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everett <br />4PPLICATION FOR <br />CONSTRUCTION <br />PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT,WA98201 EICOMBINATION <br />OWNER MAIL ADDI <br />BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />,ve <br />9 <br />G V/ ZIP <br />_LzARCHITECT OR DESIGNER MAIL ADDRESS CITY <br />CITY 21P PHONE LICENSE 11 <br />GENERAL CONTRACTOR nEA1L ADDRESS _ _ _ - l `r y_­7 //-/ / <br />PLUMBING <br />MAIL <br />Lily <br />PHONE %LICENSE 0 <br />PHONE LICENSE I <br />CLASS OF WORK <br />❑NEW ❑ADDITION DALTERATION REPAIR []DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK _— <br />CC <br />S <br />/�ed- <br />DESCIIIBE WORK J / J F�OO'] <br />Aeroo -r h��u . e /4/i oue 1//G� la��i c C <br />PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION BE TRUE AND CORRECT ALL <br />PROVI$ PROVISIONS OF LAWS AND ORDINAONCES GOVERNING THIS TYPE <br />LEGAL D15CRIPTION OF PROPERTY ISHOSYN,BELOW OR AT ACE, FouR I[ESI OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />LOT BLOCK __(_2_— OF OR I NG OF A PERMIT DOES NOT PRESUME TO <br />GIVE OAUTHOR AUTHORITY TOT. THE IVIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />3 93 / - oo a /> —OG70 SIGNATURE OOF//9ONTRACTOR OR AUTHORIZED AGENT DATE <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FE <br />NO. <br />TYPE OF FIXTURE <br />WATER CLOSET TO 'IT) <br />BATHTUB <br />NH GOUNITS-H P <br />R Ef RIGERATION UNITS-1111 P [A__ <br />ISOIL[RS-H P. CA <br />LAVATORY (WASH BASIN) <br />GAS F1RfD AC. UNITS-TONNAGk LA <br />- <br />SHOWER <br />KITCHEN SINK & DISP. <br />• <br />DISWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />_ <br />FORCED AIR SVSTf MS-0 T.U. M[A <br />WALL 11EATCRS-13.T.U. ht <br />UNIT HE AT[RS-R.T U. Ni <br />EVAPORATIVE COOLER -- <br />CLOTHES DRYERS <br />VL NTIIATICN FAN <br />URINAL <br />-- <br />RANGCHOGD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT- C.F.M. <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />A1f.TAl FIREPLACE &CHIMNEY <br />ROOF DRAINS -HAMLEADFR$ <br />SINK (SERVICE -BAR, FTC) <br />SUB TOTAL S <br />_ <br />SUB TOTAL <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE $ <br />_ S <br />TOTAL FFE <br />PLAN CHECK FEE <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK <br />PLAN CHECK NUMBI R III RECEIPT NO. <br />USE ZONE LOT AREA VACANT SITE <br />FEES VALUATION V <br />OYES ONO <br />TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br />BUILDING 4 <br />SIZE OF BLDG. NO. OF STORIES MAX. OCC LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT BI DROOMS REQUIREDKLENS <br />MECHANICAL <br />ClYFS f'.NO <br />APPROVALS <br />BY DATE <br />OTHI'.R <br />1 ENVIRONMENTALI'INAITV CHECK LIST <br />VH l <br />l103(:+I <br />2. BUILDING PLANS <br />TOTAL <br />J. FIRE HYDRANT <br />SYSTEM <br />PERMIT VALIDATION <br />VALIDATED (IN T1115 SPACE) THIS IS YOUR PERMIT <br />4. FIRE PROTECTION <br />\'MIEN PROPERLY <br />S. GRADINGIEXCAVATION & CLEARINGICRUBIIING <br />