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EBB EYBrpFMD A°PLICATION FOR e7 �„ <br />CITY OF %.ONSTRUCTION e <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 />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CIA" OF WORK <br />nNFW []ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUAI ION Of WORK <br />DLSCRIBE WORK <br />YAe iRUC'IJN 0? !7 UNo 7 4AT 6IFE !L.'000 (LgAK- <br />PR;ZDUSF Of BUILDING <br />;AL <br />1 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 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 />71VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION67 , <br />SIGNATURE CONTRACTOR ORA IIHORIZED AGENT DATE <br />X� <br />LEGAL DTSCRIPTIONOF PROPUDYISHOWN BELOWOR ATM Nf OUR COPIES) <br />-� <br />LOT _I BLOCK I Of �� tU" .5 II - <br />DORT SS <br />LOB A- <br />7 � IL CL. J /'c, <br />PLUMBING <br />MEC4ANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />No <br />TYPE OF EQUIPMENT <br />FEE <br />WAD R CLOSI I(TOLIF I) <br />J <br />[.1 <br />AIR COND UNITS -HP EA <br />( <br />BATHTUB <br />'>-(!,ClNE)RIGi <br />RATION UNITS -HP EA <br />1 <br />LAVAIORY(W'ASH BASIN) <br />)Q <br />HOLLERS -HP EA <br />SHOWER <br />GAS FIRED AC UNITS -TONNAGE EA <br />( <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS-B T U M EA <br />( <br />DISWASHER <br />ID <br />WALL HEATERS -BTU M <br />LAUNDRI'iNAY <br />UNIT HEATERS -BTU M <br />j-+ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />j <br />WATER HEATER <br />URINAL <br />/1 <br />( <br />CLOTHES DRYERS <br />VENTILATION FAN <br />J <br />!'J. <br />DRINKING FOUNTAIN -- <br />I <br />RANGE HOOD <br />7Le <br />bC <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F AI <br />VACUUM BREAKERS <br />STOVE <br />ROOF U`RAINS-CAINI.EADERS <br />METAL FIREPLACE A CHIMNFI <br />SINK (SERVICI -HAI. I TC ) <br />SUB TOTAL <br />SUBTOTAL B <br />C <br />PERMIT <br />f <br />PERMIT $ <br />TOTAL FEE <br />S <br />T <br />TOTAL FEL IF <br />O <br />SIDI YARD SETBACK <br />r3 P�rf <br />STREET SETBACK <br />`O <br />REAR YARD SETBACK <br />Zvi <br />PLAN CHECK NUMBER <br />3 <br />PLAN <br />FIE "�` <br />CHECK FEE <br />RECEI T NO. <br />, �. <br />USE ZONE <br />t.". <br />LOT AREA <br />/ 7_ ddd S li. Y'�. <br />VACANT SITE <br />r YES ONO <br />FEES <br />VALUATION <br />IFF <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />17 <br />BUILDING <br />S✓Itt%jL��-�` <br />/C-11.�J <br />CC. <br />SIZE OF BLDG <br />55 X 151.6 <br />NO OF STORIES <br />-Z, <br />MAX OCC LOAD <br />PLUMBING <br />''/ <br />SG <br />FIRE ZONE <br />BASEMENT <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />' <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECKLIST <br />PENALTY <br />UHC <br />;F( J01,x) <br />2 BUILDING PLANS <br />TOTAL <br />B FIRE HYDRANT <br />4 FIRE PROIECTION SYSTIM <br />PERMIT VAIJOATION <br />IYHI`4 P0.0PI REY VMIDATID(IN 11115 SPACE) THIS 15 YCUR PERMIT <br />1-1 �iLY L.rG�I--T?.f•-JI(^L(� I' <br />K GRADINGEXCAVATION B Cl IARINCIGRU BRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 HIALIHOISIRICT <br />