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OPLICATION FOR <br />OW CONSTRUCTION ei <br />everett PERMIT <br />DEPT Of COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-874S <br />EVERETT.WA98201 []COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />O MMI AUORI SS COy 71P PHOM <br />�,,/a// �� ccn f�7dY �y✓vrwxrolk cvEee• o''ow, <br />ARCNITICT OR nlI 117111 M.SII ADDRIS5 I11Y 71P PHONf <br />GI V�AI CON) OR MAIL AODRISS l ITV 71P PHONL UUN51 <br />d awv ��ocs z;9iblfty 9s' EOlrati4s, 9/ozo 77e-_SaV9 ozi-w-kzf7S <br />J MIT HANK A1 CONIR ACTOR MAII ADIIRISS I IT' ZIP PHONE UCLNSf <br />PITSIRIMI CONIRAI TOR MAIL ADIIRISS Illy 71P PHONE UCTNSLE <br />1l1S PI w'ORX <br />N[W ❑ADDITION ❑ALTERATION ❑RIPAIR ❑DEMOLITION ❑fFNCI ❑SIGN ❑GARAGE ❑ BU It DING RELOCATION <br />OISCRIM WORA <br />f <br />PRI IP(nf Dill OI AL It DING <br />I HI: RE BY CERTIFY THAT 1 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 />SII.N RI Of CONTRACTOR OR AUTHO )ZED AGENT DATE <br />aw, <br />II n1 IT RIPI 104 OI PROPf RIy IS110%I R1I OY; OR A17M H 'OUR IOPD SI <br />101 fRlo(APOO ol <br />IUR ADIMIM <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSLT (TOLIFT) <br />AIR(OND UNITS -HP EA <br />BATHTUB <br />RI IRIG[RATION UNITS-H P [A <br />LAVATORY(WASH BASIN) <br />BOIILRS-HP FA <br />SHOWER <br />GAS F IRI D A C UNITS -TONNAGE [A <br />KITCHEN SINK A DISP <br />IORCI I) AIR SYST(MS-B T U MIA <br />DISWASHIR <br />WAIT Hf ATFRS-BID M <br />LAUNDRY TRAM <br />UNIT HIAIIRS-BTU M <br />CLOTHES WASHER <br />I VAPORAIIVF COOL I RS <br />WATER MLATER <br />CJOTHE5 DRYFRS <br />URINAL <br />VINTILATIOU FAN <br />DRINKING FOUNTAIN <br />RANGI FLOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BRI AM RS <br />I10VE <br />ROOF DRAINS-RAINLI AMRS <br />MI TAI I IRI PI ACI A CHIMNI Y <br />SINK ISf RVICE -PAR. ETC 1 <br />SUN TOTAL <br />SUB TOTAL { <br />PERMIT <br />{ <br />PERMIT { <br />TOTAL FIE <br />{ <br />TOTAL FFF { <br />SIDE YARD SF TRACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PI AN C111CK NUMBER <br />✓ /� S <br />PUN <br />fEE <br />CHECK IF <br />RECEIPT NO <br />USE ZONE <br />JOT AREA <br />VACANT SIIf <br />C1YES [-,NO <br />FEES <br />VALUATION <br />Fit <br />IYP1 Of CONST <br />OCCUPANCI' GROUP <br />NO OF OWEIIIN(. UNITS <br />BUILDING <br />S <br />SIZE Of BLDG <br />NO OF STORIFS <br />MAX OCC LOAD <br />PLUMBING <br />I IRE 20NE <br />BASF M[NT <br />BI IIR(R)MS <br />IIRI SPRINKIIRS <br />REQUIRED <br />FTYES F1NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I ENVIRONM[NTALCHECK LIST <br />PI NA( TV <br />UBC <br />SEC TBXa) <br />2 BUILDING PLANS <br />TOTAL <br />T FIR[ HYDRANT <br />a 1!A' PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS 15 YOUR PERMIT <br />5 GRAOINGB KC AVATION A (7II ARINGIGRUBBING <br />6 DRAINAGE <br />7 INVIRONMENTAI IMPACT 57AIEMENT <br />B HFAIIHDISTRICT <br />APPULATI0N ACC 8) PLANS CHECKED BY <br />APPR TOR ISSUANCE IIY <br />