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AP. LICATION FOR 2Y�FlIE <br />CCEYOF°"° CONSTRUCTION e <br />CITY of <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT WA98201 ACICOMBINATION El BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OW YY""'l M AODRI is cIT1 llr 'HONE <br />355 <br />A0.CNFCI ORCI <br />ILN1^\ I M`IL'AODRI51— `''Clti^ ZIP PHONE <br />6-6�?7 <br />✓ <br />MMI ADDMSS <br />CITY <br />/IP <br />PNONE <br />LICENSE If <br />LTNIRM CONTRACTOR <br />DLo <br />r Qr <br />%%ICHANILU CONTRACTOR <br />MAIL ADORi 55 <br />CITY <br />21P <br />PHONE <br />LICENSE 1 <br />pit,,1r.L('ONTR It <br />MAIL ADDRISS <br />CITY <br />LP <br />PHONE <br />LICENSE <br />C IIA�AJ\A Or WORK <br />174uFW ❑ADDITION ❑ALTERATION ❑REPAIR []DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\MDAHONOT WORK <br />D1 Al'RHO WORK ` <br />.J V>4 ' a <br />PROPOMD Du W BDItoINc <br />. L t2 �r l <br />T <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 />SIGNATURE F CONTRAC70R OR AUTF IZED AGENT DATE <br />s .S <br />Xaamuna <br />PI�CQ <br />uuI nI SCRIPrro. or PaoRTnwn MWN xW'OR AITACII IOU0. COPII SI <br />101aj.G.F_ HIOCKS1L Of 2 GY ` <br />HIS ADDRI55 32c'�[sQV ��S <br />rJ S <br />PLUMBING <br />�F NICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />Of <br />$VATtR CLOSET(JOLIET) <br />AIR CON) UNITS -HP EA <br />BATHTUB <br />E� <br />RF FRIG[ RATION UNITS -HP EA <br />1 AVATORY(WAS" BASIN) <br />d� <br />RoIIIRS-HP EA <br />SHOWER <br />CAS FIRED AC UNITS -TONNAGE [A <br />I ORCED AIR SYSTEMS-B T U M EA <br />KITCHEN SINK 8 <br />(] <br />DISWASHER <br />WALL Hf ATFRS-BTU M <br />IAUNDRI TRAY <br />UNIT Ht A7t RS-II1U M <br />CLOTHES VVASHER <br />WATER HEATtR <br />QO <br />IVAPORATIVE COOLERS <br />CIOTHIS DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLE AD[RS <br />STOVE <br />M17AL FIREPLACE A CHIMNEY <br />SINK (SERVICE --BAR. ETC) <br />SUB TOTAL <br />SUB TOTAL s <br />L <br />PERMIT <br />TOTAL TEE <br />s <br />11 <br />PERMIT S <br />TOTAL FEE S <br />G\ <br />5` FYARD ST iB�CK <br />E <br />STREET SETJACK <br />/ <br />REAR YARD SETBACK <br />PLAN C R Uh1R R <br />� <br />Ft[ p�PLAN <br />RICEKPTEN0 <br />Y/FEE (J <br />USE ZONE <br />LOT AREA <br />a on � <br />VACANT S(IE <br />�ES ONO <br />FEES <br />VALUATION <br />TYPE OF1 CON <br />IMi�VI fpIy <br />OCCS UPANCY GROUN'J <br />JI I\ {{1+�`K <br />NO OF DWELLING UNITS <br />11LIIL DING <br />S� <br />SIZL OF BLDG <br />ADUI 31 / <br />NO OF 5 ORIIS <br />MAX OCC lOAD <br />NUMBING <br />FIRE ZONES <br />BASUfNT <br />ItI HRoomS <br />RSPRINKLE R$ E <br />IRER <br />EYES No <br />MICHANICAL <br />L <br />VC <br />V <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PI NAI71, <br />U B C <br />SEC 101(al <br />2 BUILDING PLANS <br />TOTAL <br />T FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />1 9 <br />` `- <br />5 GRADINGIt X(.AVAIIONBCLt ARINGICRUIIRINC. <br />6 DRA!NAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8 HEM Tit DISTRICT <br />9 <br />