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IN EKBIyHEPfI <br />CITY OF <br />everett <br />APIICATION FOR <br />CONSTRUCTION <br />PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA9R201 ❑COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWMR MAIL AOORISS CITY ]IP PHONE <br />/ ^%Y %C 1SfN 5 <br />ARCHIII(IOR OR OI SIf.NIR MAIL AOORI Sy (III lIP PHONE <br />Cl NI RAI CONTRA( FOR MAIL ADDRISS CIA ZIP PHONE LICENSE R <br />r71iE/R Nh �'nPI ri Y 5'3/V T'71 Z�yeYG%� 3Sl-Yl /1l JZ%-o/-Ge-'ed-'f--k�ir. <br />MECHANICAL CONTRACiPR Au❑ ADDRISS I Ely /IP PHOM lIQNST F <br />1`11NIUNC(UNIRA(C1OR MAII ADDRISS (ITV ZIP PHONE IICFNSfI <br />❑NIT ❑ADDITION ❑ALTERATION WRIEPAIR ❑D(MOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />5 M I AT ION OI N ORA <br />I11M IHI Nf1RA <br />/ejew CP - C 111 <br />PR0POM111 M (11 RUI DING <br />UCA'P"t RIPUON 01 PROM RA DHOA1 RDO" OR An A( H TOUR TOM M <br />IOl 6-..7 mock 9 Or I .y / JY <br />I HI. RUBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICAT ION 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 />X G- ' L —2o—fie <br />wR ADDRISS <br />3 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />TEE <br />WATER CLOSET ITOLIII) <br />A'RCOND UNIIS-TIP LA <br />BATHTUB <br />RTIRBA RATION UNITS -LIP fA <br />I AVATORY ("'ASH BASIN) <br />BOIL I RS -LIP EA <br />SHOW I R <br />LAS I IRI D N C UNES- TONNAGE LA <br />KHCHI N SINK A DISP <br />[OR( 1D AIR SYSTEMS -BTU M EA <br />pISW ASHIR <br />SS'AII HEAIIRS-fl I M <br />IAUNDRS IRAY <br />Uh11111 Ail RS -flTU M <br />CIOTHLS WASIIIR <br />IVAPORAFIVI COOLERS <br />WATER HIATIR <br />CI011115 DRYERS <br />URINAL <br />%IMITATION TAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />II OOR DRAIN <br />AIR HANDI ING UNIT- C T M <br />VAC ' 1M BEEF AKE RS <br />510Y'1 <br />ROOF ORAINS- R SINE t MH RS <br />ME I At I IRI PLATE A CHIMNI Y <br />SINK ESE RVICI -OAR. ITC 1 <br />SUN TOTAL <br />SUBTOTAL IF <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />I <br />TOTAL FEE B <br />SID, YARD S1 TB.ACK <br />STRHI SETBACK <br />RI All YARD SE TIIA(A <br />PUN OII C), NUMHIR <br />PLAN <br />11E <br />CHECK 1Fl <br />RECEIPT NO <br />USE ZONE <br />LOT ARIA <br />VACANT S11( <br />OYES ENO <br />ELES <br />VALUATION <br />FEE <br />_ <br />TYPE Of CON51 <br />OCCI,vANCY GROUP <br />NO 01 DWEHINGUMIS <br />BOIIDINC. <br />S <br />SIZE OF BLDG <br />NO OE STORIES <br />MAX OCC LOAD <br />PI U.MHING <br />FIRE ZONE <br />BASEMENT <br />IIIUROOMS <br />RQUIREDKEENS <br />E7Yf5 L1N0 <br />ME(HANK AI <br />- <br />APPROVALS <br />BY <br />DATE <br />OTHIR <br />1 ENVIRONMENTALCHtCK HST <br />PENAL II <br />UBC <br />SIC LDl(a) <br />Z BUILDING PLANS <br />TOTAL <br />FIRE HYDRANT <br />A FIRE PROIECTION SY511M <br />PERMIT VALIDATION <br />WIII N PROPERLY VALIDA11D TIN THIS SPACH THIS 15 YOUR PERMIT <br />5 GRADINGI M AVAI ION A (L I ARINGIGRUBRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT SIATIMENT <br />R HEALTH DISTRICT <br />APPI IUIION ACC BY PUNS CHECKED By <br />AFTER FOR 15SUANCE By <br />