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IRR EvWgmm <br />GTY OF <br />9ONSTRUCTION"r <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-57/5 <br />EVERETT.WA98301 ❑COMBINATION <br />❑ BUILDING ❑MECHANICAL. <br />CITY ZIP <br />PERMIT NO. <br />lVQIYII <br />e <br />Cl NE RAI CONTA ACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />MONL <br />LICENSE 8 <br />Q 1UN 12, Y' <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />LIP <br />)NON! <br />LICENSE <br />PLUMRIN(; CONTRACTOR MAIL ADDRESS y CITY LIP PHONE LICENSE I <br />r. l...vi/ s P! /tc+ KL- i� 191665T Pc A)e. d^� L1s [/��e r�,,sN 981270 <br />7e-0 'K?7s <br />:IASS OF WORK ❑E <br />pa1'' <br />NEW ❑ADDITION LILTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUAVN Of WORA <br />S / rOO LJ <br />DESCAIBI WORK <br />PROPOSED US( Of RUIIDING <br />S 'k <br />IIGAL DESCRIPTION OF PROPIRTY (SHOWN BELOW OR ATTACH $OUR COPIES) <br />LOT _moCK_0F <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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />A <br />X ✓. <br />` Pj`� �'QM a <br />Cr <br />LOB eODOR1U <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />WATER CLOSET (TOLIFT) <br />Q31 <br />AIR COND UNITS -HP EA <br />BATHTUB <br />REFRIGERATION UNITS -HP EA <br />LAVATORY (WASH 6ASINI <br />® <br />BOILERS -HP EA <br />SHOWER <br />O <br />C AS FIRED AC UNITS -TONNAGE EA <br />KITCHEN SINK B DISP <br />FORCED AIR SYSTEMS-B T U M EA <br />DISWASHER <br />WALL HEATERS-B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS -BTU M <br />CLOTHES WASHER <br />(J' <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />&Z <br />ou I <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE MOOD <br />FLOOR DRAIN <br />4—METAL <br />AIR HANDLING UNIT- C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLEADERS <br />FIREPLACE B CHIMNEY <br />SINK (SERVICE -BAR. ETC 1 <br />SUN TOTAL <br />SUN TOTAL N <br />PERMET <br />L <br />PERMIT N <br />TOTAL FEE <br />S <br />TOTAL <br />FEE E <br />SIDE YARD SETBACK <br />Si RE[T SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO, <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />CITES ONCE <br />PEES <br />VAlVA710A <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />BLUROOASS <br />FIRE SPRREQUIRED <br />MYFS rNO <br />MECHANICAL <br />MlCHANICAI <br />APPROVALS <br />NY <br />DATE <br />OTHER <br />1 ENVIRONMENTAI. CHECKLIST <br />PENALTY <br />UBC <br />SIC TO>1R) <br />7 BUILDING PLANS <br />TOTAL <br />T <br />FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT <br />5 GRADINGII XCAVAT IONL CIA AR I NOCRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />EI <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />9179 <br />