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APPLICATION FOR ki <br />everett Ur PE MI TION <br />DfPf. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT,WA98201 []COMBINATION )<RUILDING L�MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MARADDRISS LILY m rn'rvl <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ln• 1•11011 <br />GINIIIAL CONTRACTOR MAIL ADDRESS CITY LIP 1`110HT un !al R <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑AITIRATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />vnwnuuN or ra. n/xil� 00 <br />S �O dD. <br />OISCRPII NUR!, r1" r-SoL <br />li,forA//_AI LL S v <br />rporLnmu I Or Run oAwr. _ A <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 />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 ONTRACTOR OR AUT14ORIZED AGENT DATE <br />y <br />OGAI DISCRIPTIONOI PROPIRIY (StIf1WN NIIOW OR ATTACII TOUR C P,BMA <br />7OF <br />lOi �( BIOCK,:,a&.Or <br />Infl AnnR155 _ ��j <br />Eli <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITO B 71 <br />AIR COND UN,7S-H P EA <br />11ATHTUB <br />REFRIGERATION UNITS -HP [A <br />_ <br />I AVATORY(WASH BASIN) <br />BOIL IRS-14P EA <br />SHOWER <br />GAS IIRID AC UNITS -TONNAGE EA <br />KITCHEN SINK&UISP <br />FORT ID AIR SYSTEMS -BTU MEA <br />01SWASHIR <br />WAIT HIATIRS-BTU M <br />LAUNDRY TRAY <br />UNIT HFATLRS-BTU M <br />C IOTHIS WASHI R <br />I t'AI'ORATIV[ COOL[ ITS <br />WATER HEATER <br />I'IOTHIS DRYERS <br />URINAL <br />S'INIILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />F IOOR DRAIN <br />AIR HANDLING UNIT- C I KI <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINi-RAINLUDERS <br />Mt TAT I IRI PIACI A CHIMNEY <br />SINK (SIRVICF-PAR, ITC I <br />SUB TOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />SIDI YARD SI I IIAC K <br />SHF[II SI IIIATK <br />RI AR YARD 51 TRACK <br />PLAN CHECK NUMFIR R <br />PLAN <br />III <br />L'HICK It <br />RECEIPT NO. <br />USI ZONE <br />TOT ARIA <br />VACANT Sill <br />❑Yf S ❑NO <br />ICES <br />VALUATION <br />FIT <br />TYPE OF CONS1 <br />OCCUPANCY GROUT' <br />NO Of OWL IT ING UNITS <br />MAX OCC LOAD <br />BUILDING <br />S C d t C <br />(� <br />1. <br />SIZE Of BLDG <br />NO Of STORIES <br />PLUMBING <br />FIRE ZONE <br />BASIMENI <br />III OR(EOMS <br />IND SPRINKLERS <br />REQUIRED <br />AYES f)NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK Ilit <br />PINAIIY <br />U OC <br />SIC ROD) <br />7 BUILDING PLANS <br />TOTAL <br />"t <br />I TIRE HYDRANT <br />A IBI PROTECTION SYSTEM <br />S C•RAOIN6I J AYAT ION A CI I ARINGICRUBBINC. <br />- <br />%kRMNTIXOP R EALIDY VAIIDAH D(IN 71415 SPACU TI4IS IS YOUR PERMIT <br />6 DRAINAGE <br />- [NVIR^NME•IIAI IMPACT S7A7IMINT <br />A. HEALIHDISTRICT <br />