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�L„pBN7 '"PPLICATION FOB_• <br />�Y <br />everett OF <br />CONPERMITTION <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2594745 <br />EVERETT. WA9B201 ❑COMBINATION Kj BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />Li 7r?Q6 !e5z— <br />CITY ZIP PHONE <br />GINSIII CONTRA('TOR MAIL ADDRISS ! .ITV ZIP PHONE LICENSE <br />S_ ✓ .�/./lo. Q-l��.R-, / �' P ✓�l6't Lrr�.-°(,n• ,j�,,• <br />KHCHANICAL CONI➢ACIOR MAIL ADDRISS ( ITY ZIP PHONE LICENSE S <br />PI PAIRINII CONTRACTOR MAIL ADDRISS CITY ZIP PHONE LICENSE <br />CI ASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑(;ARAGE AEIMDING RELOCATION <br />S At V ATION OF WOFIx <br />4/ o00 CFOIII M'FI Mx <br />QQ / � E <br />f�l•nw A4ufi 7'_. .r.sl Af .e _n fP'•ur <br />rlloroslD DSI of eunDING <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 THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO OLATE OR CANCEL THE ONS OF <br />ANY OTHER STATE OR LIOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />OR,�11 <br />SIGNATURE OF CONTRACTOR OR AUTHORIZ GENT DATE <br />- <br />X <br />IIG+I DISCRIPTIONOI PROPIRTYISHOWN RIIOW OR ATTACH FOURCOPIISI <br />p F <br />ui✓LL elax �' of a �O Za" <br />�i L, -c 7 o C*41/ <br />/t . <br />u>n +nnRl is <br />3 Z <br />PLUMBING <br />MECHAIIIIi <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ETOLIET) <br />AIR COND UNITS —HP EA <br />BATHTUB <br />REFRIGERATION UNITS-H P EA <br />LAVATORY (WASH RASINI <br />BOILERS -HP EA <br />SHOWER <br />GAS FIRED AC UNITS -TONNAGE EA <br />KITCHEN SINK S DISP <br />FORCED AIR SYSTEMS-0 T U M EA <br />DISWASHER <br />WALI HEATERS-0 T U M <br />LAUNDRY TRAY <br />UNIT HEATERS -BTU M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES ORVERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BREAKERS <br />xi, <br />STOVE <br />ROOF ORAINS-RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE -BAR. FTC) <br />SUBTOTAL <br />SUB TOTAL S <br />I <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />I <br />SIDE YARD SETBACK <br />6 <br />STREET SETBACK <br />2 U <br />REAR YARD SE TRACK <br />L O <br />PLAN CHICK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE Z$LNE _ <br />SCE(\ <br />LOT AREA <br />VACANT Sill <br />FIVES [-,NO <br />VALUATION <br />FEE <br />TYPE OF CONST <br />UCLUPANCY GROUP <br />L <br />NO OF DWELIINC UNITS <br />BUILDING <br />S !/ <br />SIZE Of flLDC <br />NO OF STORIES <br />i� <br />MAX OCC TOAD <br />�- <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />BE UROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />YE5 O <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PfNAI IY <br />SEC JO7(a) UBC <br />Z BUILDING PLANS <br />TOTAL <br />1 FIRE HYDRANT <br />A FIRE PROIEC71ON SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADINGTI%(. AVATION A CLI ARINGIGRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B NFAITH E)ISTRICI <br />