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BTR Evergm" <br />CITY OF <br />APPLICATION FOR <br />%%. ONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT. WA 96201 ❑COMBINATION <br />ARCHITECT OR DESILNIR <br />❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />everelE <br />e <br />GENERALCONTRACTOR ) S AR AD00.E55 CITY ZIP PHONE LICENSE P <br />❑NEW 2ADDITION ❑AUTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />vATOATIor+oTWORK <br />IQ�m- O� <br />DESCRIBE WORK <br />PROPOSED USE Of BUILDING <br />" <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 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 />�ICUAILJNi51F-FACED OR AUTHORIZED AGENT DATE <br />/ <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BILOW'OR ATTACH TOUR COPIES) <br />C'hE S <br />LOT _.f- BTocK� or t <br />JOB ADDRESS j,.< / <br />PLUMBING IVO/ElA/1 y <br />MECHANICAL [C1 J'lG L <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOLLE) <br />BATHTUB <br />AIR COND UNITS -HP EA <br />REFRIGERATION UNITS -HP EA <br />LAVATORY (WASH BASIN) <br />BOILERS -HP EA <br />SHOWER <br />GAS FIRED A C UNITS -TONNAGE EA <br />KITCHEN SINK & DISP <br />FO'CED AIR SYSTEMS-B T U M EA <br />DISW'ASHER <br />WALL HEATERS -BTU M <br />LAUNDRYTRAY <br />UNIT HEATERS -BTU M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS -RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE -BAR. ETC I <br />SUIT TOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />�y <br />/aW/ ') z <br />PLAN <br />FEE y3 <br />� b_ <br />CHECK FEE <br />RECEIPT NO. <br />y )'_S,C-) <br />USE ZONE <br />LOT AREA <br />VACAN.�T;jITf <br />❑YES ENO <br />FEES <br />VALUATION <br />FEE <br />TYPE OO'F"CONST <br />-r • ) <br />OCCUPANCY GROUP <br />"_ I <br />NO OF 0 ILLING UNITS <br />/ <br />BUILDING <br />S <br />7 <br />SIZE OF BLDG <br />ai6K x /C, ,� <br />NO OF STORIES <br />C <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />IIk DROOMS <br />FIRE SPRINKLERS <br />RFQUIREQ <br />Lim O <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />T ENVIRONMENTAL CHECK LIST <br />PI NAL tY <br />UBC <br />SEC 303(a) <br />2 BUILDING PLANS <br />TOTAL <br />(�Zr <br />rr <br />SC <br />FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />WHEN PERMIT VALIDATION <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GEADINOLXCAVAT ION& CLEARINC!GRUBBING <br />6 DRA..JACE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />' <br />S HEALTH DISTRICT <br />APPLICA1ION ACC BY Pt SNS CHECKED BY <br />APPR FOR ISSUANCE By <br />