOUR <br />BLOCK <br />_1/L&C iF <br />LOT <br />IOB AO R155 ��/I <br />PLUMBING <br />NO. TYPE <br />WATER CLOSET IT( <br />LATHTUB <br />INK A <br />R <br />TRAY <br />DRINKING <br />ROOF DRAINS—RAINL[AV <br />SINK LSE RVICE—BAR. ETC I <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIREET SSIREET S-- <br />�EA <br />LOT AREA <br />nrrl IPA <br />APPROVALS <br />1 ENVIRONMENTAL CHECKL155 <br />2 BUILDING PLANS <br />B FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />5 GRADINGAXCAVATIONA CLEARINGIGRUBBING <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />I F(EREBY CERTIFY 1HAT 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 THI5 TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVTY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER EROSTIATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. 4/l <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />i <br />EHFATIRS—UTU <br />FEE <br />TYPE Of EQUIPMENT <br />UNITS —HP EA <br />TION UNITS—H P. EA <br />HP EA <br />A C. UNITS —TONNAGE EA <br />IR SYSTEMS —BTU M EA <br />TERS—BTU MTERS—BTU M _ <br />HOOD _ <br />7i; LNG UNIT— CF <br />PERMIT y <br />IF TOTAL FEE y <br />y PLAN CHECK FEE <br />REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br />VACANT SITE FEES ' VALUATION FEE <br />DYES ONO <br />SKK <br />OCC LOADRE <br />SPRINKLERSLSQUIRED]YFS <br />❑NO <br />BY DATEU9CSEC <br />WH <br />T0JIalIDATIONPERLY <br />THIS SPACE) THIS IS YOUR PERMIT <br />VALIDATED IIN <br />