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EAR Ewr91R1?A <br />CITY OF <br />AP°LICATION FOR <br />WNSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY 1/ALL 2599745 <br />EVERLTT, WA 9RZD1 ❑COMBINATION <br />DESIGNER <br />MAIL <br />❑ BUILDING <br />❑MECHANICAL ❑PLUMBING PERMIT NO. <br />PHONE <br />e <br />MICHANICAI CONIFACIOR / MAIL ADDRIY) <br />PHONE LICENSES <br />PIUMRING CONTRACTOR MAII ADDRISS <br />CIE\ ZIJ <br />CE ASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERA11ON PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE CIBUILDING RELOCATION <br />VMUMION OF WORK <br />L - <br />DISCRIM WORK . ,- 1.1 <br />Dust 01 RUIIDING <br />LIGAL DISCRIPTION OF PROPIRTY ILIOM'N RI IONOR AAfITACN FOUR COPIESI <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 WOKK 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 />5• <br />ANY OTHER STATE OR LOCAL LAW KtGULAnnC. CO NJ I nvv rvn <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNA7URI OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />1 <br />1 <br />ADDRESS � <br />�OH <br />_ <br />CHANICAI <br />PIUM�ING <br />- <br />NO. TYPE OF EQUIPMENTFfE <br />YPE OF FIXTURE FEE <br />NOM-E <br />IR COND UNITS -HP FA <br />W7(TOLIETI <br />RIfRIGERATION UNITS -HP EABflAS <br />fA <br />LASM flASINIGAS <br />FiR-HP <br />fIRfD ACVN17S-10NNAGF FA <br />S{OPCIp <br />AIR SYSTEMS -BTU MFA <br />Kb pl$PWAll <br />MIA1ERS-B1U M <br />DUNIT <br />HIATfRS-H T V M <br />UY <br />L VAPORAIICt COOLERS <br />CLOTHES WASHER <br />CLOiHFS DRYIRS <br />WAI[R HEATER <br />VE N71LAilON {Ah <br />URINAL <br />DRINKING IOUNIAIN <br />RANCI MOOD <br />AIR HANDLING UNIT- C f M <br />I IOOR DRAIN <br />STOVE <br />VACUUM BRLAKIRS <br />METAL FIREPLACE 8 CHIMNEY <br />META <br />-� <br />BOO{ DRMNS-RAINLIAI RS <br />SINK (SERVICE -BAR. ETC) <br />SUBTOTAL S <br />SUS TOTAL <br />PERMIT S <br />PERMIT <br />S <br />TOTAL F[E S <br />TOTAL LLE <br />S <br />PLAN CIICCK NUMBER PLAN CHECK it[ <br />SIUF ACK <br />SiRC[T SETBACK REAR <br />YARD SETBACK <br />FEE RECEIPT NO <br />EEFS VAllU710N ;It <br />USE ZLOT <br />ARIA <br />VACANT Slit <br />❑YE$ ❑NO <br />S <br />TYPE <br />OCCUPANCY CROUP <br />NO OF OWEILING UNITS <br />BUILDING 3, 00o 3 <br />SIZE <br />NO O{ STORIES <br />MAX OCC LOAD <br />AB <br />PLUMBING <br />FIRE BASEMFNT III DROOMS <br />IIREREQgEINKLLRS <br />MICISANICAI <br />f]YFS E1N0A►►ROVAIi <br />SY GATE <br />OTNIP <br />UPCPENALTY SEC BOAR) <br />1 EN TAL CII I CK LIS T <br />2 BANS <br />TOTAL <br />J 1NT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHBN PROPERLY VALIDATED IN THIS SPAC[I THIS IS YOUR PERMIT <br />A GRADINGIIXCAVATIOAI6CLIARINGICRUBBINC <br />6 DRAINAGE <br />7 ENVIRONMINIAL IMPACT STATEMENT <br />