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IBR EY gmn APPLICATION FOR <br />CITY OF CONSTRUCTIOK <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT. WA962D1 ❑COMBINATION ,ey BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ON NIR / M�II nD()N�/ � � � z,� TIP 1011� D'/5 <br />F S6 <br />�RCIIIIV I OR OFS :NPR MAIL ADIIRISS CITY ZIP PNONI <br />PI P"Ia+:;CONTRACTOR S"It ADORISS (III LIT• PHONI DCTNSII <br />CLASS UI NORK <br />❑NEW ❑ADDITIOI. ❑ALTERATION WIREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑13UILDINC RELOCATION <br />%'ALUM l0Y OI NORK <br />DIIS�SC//KINI L%ORRA <br />rccl tiLDcsL of BDrvL: <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 1HORIZE GENT DATE <br />x /[ _ <br />uCNL DSCR IPHON OF PRONRIV ISNOI%N IF1( uN An wl nn.R nn°n Sl <br />�3,fat� //[[� <br />un �BIOCA-L OF <br />IUfI AUURI SS--7 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />%S'ATtRCIOSIT I TOLHTI <br />AIRCOND UNITS —HP EA <br />BATHTUB <br />RIFRIGERATIONUNITS—HP [A <br />LAVAIORY MASH RASINI <br />HOLLERS —HP EA <br />SHO%%'1R <br />GASHREDAC UNITS —TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS —BTU MIA <br />DISWASH[R <br />%VALE HIAIERS-117 U M <br />LAUNDRYTRAI <br />UNIT HIAHRS—IITU M <br />CLOT FITS IS, 'ASH[ R <br />IVAPORATIVI COOLERS <br />%VAH R 111 A11 R <br />CI OTH[ S DRY] RS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />I LOOR DRAIN <br />AIR HANDLING UNIT— CENT <br />VACUUM DR[AKERS <br />STOVE <br />ROOF DRAINS— RAINL E AD[RS <br />MI TAL FIRE PLACE A CHIMNEY <br />SINK ISERVICI —BAR. FTC I <br />SUB TOTAL <br />SUB TOTAL S <br />PERMIT <br />IF <br />PERMIT f <br />TOTAL FIL <br />f <br />TOTALFEE s <br />SIDI Y ARD SETBACK <br />STRIEI SITBA(K <br />REAR YARD SETBACK <br />PLAN CHICK NUMBLR <br />PLAN <br />Fit <br />CHICK FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONCE <br />FEES <br />VALUATION <br />FEE <br />TYPE of CONS7 <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONI <br />ITASEMENT <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />F1Yi S FINO <br />mI CHANICAL <br />APPROVALS <br />BY <br />DATE <br />OIHIR <br />I ENVIRONMINTALCHICK LIST <br />PINALTY <br />UBC <br />SIC 3(t <br />— <br />2 BUILDING PLANS <br />TOTAL <br />J FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />5 GRADINGII XCAVATION A CUARINGIGRUBBING <br />PERMIT VALIDATION <br />N'HLN PROPERLY VALIDATED (IN 1AIS SPACEI THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7 ENVIRONMLNIAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />91 79 <br />