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AP (CATION FOR e <br />GITYOFrw <br />CWNSTRUCTION 0 <br />everett PERMIT <br />UEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 25"745 <br />EVERETT. WA9e201 []COMBINATION BUILDING ❑MECHANICAL ❑►LUMBING PERMIT NO. <br />MMl ADDRISS CIT �7 <br />LIP <br />/17vL .1. • .�. PHONi <br />ZIP PHONL EMAIL P <br />PLUMBING CONTRACTOR MAIL AVOWS <br />CITY <br />CLASS Of WORK <br />❑NEW ❑ADDITION []ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />VALUATION Of WORK <br />PROPOSIU US[ OI BUILDING <br />LLCM DISCRIPHON Of PRO0.IRIY (SHOWN BT1OW OR ATTACH TOUR COPNSI <br />LOT - BLOCII - 01 <br />I HEREBY CERTIFY THAT 1 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 CONSTR �T�I[ON. <br />SIGNATURE Ojrel!) 7R TOR OR AUTHOR FIT <br />� DATE <br />TOR ADDRISS <br />c , <br />MECHANICAL <br />PLUMBING <br />NO TYPE OF EQUIPMENT <br />FEE <br />NO. TYPE OF FI%TUBE <br />FEE <br />AIR CUND UNI75—H P IA <br />N'Ail A CLOSET Ii011E 11 <br />REI RIGLWA70N UNITS-H P LA <br />RAI MIUB <br />BOILLPS-HP EA <br />LAVAI ORY I W ASH BASIN( <br />GAS FIRED AC UNITS -TONNAGE [A <br />SHOWER <br />FORCED AIRSYSTEMS-BTL AA EA <br />KITCNLN SINK A DISP <br />WALL Hk A7LRS-0 7 U M <br />DISWASHEIF <br />UNIT H[AHRS-BTU M <br />LAUNDRI TRAY <br />IVAPORATIV[ COOLERS <br />CLOTH( S W ASHER <br />CLOTHES DRYI RS <br />WATER HEAIIR <br />VINTILAIION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT- C F M <br />FLOOR DRAIN <br />STOVE Ou IF <br />VACUUM BREAKERS <br />M17AL FIREPLACE A CHIMNEY <br />ROOF DRAINS-F..YINLFADERS <br />SINK (SERVICE -BAR. (ICI <br />SUBTOTAL <br />S <br />SUB TOI.AI <br />PERMIT <br />S <br />PERMIT <br />F <br />TO1Al FILL <br />S <br />TOTAL FEE <br />IF <br />PLAN CHECK NUMBER <br />CHECK FEE <br />SIDE YARD S(TRACK STREET SLTRACK <br />FILAR YARD SF'OACK <br />EAR <br />it[ <br />RECEIPT NO <br />USE ZONE LOT AREA <br />VACANT SITE <br />FEES VALUATION FEE <br />❑YES ONO <br />_ __ nrrrio•NrY CROUP <br />NO OF DWELLING UNI75 <br />OF <br />SIZE <br />APPROVALS �Y <br />I FNVIRONAILNTAL CHECK LIST <br />Y rum DING. PLANS <br />r ImI HYDRANT <br />• DRI PROTECTION SYSTEM <br />5 GRADING'[K(AVAIIONRCIIARINGIGRUBBING <br />A DRAINAGE <br />P INVIRONMINTAL IMPACT STATEMENT <br />SGCAIUPCSEC <br />V <br />T0%•1ALIDATIONOPIRIS <br />THIS IS YOUR PERMIT <br />VALIDATED <br />BN THIS SPACEI <br />R HEALlMD157RICI <br />APPLICATION ACC BY PLANS CHECKED BY APPR TOR ISSUANCE BY <br />91.;9 <br />