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APPLICATION FOR <br />TAPE"'°'"A �'ONSTRUCTION e <br />CITY OF <br />everett PERMIT <br />DI PT OI COMNAI1N11Y OF VLLOPMENT SERVICES <br />CITY HALT. 2598745 <br />EVL FIE I T. VIA 98211 ❑COMBINATION .® BUILDING El MECHANICAL ❑PLUMBING PERMIT NO. <br />OVY IN MAIL AUURISS (Il, LIP PHf1Nt <br />/ / J7/1 <br />♦NIHI)I11 OR UI>16M1IN MAII AIIUNIS1 CITY ZIP POE ./ <br />/� /iY I — - - l/oSr/- 71 / <br />p- <br />AlSC�'CjAY4fr:/ <br />.....,.,..�,uu inu MAu AUDRI SS lllY ill PHONE t Cl 111 <br />�fLiE�YK 1 EIS -- -- ZIP PHONE I <br />III HAAII At (UYI44It( IMAII ADUNI IS 7 3 4 <br />Irat <br />1'IT MNI\L II WINA( ION MAII ADUNIU It, ZIP PHONE IICLNSII <br />6 <br />(I AN III HONK <br />VINFW ❑ADDITION ❑ALI L RATION ❑REPAIR El Of NIOLIT ION ❑FENCE. ❑SICN ❑GARAGE ❑BUILDING RELOCATION <br />YAIUMIU(,10II AURA <br />% <br />01 1MINI NON" <br />4 -4 <br />nr xl:n nl.(. <br />ilk' 11'OSIII Iot <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />ckC <br />PLICA11ON AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OCA1 111,l KtloUOS IR PNOPIND nHOWN REJOIN OR AI)ATI4IOUR <br />1111"I51 <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />t01 <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />__NHRK_01 <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />oL�% �3 O <br />5� f / f GcT �Y <br />1 z <br />A/1 (7/Ge 7,2 <br />ANf OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />Nv�o��D7ns/ Srl �4T1/ <br />SIGNAIURI()ICONIRACTORORAUTHORIZED AGENT DATE <br />2 <br />A��%�LC�LDTZ-� <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />_ FEE <br />r <br />W'AIIN(IOSI111 )OF 11 <br />�J <br />AIR (ONO UNITS —TIP IA <br />HAIHIUH <br />RIO(WIRAIIONUNIIS--HP IA <br />1 AV'ATORY (W ASII HASINI <br />NOII1 R5—H P IA <br />SHOW I N <br />GAS f INf D A C UNITS— IONN ACE FA <br />K I I C III SINK A DISP <br />FORCED AIR SYSTEMS—B T 11 M EA <br />DISWASHIIT <br />WALL HEAHRS—BTU M <br />IAUNDRY TRAY <br />UNIT MATIF:5—H1I) M <br />CI01111 S W ASHI R <br />I VAPORATIVI COOT E RS <br />WAII R HI Alf N <br />III,, <br />2Q <br />IfCI <br />OT FEES DFO[ITS <br />URINAL <br />2 <br />VENTIIA110N UN <br />DRINKING IOUN7AIN <br />d <br />Co <br />RANGE HOOD <br />I IOOK DRAIN <br />AIR HANDI ING UNIT- C f M <br />VAT I'tIM HRI AKI NS <br />S70\'1 <br />RO(II ONAINS-RAINIIADERS <br />M17A1 fIRIPIACE AC111MNIV <br />SINK ISIK JTE -HAR ITT I <br />Ilz <br />a) <br />SUN TOTAL <br />SUB TOTAL I <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL Fit I <br />SIDE N AND 51 IIIACR <br />SIRE E I S(IHA(K <br />RI AN YARD 511 BAT K <br />PI AN CHICK NUMBER <br />PUN <br />CHECK FIE <br />T3///s3 7 <br />fit OO <br />.2sz <br />N <br />RECEIPT NO <br />USE ZONE <br />101 ARIA <br />VACANT SITE <br />IFff <br />VALUATION <br />F![ <br />nYIS UN0 <br />T)P[ OF COME <br />OC CIIPANCV GROUP <br />NO Of DSYELIING UNITS <br />BUILDING <br />S <br />• <br />�- <br />I H2 <br />A 3 <br />SIZE Of BLDG <br />NO Of STORII5 <br />MAX OCC LOAD <br />4oP, % F. <br />z <br />1 2 7 <br />PI LIMITING <br />FIRE ZONE <br />BASEMENT <br />HI IIROOti4\ <br />I <br />IIRI SPRINKI IRS <br />Rt OUIRED <br />MICIIANICAI <br />�� <br />IIVIA fAM1TJ <br />APPROVALS <br />IT <br />DATE <br />OTHER <br />I ENVIRONMENTAL CH!(K LIST <br />PINAl7Y <br />UBC <br />SIC 103(I) <br />7 BOII DING PI ANS <br />TOTAL <br />2 <br />4 73 <br />O <br />ONE IIYDN ANI <br />A FIRE .Roll( II )N SYSIIf.. <br />PERMIT VALIDATION <br />WHIN PROPERLY VA[IDAIED(IN "HIS SPACO 7H1S IS YOUR PERMIT <br />5 (.RAI)IN(, I Y( AVAT ION A (I I ARINGIGRUHBINC <br />L�•� <br />6 DRAINAGE;=-E- <br />7 [NS'IRONMINIAL IMPACT SUT[MENT <br />A t11 At THDISTRIC7 <br />1----V <br />APPIICA71ON ACC BY <br />PLANS CHECKID BY <br />APPLE FOR ISSUANCE BY <br />�IQ <br />4w)) <br />-21za <br />c <br />9.1 79 <br />