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the EVOWWn <br />CITY OF <br />APPLICATION FOR <br />LONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT• WA 98201 ❑COMBINATION <br />❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />w <br />v <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />❑NEW •V^^❑ADDITION ❑ALTERATION YJREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATIOFI <br />VALUATION OF WORK <br />MOPOSED USE OF BUILDING V <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 GR•NTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY ;O VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTILN <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />y 1 <br />LEGAL DESCRIPTION OF PROPERIY DHOWN BELOW OR ATTACH IOUR COEIESI <br />Loli4� BLOCK of <br />1) - <br />_ <br />IOB ADLIIIF SS ' <br />PLUMBING <br />NANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />WATER CLOSET ITOLIET) <br />AIR COND UNITS—H P EA <br />BATHTUB <br />REFRIGERATION UNITS—H P EA <br />LAVATORY [MASH BASIN) <br />BOILERS —HP FA <br />SHOWER <br />GAS FIRED A C UNITS —TONNAGE EA <br />KITCHEN SINK B DISP <br />FORCED AIR SYSTEMS—B T U AREA <br />DISWASHER <br />WALL HEATERS-8.7 U M <br />LAUNDRY TRAY <br />UNIT HEATERS-0 T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE :FOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C.F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS —RAINLE ADERS <br />METAL FIREPLACE It CHIMNEY <br />SINK (SERVICE —BAR. ETC) <br />SUB TOTAL <br />SUB TOTAL B <br />PERMIT <br />S <br />PERMIT • <br />TOTAL FEE <br />S <br />TOTAL <br />fit S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY CROUP <br />NO OF DWELLING UNI75 <br />BUILDING <br />5 <br />S1ZE OF BLDC <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />LIYES LNO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U BC. <br />SEC 307(R) <br />Z BUILDING PLANS <br />TOTAL <br />J FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADINGIF %CAVATIONSCIfARINL/LRUBflING <br />E DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />S HEALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />