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the EYRryE,ND APPLICATION FOR <br />CITY OF CONSTRUCTIO% <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT, WA 9R201 []COMBINATION <br />...... .� M\ll ADD, <br />❑ BUILDING <br />❑MECHANICAL ❑PLUMBING PERMIT NO. <br />S� ML <br />C[NtRAL CONTRACTOR <br />MAII ADDRlS! <br />CI1Y LIP <br />PHONE LICENSE I <br />{{ <br />CITY ZIP <br />PHONE LICENSE 1 <br />MICIIANICAL CONTRACTOR <br />MAIL ADDRESS <br />PIUMWG CONTRACTOR <br />MAIL ADD IF SS <br />City ZIP <br />PHONE LICENSE IF <br />CI MS Of WORK <br />❑NEW ❑ADDITION <br />ALTERATION ❑REPA!1. <br />❑DEMOLITION ❑FENCE ❑SIGN <br />❑GARAGE ❑BUILDING RELOCATION <br />YAlCy1LON OI WORK <br />D[SCFURl WORK <br />'OcND i-v AL O CN A"<' EA Lli <br />: tin. -A Av I�- <br />PROPOSIDUSE of BUILDING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />ItCAI DISCRI ION or PRooI RiY I»TOWN BuoW OR Mu01 IouR coNlsl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />lot _81OCK__01' OR NOT -HE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL TI!E PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />I IGNATURT OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />JOB +DDRIss <br />PLUMCIN4 <br />NO,WDISP <br />PE Oi FI%TUBE <br />NO. <br />TYPE OF EQUIPMENT <br />TEE <br />ITOtDT) <br />AIR COND UNI1S—H P EA <br />REFRIGERATION UNITS —HP U <br />SH BASIN) <br />KITCHENb DISP <br />VFIE <br />BOILERS —HP FA <br />GAS FIgfU AC UNITS —TONNAGE [A <br />100.CID Alq 515tlMS—BTU M EA <br />WALL HEATIRS-0IU M <br />UUNDRY TRAY <br />UNIT Hf AiF 0.5—tl 1 U M <br />CLOTHESWASHER <br />LV Y COOLERS <br />WATIR Ht A11R <br />RTIRS <br />OTITIS DRY[ <br />URINAL <br />VENTILATION RAN <br />DRINKING FOUNTAIN <br />RANGE OCD <br />I LOOK DRAIN <br />AIR HANDLING UNIT— CIM <br />VACUUM BREAKERS <br />VE <br />ROOF DRAINS—RAINLEADI RS <br />E b CHIMNEY <br />MME TAI AI 11REPUCI <br />SINK [SERVICE —PAR, TIC) <br />SUE TOTAL <br />PERMIT <br />{ — <br />SUN TOTAL <br />PERMIT <br />S <br />S <br />TOTAL FEE <br />F <br />TOTAL FEE <br />S <br />SIDE YARD St TRACK <br />STREET SETBACK REAR <br />YARD SI TRACK <br />PLAN CHICK NUMBER <br />C!.ECK <br />fit <br />FEEp <br />RECEIPT NO <br />USE ZONE <br />I.OF AREA <br />VACANT 5 TL <br />❑YES A0 <br />FEES <br />VALUATION <br />FEE <br />IYPf OF �N ST <br />N <br />OCCUPANCY GROU P NO <br />FLl' <br />OF DWELLING UNITS <br />3 <br />BUILDING <br />S <br />SIZE OF R� <br />NO OF STORIES <br />' <br />MAX OCC— JOOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />�S <br />BEDROOM% <br />FIRE SPRINKICgS <br />REQUIRED <br />ETY15 . NO <br />MICHANICAL <br />APPROVALS <br />RY <br />DATE <br />OTHER <br />i ENVIRONMENTAL CHECK LI57 <br />PENALTY <br />SulRC <br />C J04a) <br />2 BUILDING PLANS <br />TOTAL <br />S FIRE HYDRANT <br />A FIRE PROTECTION SYSTIM <br />PERMIT VALIDATION <br />W HEN PROP) RLV VALIDATED TIN THIS SPACE) THIS IS TOUR PERMIT <br />5 GRADINGR XEAVAIIDNb CIURINGIGRUBRING <br />6 DRAINAGE <br />T ENVIRONMENTAL IMPACT STATEMENT <br />b HEALTH DISTRICT <br />APPLICATION ACC RY <br />PLANS CHECKED BY <br />V. <br />APPP FOR 135UANCf BY <br />9.179 <br />