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N <br />A\PPLICATION FOR w <br />FETE"ro`°°" <br />CITY OF CONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT•WA98201 ❑COMBINATION BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADDRESS CITY ZIP PHONE p / <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHon[ <br />ARCHIGNE ITTCT OR DESR <br />-s-el F <br />MAIL ADDRESS <br />CITY <br />LP <br />PHONE <br />UCFNSEE <br />Gf NtRAL CONTPACTOR <br />CITY <br />ZIP <br />PHONE <br />LICENSE E <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />III' <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS Of WORK <br />MNFW ❑ADDITION ❑ALTERATION ❑RI: PAIR ❑DEMOLITION XFENCE ❑SIGN ❑GARAGE Cl BUILDING RELOCATION <br />\PIVAIION Of WORK ' <br />F r)I"D TY% poi ,A/y ✓ mil / � / C�a:tJ �✓.vk P/�v'C/P, <br />DESCRIBE WORK <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PROPOSED USE OF BUILDING <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 COMPIFFD WITH WHETHER SPECIFIED HEREIN <br />LEGAL DEscxlPnoN OF PRortuTY (vlowN xEtow OR AT1:(H fouR corns) <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT BLOCK OF <br />OR CANCEL THE PROVISIONS OF <br />r <br />GIVE AUTHORITY TO VIOLATE <br />ANY OTHER STATE OR LOCAL LAW REL:ULATING CONSTRUCTION <br />c-' <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />/�x <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE •S/�/ <br />�Q <br />X .C-G ccVV//KKKK <br />IOIT ADURl55 <br />MECHANICAL <br />PLUMBING <br />FEE <br />FEE <br />NO. TYPE OF EQUIPMENT <br />NO. TYPE OF FIXTURE <br />AIR COND UNITS -HP EA <br />WATER CLOSET (TOLIET) <br />REFRIGERATION UNITS—H.P EA <br />BATHTUB <br />BOILERS —HP LA <br />LAVATORY(WASH BASIN) <br />GAS FIRED AC UNITS —TONNAGE EA <br />SHOWER <br />FORCED AIR SYSTEMS —BTU. M EA <br />KITCHEN SINK & DISP <br />WALL HEATERS —BTU h1 <br />DISWASHER <br />UNIT <br />LAUNDRY TRAY <br />EVAPORATIVE CODIFIES <br />CLOTHES WASHER <br />CLOTHLS DRYERS <br />WATER HEATER <br />VENTILATION MN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT— C F M <br />tI00R DRAIN <br />VACUUM BREAKERS <br />770VE <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR. ETC I <br />SUE TOTAL <br />S <br />SUE TOTAL <br />PERMIT <br />3 <br />PERMIT <br />3 <br />TOTAL <br />FEE <br />3 <br />TRACK <br />TOTAL FEE <br />STREET SETBACK REAR <br />S <br />YARD SETBACK <br />P-AN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />NO, <br />SIDE YARD St <br />FEE �7 <br />RECEIPT <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />OYES ONO <br />TYPE OF CONST <br />OCCUPANCY GROUP NO <br />OF DWELLING UNr i4 <br />BUILDING <br />S <br />3o'z <br />SE <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />BCOROO.AS <br />FIRE SPRINKLERSREQUIR <br />MECHANICAL <br />OYES ONO <br />APPROVALS <br />EY DATE <br />OTHER <br />PENALTY <br />U.BC <br />SEC 303(a) <br />T ENVIRONMENTAL CHECK LIST <br />TOTAL <br />2 BUILDING PLANS <br />7 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADINGIL XCAVAT ION& CLt ARINGIGRU BBI NC <br />_ <br />5 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />E HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />9.1 71 <br />w <br />