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LM Evergm <br />CITY OF <br />AP1°LICA ION <br />everett � �NPERMITTI <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA9B201 []COMBINATION Pi BUILDING ❑MECHANICAL OPLUMBING PERMIT NO. <br />OWNER MMl ADDRI SS CITY ZIP PHONE <br />EAQ11()�,ec .. SAY Fl/��� ;2,5—, F' / <br />ARCHITECT OR DESIGNER IV, MAIL ADDRESS CITY ZIP PHONE <br />CENTRAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP I <br />PHONE <br />LICENSER <br />ov/ /,�.7 tir -/,%�;: is,...ilr..'� <br />c/.-v��/., <br />z2�-7s6u �3 <br />, 7 twr <br />MECHANICAL CONTRACTOR <br />_�r�- <br />MAIL ADDRESS ✓ CITV <br />v. ZIP <br />J�../"I C' <br />PHONE <br />V H r�A'9 to C <br />�LLICENSE E <br />!7 <br />PLUMBINC, CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />LICENSEE <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION AREPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WOI���� 00 <br />DESCRIBE WORK <br />PROPOSED USE Of BUILDING <br />I HERE BY 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 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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />x % r /- , .; <br />L:CAL DESCRIPTION OF PROPIRTYISHOWN BELOW OR AITACH TOUR COPIE51 <br />L�v�� slR�n�/ ;k ?N� e� <br />LOT BLocK OF J[Y�t�G-.F, <br />—7'— <br />IDBL/ V O/ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOLIETI <br />AIR COND UNITS-H P. FA <br />_ <br />BATHTUB <br />REFRIGERATION UND5-H P EA <br />LAVATORY (WASH BASIN) <br />BOILERS —HP LA <br />SHOWER <br />CAS FIRED A C UNITS —TONNAGE EA <br />_ <br />KITCHEN SINK & OISP <br />FORCED AIR SYSIEMS—B T U M EA <br />DISWASHER <br />WALL HEATERS —BTU 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 TAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS —RAINLF AOL ITS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE —BAR ETC I <br />SUN TOTAL <br />SUR TOTAL S <br />PERMIT <br />S <br />I PERMIT R <br />TOTAL FEE <br />S <br />6— <br />11 TOTAL <br />FEE E <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NOMHER <br />PLAN <br />FEE <br />CHECK FEE <br />RECF IPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />Ff[S <br />VALUATION <br />F[E <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF OWE LUNG UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />HREZONE <br />BASEMENT <br />BEDROOAR <br />IRlSPRINKLE RSREQUI <br />f7Yls ❑NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />E ENVIRONMENTAL CHECK LIST <br />PE HALT$ <br />UPC <br />SIC JO71R) <br />2 BUILDING PUNS <br />TOTAL <br />T FIRE HYDRANT <br />R FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHLH PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADINCM1 KCAV'AT ION& CIE ARINGICRUBHING <br />h DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />5 HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPLE FOR ISSUANCE. By <br />9 179 <br />6 ,� <br />