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E <br />the PWrgw" APDLICATION FOR <br />CITY OF C„JNSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVER EAT, WA9820T ❑COMBINATION ElBUILDING 12_..MECHANICAL ❑PLUMBING PERMIT NO. <br />ARCHITECT OR DESIGNER <br />MAII <br />ADDRISS <br />V CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL <br />ADDRISS <br />CITY <br />ZIP <br />PHONE <br />IICENSIR <br />MICHANICAI CONTP ACTOR <br />MAIL <br />ADDRISS <br />CITY <br />ZIP <br />PHONE <br />LICENSES <br />PHONE <br />LICENSES <br />PLUMBING CONTRACTOR <br />MAIL <br />ADDRISS <br />CITY <br />ZIP <br />IIAI) Vl WVRR / <br />❑NEW ❑ADDITION ❑ALIFRATION ❑REPAIR ODEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAIUAI ION OF WO <br />S <br />DLSCRIBI WORK <br />PROPOSED USE Of BUI'.DING <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 />OP 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 Ot CONTRACTOR OR AUTHORIZED AGENT DATE <br />v f <br />A � <br />T' t <br />LIGAI DISCRIPIION OF PXOPERTI ISHOWN BELOW OR ALTACH $OUR COPIES) <br />Lot _RLOCK_or <br />I <br />5!Lbi �` 3CQ <br />! <br />TOR ADDRI I DO 1 <br />PLUMBING <br />MECHANICAL F <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATT R CLOSET I TOLII 1) <br />AIR COND UNITS —HP EA <br />BATHTUB <br />R[FRIGIRATION UNITS —HP [A <br />LAVATORY (WASH BASIN) <br />BOILERS —HP IA <br />SHOWER <br />CAS FIREDAC UNITS —TONNAGE EA <br />KITCHEN SINK & DISP <br />IORC[D AIR SYSTEMS-B T U MIA <br />DISWASHFR <br />WALL HLATIRS-H T U M <br />tAUNDRY TRAY <br />UNIT HEATERS-B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />W%A1 f R HE A7 E R <br />CI OI HE S DRYS RS <br />URINAL <br />VINTILATION FAN <br />DRINKING FOUNTAIN <br />RANG[ HOOD <br />I LOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BR[AKIRS <br />Sim( <br />ROOF DRAINS-RAINLt ADI RS <br />MI T A1. F IRE PLAC I A CHIMNL Y <br />SINK(SIRVICI -BAR ITC) <br />SUBTOTAL <br />SUBTOTAL IF <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAI FEL IF <br />SIG[ YARD SETBACK <br />STRUT SETBACK <br />RIAR YARD SI IBA( X <br />PLAN CHICK K iMBIP <br />PLAN <br />FIT <br />CHECK FLI <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY CROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLOC <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />BIOROOMS <br />IWE SPRINKLERS <br />RIQUIRID <br />"YES [IND <br />MECHANICAL <br />_ <br />APPROVALS <br />RY <br />DATE <br />OTHER <br />t ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC. <br />SEC. SBI(A) <br />i BUILDING PLANS <br />TOTAL <br />J FIR[ HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT <br />5 CRAOINCA XCAVAT ION& Cl I ARINGGRURBING <br />- <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT SIAI[M(NT <br />& HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY APPR FOR ISSUANCE BY <br />