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AP►''.ICATION FOR <br />,A,Ew,,,D <br />CITY OF <br />CONSTRUCTION <br />everett <br />PERMIT <br />DEPI OE COMMUNITY DEVELOPMENT <br />SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA9B201 ❑COMBIN. <br />TION Cl BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />OWNER MAIL ADDRESS CITY ZIP <br />c(TY or- evw_F-n CrCy I+;SL.L_ fFJAzc__r` 95.E 1 <br />PHONE <br />? 59 S 7a 1 <br />ARCHITECT OR DISIGNER <br />Tw_ 1 4u_ P Qlgcc, <br />MAIL ADDRESS CITY ZIP <br />3FATLEt-5f 'j�LD-. EUECk-Z-( elm I <br />PHONE <br />'L59 $9S_7 <br />OI NE RM. CO'IT/ACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE LICENSE IF <br />ZIP <br />PHONE LICENSEE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE LICENSE <br />jgIASS Of WORK <br />EW ❑ADDITION ❑ALTERATFON ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION Of WORKS <br />DESCRIBE WORK LL.AjLc SHix: F��L :` A�7-1� �. c ITS <br />*I\ <br />f-IrL1J wco <br />PROPOSMUSE Of BUILDING <br />12(GU(C. 1q rr(t- <br />LEGAL O(SCRIPTIONO[ PROP(RIYISHOWN BELOW OR ATTACH fOURCOPIES) <br />Lot _FILOCK,_Of <br />EP <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 />- c <br />IOB ADDRESS <br />LUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(1G11ET) <br />AIR COND UNITS -HP EA <br />BATHTUB <br />REFRIGERATION UNITS -HP fA <br />LAVATORY (WASH BASIN) <br />BOILERS -HP EA <br />SHOWER <br />GAS FIRED AC UNITS- TONNAGE[A <br />KITCHEN SINK h!MW <br />- <br />FORCED AIR SYSTEMS-9 T U MIA <br />DISWASHER <br />� <br />WALL WAIT RS - BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS-B T U M <br />CLOTHES WASHER <br />I VAPORATIVE COOLERS <br />WATER HEATER <br />CLOIH[S DRIERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANG[ HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F AR <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS -RAINLEAGE RS <br />METAL FIREPLACE A CHIMNEY <br />�- <br />TIC' <br />SINK (SERVICE -BAR. ETC 1 <br />SUBTOTAL <br />Z <br />CJ <br />SUBTOTAL F <br />PERMIT <br />B <br />PERMIT f <br />TOTAL FEE <br />3 <br />pU <br />TOTAL FEE B <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD St TRACK <br />PLAN CHECK NUMBER <br />l0 Z HOPLEN <br />FEE , 4_ <br />+-CATION <br />CHECK FEE <br />RECEIPT NO. <br />RECEIPT <br />_ _ <br />FEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />A J <br />NO OF DWELLING UNITS <br />BUILDING <br />1�, <br />T v-K-7-bC . °0 <br />= U <br />SIZE OF BLDG <br />NO OF STORIES <br />% <br />MAX OCC LOAD <br />�� <br />PLUMBIN'. <br />7 <br />'I( <br />80.E ZONE <br />BASEMENT <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES (4N6 <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 FNVIRONAIENTAL CHECKLIST <br />PENALTY <br />SEC <br />SEC bRll <br />�-C <br />2 BUILDING PLANS <br />TOTAL <br />B FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADING4 XCAVAT ION& CLF ARINGIGRUBLING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY=CHECKIDAPPR <br />FOR ISSUANCEBY <br />9179 <br />