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A-PPLICATION FOP —7 <br />th <br />e .:ONSTRUCTION 16 <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL COMMUNITY <br />EVEREtt,wneezoT COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />MML AD//IDINf SS //JJ CITY ZIP PHONE ) <br />DW NER n D _ 5� !� J��/_,✓�'JZ. /. /IFLF.fi[/. �J 7-13i 2- . <br />-'?P 40// <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />YXUNt <br />ADDRESS <br />LICENSE I <br />rN t s -i/C <br />LICENSE <br />s i7)h;,✓ <br />LICENSE I <br />CLASS Of WORK <br />❑NEW ❑ADDITION ❑ALTERATION KREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />VAIVATION Of WORK ��11 CT c' <br />L <br />DESCRIBI WORK <br />PROPOSED USE Of BUILDING <br />LEGAL DISCRIPHON Of PROPERLY(SHOWN BELOW OR ATTACH <br />/FOUR COPIES) / <br />LOT - BLOCK �!� OF <br />..,,// <br />J� 17 � /L <br />IOBADDRESS// •)�A /L�u <br />PLUMBING <br />NO. TYPE OF <br />WATER CLOSET ITOLIE <br />I <br />WER <br />HEN SINK UI UISPASHFRDRY TRAYHES WASHERER HEATERALKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF GRAINS—RAINLEADERS <br />SINK LSE RVICf —BAR, ETC 1 <br />FEE <br />SUB TOTAL <br />PERMIT S <br />TOTAL FfE S <br />YARD SITBACK STREET SCTBACK RUR YARD S <br />EONf LOT AREA yACALT SITE <br />DYES ENO <br />YPE OF CONST I "11"-- --- <br />OF BLDG <br />'IRE ZONE <br />NO OF STORIES <br />BASEMENT III OROOMS <br />OCC lOAO <br />MAXTZE <br />FIREREQSREDKLFRS <br />7,YFS [-NO <br />A►PROVALS <br />BY DATE <br />1 ENVIRONMENTAL CHECK LIST <br />I BUILDING PLANS <br />7 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />S GVADINGII XCAVATION A CLIARINGIGRUBBING <br />b DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />0 HEALTH DISTRICT <br />APPLICATION ACC BY PUNS CHECKED BY <br />APPR FOR ISSUANCE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED I <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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />MECHANICAL <br />aTYPE OF EQUIPMENTD UNITS —HP EARATION UNITS—H P FAS—H P EAED AC UNITS —TONNAGE EA AIR SYSTEMS—B T U M EAEATERS—BTU MEATERS—BTU MRATIVE COOLERSES DRYERSATION FAN <br />AIR HANDLING UNIT— CFM <br />STOVE <br />METAL FIREPLACE 6 CHIMNEY_ <br />SUBTOTAL S <br />PERMIT S <br />TOTAL FEE S <br />PLAN CHECK FEE <br />FEE I RECEIPT NO. <br />BUILDING <br />S <br />ING <br />ANICAL <br />R <br />!VINALTY <br />UBC <br />SEC 703(A) <br />TOTAL <br />PERMIT VALIDATION <br />THIS SPACE) THIS IS YOUR PERMIT <br />WHEN PROPER Y V.AL <br />IDAI ED UN <br />