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�• 1 i <br />the C•v CITYOF •. r.ONSTRUCTION <br />CITY OF <br />everett PERMIT CITY HALL 259 8745 PERMIT NO. 06)685 <br />EVERETT• WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AUDESS <br />CITY ZIP PHONE <br />�•. .,...,.,.. ..wmn'^ <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PI, IE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />\ <br />?IP <br />PHONE <br />LICENSE <br />MECHANICAL CONTRACTOR <br />( <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE/ <br />SELF <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />CLASS <br />*]NEW ❑ADDITION ❑AI TERA'ION ❑REPAIR ❑DEMOLITION ❑FENCE F'SIGN ❑GAR,IGE <br />TNIRIPDT.T. WT n vnmm�� <br />PROPOSED USE OF BUILDING <br />-- <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK— <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />—OF -- <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />JOB ADDRESS <br />6917 MORGAN RD <br />X W.4. 55�r, �UCvZ/ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WA iR CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />KITCHEN SINK 8 DISP, <br />FORCED AIR SYSTEMS — B T.U. M EA <br />DISHWASHER <br />WALL HEATERS — 8.7.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION AN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />POOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE -- BAR, ETC.) <br />SUB TOTAL <br />SUB TOTAL f <br />4 <br />00 <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL <br />FEE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBLR <br />PLAN CHECK <br />FEE <br />• <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES L7N0 <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCG. LOAD <br />- Y <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />REQUIRED <br />❑YES ONO <br />7 <br />Fin <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC. <br />- <br />2. BUILDING PLANS <br />SEC. 303 (a) <br />3. FIRE HYDRANT <br />TOTAL <br />4. FIRE PROTECTION SYSTEM <br />7100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPnCE) THIS IS YOUR PERMIT <br />51 10 t 0 0 7 0 0 -.J 0 <br />00 <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />w <br />B.HEALTH DISTRICT <br />YOUR RECEIPT o <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ic <br />THANK YOU <br />ADDRESS FILE 2 ( 77 <br />