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CUTNtho EYeti:eonCITY OF ONMCIO <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT. WA 98261 OCOMBINATION BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />CITY ZIP PHONE <br />OWNER ANf*jTI ADUXI SS r- <br />ereeeH <br />e <br />MICHANICM [ONIRACIOR MAIL ADDRESS <br />CIl1 ZIP PHON[ IICINSII <br />_ _._ ounu. IICENSF I <br />CIASSOT WORK <br />❑NEW ❑ADDITION ❑ALTERATION RLPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />V'AWEI T.V OI WORK <br />PROPOSI NUSE <br />II///C k L DI SCR I PTIONOIFPPROP(^E�R(/Y�)ISN NN PITON OR <br />I�al� � p10CKOf <br />IDx AnDRE��n <br />PLUMBING <br />unT TYPE OF FIXTURE <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />coPllsl 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 />MECHANICAL <br />OF <br />FEE <br />WATER CL05ET EIOLIL I I <br />REFRIGERA110N UNITS—H P. [A <br />BATHTUB <br />BOILERS —HP EA <br />LAVATORY (WASH BASIN( <br />GAS FIRED AC UNITS —TONNAGE EA <br />SHOWER <br />FOR AR SYSIEMS—B T U M EA <br />KITCHEN SINK A DISP <br />WALL HEATERS—ElT U M <br />DISWASHER <br />UNIT HEATERS —BTU M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HE AlE R <br />VE NTILA710N FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT— C.F M <br />I LOOR DRAIN <br />SIOVL <br />VACUUM BREAKERS <br />VITAL FIREPLACE & CHIMNEY <br />ROOT DRAINS—RAINLEAD[RS <br />SINK (SERVICE —BAR. EIC I <br />SUBTOTAL + <br />SUB TOTAL <br />PERMIT + <br />PERMIT <br />+ <br />TOTAL FEE + <br />TOTAL FIT <br />+ <br />REAR YARD SIIBACK <br />PLAN CHECK fit <br />PLAN CHI KNCU'MBER <br />NO. <br />SIDE YARD SETBACK S1R[ET SETBACK <br />fLE RECEIPT <br />0 � 6% <br />USE ZONE LOT AREA <br />VACANT SIT[ <br />fits VALUATION FI <br />OYES ONO <br />TYPE OF CONST OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />BUILDING S <br />512E Of BLDG NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE 20NL BASEMENT BEDROOMS <br />FIRE REQUIRED SPRINKLERS <br />M[CHANICAL <br />E1YF5 ONCE <br />APPROVALS <br />By DATE <br />OTHER <br />uBc <br />1 ENVIRONMENTAL CHECKLIST <br />PENALTY SEC ]OAR( <br />2 BUILDING PLANS <br />TOTAL <br />7 FIRE HYDRANT <br />PERMIT VALIDATION <br />(IN THIS SPACEITHIS IS YOUR PERMIT <br />A FIRE PROTECTION SYSTEM <br />--- <br />WHEN PROPERLY WLIDAIFD <br />5 GRADINGII XCAVAI ION& CI, ARING:GRURBINC <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />.nPl (CATION ACC BY PLANS CIIECKIO BY <br />AI`I`H I(lR ISSUANCE flY <br />9179 <br />