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Me EwMrwn <br />CMOF <br />'''PPLICATION FO►_" <br />CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 25"745 <br />EVERETT. WA 90201 ❑COMBINATION <br />D <br />MAIL <br />BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />iP 70"7U 6 Z52- <br />C1IY ZIP PHONE <br />w <br />A <br />PI I %lRINY. CONTRACTOR MAIL ADDRESS ( III ZIP PHONE LICENSE K <br />L'I All III WORK M1 <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE 05EDFLDING RELOCATION P <br />\AILIATION OF WORK <br />S y ooa,v(� <br />OIAC RIRI OR4 <br />PRON)ST0 LIST OF RUUDINC <br />I 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 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />CENT DATE <br />SIGNATURE OF CONTRACTOR OR AUT7,,,L� <br />X / � '-7 3/y <br />FECAL DESCRIPTION OF PROPS FLY ISHONN RE IOW OR AT TACH FOVK COPY SI <br />1 <br />L Ll1TRloCK 2- or L, <br />o .0 �� / D ci+: <br />r� <br />TOR AOnRI ss <br />3 6 2 <br />PLUMBING <br />MECHA CAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSE T (TOLIET) <br />AIR COND UNITS -HP EA <br />BATHTUB <br />REFRIGERATION UNITS-H P EA <br />LAVATORY (WASH BASIN) <br />BOILERS -HP EA <br />SHOWER <br />CAS FIRED AC UNITS -TONNAGE EA <br />KITCHEN SINK & DISP <br />FORCED AIR SYSTEMS-B T U M EA <br />DISWASHER <br />WALL HEATERS -BTU M <br />LAUNDRYTRAY <br />UNIT HEATERS -BTU M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />SINTILATION FAN <br />DRINKING fOU NTAIN <br />RAN(,[ HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C f M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLEADIRS al <br />nj <br />METAL FIREPLACE 8 CHIMNEY <br />SINK ISERVICE -BAR. ETC 1 <br />SUN TOTAL <br />I <br />SUBTOTAL S <br />PERMIT <br />61 <br />PERMIT S <br />TOTAL FEE <br />$ <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />6 <br />STREET SETBACK <br />2 U <br />REAR YARD M ]BACK <br />—` D <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO <br />USE Z�QNE _ <br />iC/( <br />LOT AREA <br />VACANT SITE <br />❑YES E:NO <br />FEES <br />VAlUA710N <br />fFF <br />TYPE OF CONST <br />OCCUPANCY CROUP <br />AL <br />NO Of DWELLING UNITS <br />BUILDING <br />S <br />SIZE Of BLDC <br />NO Of STORRS <br />Z_ <br />MAX OCC LOAD <br />- <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />HE DRCN)M5 <br />FIRE SPRINKLERS <br />REQUIRED <br />f7YES O <br />MICHANICAI. <br />APPROVALS <br />■Y <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PINAL)Y <br />URC <br />SEC 1DXa) <br />Z BUILDING PLANS <br />TOTAL <br />7 L, <br />1 FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />S GRADINGIFXC:AVATIOFIACLIARINGICRUHBINC <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT 57ATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />AFTER FOR ISSUANCE BY <br />79 <br />