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the EWrgmn APPLICATION FOR everen <br />CITY OF CONSTRUCTION <br />everett PERMIT e <br />DEPT OF COMMUNITY Df VELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 COMBINATION BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />MAIL <br />nKuu RII UK UI SIGPaR <br />MAIL ADDRESS <br />CITY ` <br />ZIP <br />PHONE <br />C 4cyK C'or�tsi <br />C'C��N�, <br />iU�llc't}LL�T <br />c✓=<,eeiT <br />9oz -1 <br />zsr-zz(-,4 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 1 <br />4JAWP, CQAJI <CQ- <br />talc <br />14,/1 WAtu- S T <br />C— tic- r-R,T <br />9 ZOl <br />-ZQ-?-24 4AWICCC C rBC.Ltq <br />MECHANICAL LONTRACTOR <br />MAIL ADDRE SS <br />CITY <br />ZIP <br />PHONE LICENSE 1 <br />PLUMBING CONTRACTOR MAIL ADORE SS CITY ZIP PHONE LICENSE IF <br />CLASS OF WORK <br />❑NEW ❑ADDITION ,ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 117 <br />DyscRle <br />4ARTlAf Ik)TWin2- RElnnAA= <br />PROPOSED U;I of Bun DING <br />OF C r- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICAT!ON 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 />:,!VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIG All\ E OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X <br />LEGAL DE SC R IPT ION OF PROPS R I Y)SHOWN BE LOW OR AT I ACII F OUR COPI E 5) <br />LOT 1BlOCK y1.OF �LATLG EuF_AdE'7T LRU t1 ��`- 1=Tt70D. <br />to Dnal SS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FIT <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET I TOLILII <br />AIR COND UNITS—IIP EA <br />BATHTUB <br />RIIRIGERATIONUNII5—HP [A <br />I AVATORY (WASTE BASIN) <br />ilOM RS-11 P EA <br />SHOWER <br />GAS FIRED AC UNITS -TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS-BT U MIA <br />DISWASHER <br />WAIT HIATERS-11TU M <br />LAUNDRY TRAY <br />UNIT I/IATERS-BTU M <br />CLOT III S WASHER <br />I VAPORAI IVC. COOLERS <br />WAUR HEATER <br />(-IOTHES DRVI ITS <br />URINAL <br />YI NTILATION FAN <br />DRINKING FOUNTAIN <br />RANG[ HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C I M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS- RAINL[AD[ RS <br />Mf LAL FIREPLACE X CHIMNI Y <br />SINK (SERVICE -BAR. ETC 1 <br />(� <br />Q <br />SUB TOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />j, <br />QO <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />� //s/� <br />PLAN <br />ITT 7v <br />CHECK FEE <br />RECEIPT NO . <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />C <br />DYES ONO <br />IEfS <br />VALUATION <br />TEE <br />TYPE OF CONST <br />sr- 1 NR <br />OCCUPANCY GROUP <br />ALTff j S2 <br />NO OF DWELLING UNITS <br />BUILDING <br />5 <br />jr <br />OQ <br />SIZE OF BLDG <br />NO Of STORIES <br />MAX OCC LOAD <br />�— <br />PLUMBING <br />00 <br />TIRE ZONE <br />-' <br />BASEMENT <br />-- <br />BI GROOMS <br />FIRE SPRINKLERS <br />REQUIRED - � <br />rYFS rLNEY <br />MECHANICAI <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONAILN1AL CHECK I IST <br />PENALTY <br />V HC <br />SIC vow <br />Z BUILDING PUNS <br />TOTAL <br />T FIRE HYDRANT <br />R FIRE PROTECTION SYSTEM <br />S GRADINGI[XCAVATIONBC[EARINGIGRUIIBIN(, <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />B DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 WATCH DISTRICT <br />APPLICATI7N ACC BY <br />PLAN$ CN ECKED BY <br />Cj sl rl <br />APPR FOR ISSUANCE BY <br />9-1.79 <br />