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ttlr Ew(OISRn <br />CITY OF <br />A7PLICATION FOR <br />CONSTRUCTION <br />everett PERMIT <br />DFPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />everetl <br />e <br />EVERETT,WA98201 -]COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />O`WN[R \ ,MAIL ADDRESS CITY ZIP PHONE <br />CO�VA U <br />ARCHIIICI OR DISIGNIR MAIL ADDRI SS CITY ZIP PHONE <br />fR--Fykk —' H `(�uOl ZSZ'-1�� <br />�fN7RALC �5ov� S �7 tn�t\1�v 1�� �4 \ ('11 F lc <br />GENERAL[ NIRACIOR MAIL ADDRESS IIY 21P PHONE IICENSlF <br />C 1 ASS Of WORK <br />❑NEW ❑ADDITION WALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />N AIDVION OF WORK <br />1 c/UD U00 — <br />OINCR1111 %,O <br />V1/\iY-,EDI^ I�CAu �c,�L 1)•ACA ��="� <br />I . 'l <br />PRoPom Evsl DI BUILDING 1 <br />S CLr oo C Nh pwVs <br />I HEREBY CERTIFY THAT 1-IIAVE 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 />I EUI DISCRIPTIONO1 PROPIRIY(SHOW'N BILOW OR ATTACH TOUR COPHS) <br />Lol _BlocK_Ol <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF TEXT URF <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />U <br />W' Ail IT CLOSE T(TOFFEE) <br />(1O <br />L <br />AIR COND UNITS-11P [A <br />-aAl M1UH <br />K <br />RHRIGERATIONUNITS-HP FA <br />] <br />—� <br />IA\'AIORI (W'A511 BASIN) <br />HOILHFS-HP EA <br />$HOWIIF <br />GAS FIRED AC UNITS-IONNAGE EA <br />( A <br />KITCHEN SINK A UISP <br />72&0 <br />1 <br />IORCTD AIR SYSTEMS- B T U ATEA <br />,r <br />DISWASH[R <br />( <br />SVALL fit All RS-BTU M <br />LAUNDRY TRAY. <br />UNIT IIIATIRS-BT I AT <br />CLOIH(S WASHER <br />A <br />IVAPORATIVI COOLERS <br />i <br />WA7IR HI AiER <br />h <br />LOTHES DRYERS <br />C <br />/ <br />URINAL <br />2 <br />a <br />y <br />VENTILATION MN <br />/ <br />DRINKING FOUNTAIN <br />Iz <br />1p <br />f <br />RANGE HOOD <br />ItOOR DRAIN <br />AIR HANDLING UNIT- CFM <br />VACUUM BR[AKIRS <br />SIOVI <br />x <br />ROOF DRAINS - RAINLt ADIRS <br />MIDI FIREPLACE A CHIMNEY <br />SINK (SIRVICI-BAR.ETC) <br />SUB TOTAL <br />14, to <br />SUB TOTAL f <br />3C0 <br />PERMIT <br />f <br />PERMIT IF <br />TOTAL FEE <br />f <br />(Q <br />TOTAL (EF f <br />I <br />SIDI YARD SF IIIACK <br />STRf I1 St TPACK <br />RE AR YARD SI HIACK <br />PUN CHICK NUMBER <br />7 <br />PLAN <br />IFI _,, <br />CHECII FEE <br />RICE NO _ <br />USE ZONE <br />l <br />LOT AREA <br />VACANT Sill <br />❑Y[S CNO <br />GEES <br />VALUATION <br />YEF` <br />TYPE OI CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />S <br />%37 <br />SIZE OF BLDG <br />L <br />NO Of STORIES <br />-�atM� VC L 1-:� ~ <br />MAX OCC LOAD <br />��. <br />PLUMBING <br />� <br />cc <br />FIRE ZONE <br />�+ <br />7 <br />BAS[MF NT <br />III DROOAIS <br />FIR[ SPRINKLERS <br />REQUI0.LD <br />nYlS f'!NO <br />MECHANICAL <br />' 3 <br />O� <br />OTHER <br />APPROVALS <br />BY DATE <br />1 ENVIRONMENTAL CIHCK LIST <br />PI NAI TI' <br />Li H( <br />IC ❑)Eel <br />2 BUILDING, PLAITS <br />TOTAL <br />�j19 <br />) FIRE IiYURANT <br />A R( PROTECTION SYSTEM <br />LIFE <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADINGi Y[ AS'AIION N CIE ARINGIORUHHING <br />