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TFN EYI13TIBI11 APk- LICATION FOR <br />DDY OF - CONSTRUCTION <br />everett PERMIT l`J <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT. WA98201 DCOMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNIR MAIL AUURISS <br />.. _ Cl" Zlr orlon[ <br />MAIL ADDRI <br />sF263 �S-4;,2?i <br />ZIP PHONE II 1i <br />SU CIIANICAI CONTRACTOR ApII ADDRISS CITY ZIP PHONE LICENSE 4 <br />PI U%IRI\(:CONTRACTOR MAIL ADDRESS (IlY ZIP PHONE ❑C(NSF II <br />❑NEW ❑ADDITION ❑ALTERATION 1DREPAIR ODE MOI IT ION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />Y At( AI I()N (YI VY-ORK <br />I <br />III\f RIHI NOR . <br />/. <br />n �.. i <br />rvnrn n(e of H'IIDINc IF <br />I HEREBY 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 <br />OCM OIYCRIP110N01 PRONRTYSHOyN.pDOW,OR A71ACII IOU 9PHSI <br />' <br />im �RIOOf}, O / / 7% 07 <br />v <br />a <br />�IN \I111N1\\ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATIRCLOSITITOLIFlI <br />AIRCOND UNITS -HP [A <br />BATHTUB <br />RI F RIGI RATION UNITS -HP IA <br />I AV'AIORI I WASH BASIN) <br />HOILI RS-H P LA <br />SHOISIR <br />GASFIRfDAC UNITS-TONNAQ CA <br />KITCHIN SIVK A DLSP <br />FORCED AIR SISTLMS-B I U MIA <br />DISVVASH(R <br />WALL HIATTRS-11TU Al <br />LAUNDRY TRAY <br />UNIT Hf Alf RS-IIIU AI <br />CLOTHES SS'ASIHR <br />EVAPORATIVE COOLERS <br />WATER HIAIIR <br />CLOTHES DRVI RS <br />URINAL <br />VI NITRATION i AN <br />ORINKINC FOUNTAIN <br />RANCE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNII-CFAI <br />VACUUM HRI AM RS <br />STOVE <br />ROOF DRAINS -RAINLUOE IRS <br />METAL FIREPLACE A CHIMNEY <br />SINK ISIRVICI -BAR. LTC I <br />SUBTOTAL <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />SIDE YARD SI TRACK <br />STREET SETBACK <br />REAR YARD 511BACK <br />PLAN CIII Cl, NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO <br />USE ZONE <br />FOE AREA <br />VACANT SITE <br />OYES CHO <br />FEES <br />VALUATION <br />FEE <br />IYPI OF CONSI <br />OCCUPANCY CROUP <br />NO OF DWELLING UNITS <br />HUILOINC <br />S <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT IHUROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />IYIS nNO <br />MICIIANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENAL IV <br />UBC <br />SEC 1011A) <br />Z BLRDINC PLANS <br />J FIRE HYDRANT <br />TOTAL <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED DN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADING)) %CLVAiIOnALEE ARINCIGRUNHING <br />6 DRAINAGE <br />' [NVIRONMINTAI IMPACT STATEMENT <br />8 HE At TH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />91 79 <br />