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F <br />L <br />the Evergreen APPLICATION FOR cvereDl <br />CITY OF CONSTRUCTION P E p 4 M I T e <br />DFPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8; 05 ,,.�--,// <br />EVERETT, WA98201 COMBINATION LI BUILGING L29MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER J %,All AUONISS CITY ZIP <br />---� PHONE i�d/•7jTDc tea, <br />MAIL ADDRESS <br />C[NERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />CLASS Of WORK <br />❑NEW ❑ADDITION ❑i.. TERATION REPAIR nDEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />OESCRILL WORK <br />PROPOSED USE Of BUILDING <br />1 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 GOVERNL IG THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPF 1FIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOl PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCC OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />x <br />LEGAL DISCRIPTIONOFPNOP[RTY(SHOWN BELOW OR ATTACH FOUR COP1ISI <br />LOT _eLocK_oF <br />��v.uuPl St <br />/z u C <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />S1AHR CLOSET fTOLI1 TI <br />AIR CONE) UNITS-11P LA <br />BATHTUB <br />REFRIGERATION UNITS -HP IA <br />L AVATORY IWASH RASINI <br />BOILERS -HP FA <br />SHOWER <br />GAS FIRED AC UNITS-70NNAGE EA <br />KITCHEN SINK A DISP <br />IORCID AIR SYST[MS-BTU 'M FA <br />�c <br />3LJ <br />DISWASHER <br />WALL HE AURS-B7U M <br />LAUNDRY TRAY <br />UNIT lit AIFRS-111 U At <br />I LOTIIIS WAIEBR <br />EVAPORATIVE COOL I RS <br />q%ATLR HIMER <br />CLOTHES DRYERS <br />URINAL <br />V9 NTILA71ON FAN <br />DRINKING FOUNTAIN <br />RANCE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— CFM <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS —TRAINEE AD[RS <br />MI IAI. FIREPLACE A CHIMNEY <br />SINK (SERVICE —BAR, I IC 1 <br />SUR TOTAL <br />SUBTOTAL S <br />5 <br />PERMIT S <br />PERMIT S <br />Q <br />od <br />TOTAL lit S <br />T07ALfit f <br />SIDE YARD St ITEM I <br />STREET SETBACK <br />PEAR YARD SIIBACK <br />PLAN CHECK NUMBER <br />PLAN <br />III <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FLE <br />TYPE OF CONSI <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 ZONE <br />BASEMENT <br />BEDROOMS <br />-'Rf SPRINKLERS <br />1a QUIRED <br />FAFS ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SIC TONAL <br />2 BUILDING PLANS <br />T FIRE HYDRANT <br />TOTAL <br />5� <br />K FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDA7f D (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADING? XUVA710N A CLt ARINGIGRUBRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 HIMTII DISTRICT <br />APPLICATION ACC BY <br />PLANS CHICKLD BY <br />APPLE FOR ISSUANCE BY <br />91 79 <br />