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\ <br /> APPLICATION FOR ��e <br /> '��"� .,ONSTRUCTION <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES � <br /> � CITY HAII 259-0715 <br /> EVERET7,WA98201 ��OMBINATION SUILDING ❑MECHANICAL ❑PLUMSING PERMITN . <br /> � [IIY Z�P PHONE <br /> OyWNEP / � M�II�OAPfSS / <br /> /� l'T/I/Q �/ 1 (LYJ_l I�fnl CJ!![d P/i Cl/�.P ' �Y� YMONE <br /> ��A NITFCT 011 DISIGN[R <br /> / M�IL�ODR[55 C17Y 21i <br /> 3�u_�/Q� <br /> MAII�DDIIESS ��t� =IP PHONE LIC[NSf/ <br /> GENlII�LCONIR�CTOR o oc-yaAB"D z <br /> . C 2! � 5 / ,u 1 -o/- N�= H_ <br /> S O O✓� � CITY LIP PNOHE IICENSE� <br /> MICH�NIUI CONiR�CTO M�II ADURE55 <br /> PWMBING CONiR�CtOR MAII�OORESS <br /> CITY 21P PHOHE IICEHtE� <br /> C1�55Of WORK <br /> '� ❑NEW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br /> � \'MU�IIONO{(WORR OU <br /> S J�� �. <br /> Dl5 BF WOXK <br /> r�e- �`'-�� o� _ e S�d�K <br /> PROpO5FOU51 Of PUIIDING I HEREBY 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 /> lkG�l DfSCRIP110N01 PMOPE0.i�l5MOWN B[lON OR eiT�CH IOUP f.OP1f51 OF WORK WILL BE COMPLIED WITH WHETHER$PECIFIED HEREIN <br /> l01 ^�fllOCa�Of <br /> '��� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> , � ���,,,t yL ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR ?HE PERFORMANCE OF CONSTRUCTION. <br /> S�GNAIURF OF CONiRACTOR OX AUTHORIZED AGENT DATE <br /> ioe�ooetss X �[r"'�� ""� <br /> 3 O�2 -�a,/��S <br /> , MECNANICAI <br /> ►LUM�ING FFE <br /> NO. TY�E OF FIXTUIIE FEE NO. Tr►E OF EQUI�MENT <br /> . �IR CONO UNITS—H P.EA <br /> , WATEN ClOSET�TOIIETI pEFR�GERATION UNITS—HP.EA <br /> . BAiHTU9 pOIlERS—HP EA <br /> ' UVATORV(WASH PASIN) <br /> GAS FIRED A.0 UNITS—TONNAGC EA <br /> SNONER {pRCEO AIR$YSTEMS-8.T U M EA <br /> KITCHEN SINK 6 DISP y,���MEA7FR5—B.T U M <br /> DISWASNER UNITMEATE0.5—BTU M <br /> IAUND0.Y TRAY <br /> F V�POR�iIVE COOLERS <br /> CLOTHES WASHER CLOTHES DRYFRS <br /> WATER HFATER yfNTIL�110N FAN <br /> URINAI RANGE NOOD <br /> ONINKINC FOUNTAIN <br /> AIR HANOIINC UNIT— C F M <br /> FLOOR DR�IN STn�E <br /> WCUUM BREAKERS METAI FINFPUCE 8 CHIMNEV <br /> XOOF URAINS—RAINIEADERS <br /> $INK ISEftVICE—BAR.ETC 1 <br /> SU�TOTAI s <br /> SU�TOi�I ►ERMIT S <br /> f <br /> ►EIIM�T � <br /> TOi�IFEF S 70t�LiFE <br /> PUN CNECK FEE <br /> SIDF YAFD SITBACK STRFFT ,[TB�IX RCAR YA0.D SET6ACY. �LA�CN[CR NUAIOER FkE RFCEIPT NO. <br /> USF ZONE LOT AREA VACANT SIiE iFFS V�lUA710N �FE <br /> �Y[5 ❑NO <br /> TYPE Of CONST OCCUPANCV GROUP NO OF DWEIIING UNITS s r � � / 3� <br /> BUILDING � <br /> SILE OF BIDG NO.OF STORIES ���% OCC LOAD <br /> PLUh191NG <br /> FlNE 20NE OAS[MENT ❑LDNOOMS REQUIR[DKlE0.5 ��FCNANIGL <br /> C7YE5 ❑NO <br /> •►►�OVALS �r D�iF OTHER <br /> 1 ENVIRONMENTALCHECKLIST U9C. <br /> PfNAITY SK.]ONa) <br /> 7. BUIIDING PL�NS tpT�� C� 5� <br /> J F�RF MYDRANT <br /> ►ERMIT V�LIDATION <br /> � fIRE PROTECTION SYSTEM WNEN PROPfRLY VAIIDAiED IIN TNIS SPACE�TMIS IS YOUR PERMIT <br /> 5 GNADINLIF%GVATION6ClEARINGIG0.UBflING <br /> 6 DNAINAGE <br /> 7. ENVIRONMENTALIMPACTST�TEMENT <br /> E MEALTM DISTRICT <br /> APPLIUTION ACC.BY PL�NS CHFCKED BY APPR �OR ISSUANCf HY <br /> 41�79 <br />