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ARPLICATION H <br />Or3TRUCTIO <br />everett PERMIT <br />DFPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HAIL 2S9-8745 <br />EVEREIT,WA98201 COMBINATION / <br />SIAu <br />MAIL <br />BUILDING ❑MECHANICAL ❑PLUMBBIG <br />RTm <br />PVPmH <br />e <br />PERMIT NO. <br />rnnNI <br />I'll, PrION1 <br />GINIRAI �ONIRACIOR MAIL ADnR155 in ill- PHONE_ 11C1 NSI <br />d i <br />MAIL <br />PIUMBING CONTRACTOR <br />11110 <br />CLASS Of WORK <br />❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />❑NEW ❑ADDITION ❑ALTERATION jTRFPAIR <br />VALUATIIN Or N'OR�kvL OO <br />IFd7s Ja J-- <br />DISCRIAI WOE K p� L�l/� Y-SOfrti <br />lAl7/?Lf. iY/ <br />PROPUMnu T or Bm)mNl: <br />=�y�ae <br />UGAL DESCRIPTION or PROM RIY ISHOWN HE IOW OR Al MH IOURc ruH <br />�J <br />LOT ZBLOCK�Or <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP, <br />PLACATION 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 ONTRACTOR OR AUTHORIZED AGENT DAIL <br />v <br />IOA AnIIRI S — ../1 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOIIFT) <br />AIR COND UNITS —HP EA <br />BATHTUB <br />RFIRICERATION UNITS-11P IA <br />LAVATORY (WASH BASIN) <br />ROILHBS—H P EA <br />SHOWFR <br />CAS FIRED AC UNITS—TONNAGI EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTIMS—B I U M fA <br />DISWASHIR <br />WALL HIATIRS—BTU AS <br />LAUNDRYTRAY <br />UNIT HEATFRS—BTU M <br />CL0114FS WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VLNIILAIION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING, UNIT— CLM <br />VACUUM DREAM ITS <br />STOW <br />ROOF DRAINS—RAINLHADIRS <br />METAL FIRE PI ACE A ('HIMNIY <br />SINK (SE EVICT —BAR, ETC) <br />SUB TOTAL <br />SUBTOTAL S <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />B <br />TOTM FEE f <br />SIDE YARD SETBACK <br />SIR' II"IIIMI. <br />RE All YARD SF TFIACK <br />PLAN OUT NUMBIR <br />PLAN <br />III <br />CHICK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT ARIA <br />VA('ANT SIZE <br />ANTS QNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF COAST <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />BUILDING <br />SIZE OF BIOG <br />NO OF STORIES <br />MAX. OCC LOAD <br />PLUMRING <br />FIRE ZONE <br />BASEMENT <br />BE I)F IS <br />FIRE SPRINKLERS <br />REQUIRED <br />1YE5 FIND <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OIHIR <br />1 ENVIRONMENTAL CHICK IIST <br />PINAITY <br />C nIt <br />51IIIRaI <br />7 BUILDING PLANS <br />TOTAL <br />I FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />Will PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S CRADINGII KCAVATION B CIA ARINGIGRUIVIING <br />6 DRAINAGE <br />I ENVIRONMENTAL IMPACTSIATIMFNI <br />B IBAITH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED IIY <br />YPI'R IOR ISSUANCI IIY <br />