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IM EYrgmn APPLICATION FOR <br />CITY DF `ONSTRUCTION <br />everett PERMIT e <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL PLUMBING PERMIT NO. <br />IN MMI AUURI SS CITY ` ZIP PHONE <br />�cu�2c �L eA�u %�ia �o GQ�a 2 'zj �1 - s 2 s Z <br />^....,..... ... ...,...... <br />NIA1L / LJIJ.11Y <br />CITY <br />ZIP <br />PHONE <br />CENTRAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSER <br />ARCHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />HCf NSt I <br />moll Auonne CITY ZIP PHONE ❑Cf NSt I <br />CUSS Of Y ORK � <br />❑NEW ❑ADDITION ❑ALTERATION L'�,,1REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />Y MUATION OF WORK <br />1 <br />VI;?1 WOR�X) <br />i2r cE'A <br />PROPO51 6 ust Or RmtDING <br />I HE EBY 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. q <br />SIC NA T U1Of CONTRACTOR OR AUTHORIZED AGENT DATE <br />/' 1v /, / S <br />tE At_Of SLRII'Tlor Or PRQPIRTY IVIowN xuOIr�ACH R COP[tSI <br />R to _ju,/ <br />LO BLocA or - <br />ION AUOPE IS <br />�Ci � � � �CL✓ � '�Uca4.6EY <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (FOLLETT <br />AIR CONO UNIT5—HP EA <br />BATHTUB <br />R[f RICIRATION UNITS —HP EA <br />LAVATORY (WASH BASIN[ <br />BOILERS —HP EA <br />SNOW I R <br />GAS FIRED AC .UNIIS—TONNAGE [A <br />KITCHEN SINK A DISP <br />FORCED AIR SYS7[MS—B T U MIA <br />DISSYASHFR <br />WALL HEATERS-6 T U M <br />LAUNDRY THAI <br />UNIT HLATIRS—B 1 U M <br />CL07105 W'ASHIR <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C P M <br />VACUUM [INTAKE RS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK ISERVICE—PAR LIC 1 <br />SUBTOTAL <br />SUBTOTAL B <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />B <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />Fft <br />CHECK FIE <br />RECEIPT NO. <br />USE ZONE <br />LOT ARIA <br />VACANT SITE <br />❑Y[S ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY CROUP <br />NO Of DWELLING UNIT5 <br />BUILDING <br />L <br />SIZE Of BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />HIDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />FTYFS FIND <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I ENVIRONMENTAL CHECK LIST <br />PI NALiV <br />UPC <br />SIC JDgal <br />BUILDING PUNS <br />I TIRE HYDRANT <br />TOTAL <br />F FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADINGII XCAVATION A CHARINGICRUBRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />9179 <br />