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APPLICATION FOR <br />C11YOF II�e <br />the OFrFrF'Pn CSTRUCTION f <br />CITY <br />everett PERMIT <br />DEPT. Of COMMUNITY DEVELOPMENT SLRVICES <br />CITY HALL 259-8745 <br />EVERETT, WA98201 <br />COMBINATION �PUII.DING <br />❑MECHANICAL <br />❑PLUMBING <br />PERMIT NO. <br />MMI nnURlss <br />ca �y <br />OlY <br />��fP�rr <br />lip <br />. 247?2 <br />MOST <br />ash <br />mvnla <br />u/F�r �TA('k'roN_ <br />1532 <br />Nlo I <br />ARCuIIf C1 OR DISIGNIR <br />MAIL ADDRItS <br />uD <br />71r <br />GINIRAI CONTRACTOR <br />Ft/. "S <br />Simi AOORISS <br />1NC Ede _ <br />my <br />71P <br />9f,70 <br />PNONI IICi NSI <br />/ <br />�)GnL <br />PHONE IICI NSF R <br />MECHANICAL CONTRACTOR MAN nUURi St(ITI <br />MAII <br />CITY 711, PITON' <br />CLASS Of WORK <br />❑NEW ❑ADDITION ❑ALTERATION EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />VALUAIION OF WOKK <br />S ys",/)S <br />OTSCRIAT WORK <br />Ill. Of RUIIT INC, <br />I IGM [)IS( RIPTION Of PROPERTY (SIION'N TIIOW OR ATTACH FOUR COPI151 <br />LOT jQj?�RI(R'Il OF "-1 or PIA) :W25T <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 SPFCIFIcD HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISICn45 OF <br />ANY OTHER STATE OR LOCAL. LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE: OF CONSTRUCTION. <br />DATE <br />DATE <br />SIGNATURE OF NTRACIOR UK AUO,UmATU AGENT <br />V <br />100 AUDRI SS <br />A <br />1. <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF To ' IPMENT FEE <br />NO. TYPE OF FIXTURE <br />FEE <br />- <br />AIR COND UNITS —HIP <br />WAIIRCIOSfTIIOLIIII <br />REFRIGERATION UNITS , V IA <br />BATHIUR <br />nonlRA-Hr IA <br />IAV A100.Y (WA SIT IIASINI <br />GAS I IRE U A C UNITS —TONNAGE FA <br />SHOWER <br />[OR([ U AIR SYST[MS—BTU M FA <br />K I TCHIN SINK A DI SI' <br />1VA1 I III AT ITS —B T U M <br />UISWAS714 <br />UNIT IIUII RS—BTU M <br />W <br />_- <br />LAUNDRY TRAY <br />I VAI'ORA71V1 COOtI RS <br />CIOTIII'. WAtHIR <br />( LOADS ORVIRS <br />WATFP. WAIIk <br />\'1 NlllATION FAN <br />I ININAI. <br />RANGE HOOD <br />DRINKING IOUNW-1 <br />AIR HANDLING UNIT— C F M <br />FLOOR DRAIN <br />$ TDVI <br />VACUUM IIRf AKI RS <br />MFIAI IINI1'I A('1 AOIIMNIV <br />ROOF DRAINS--RAINIIAI)f Rt <br />SINK ISI. RVITT—BAR. I I( I <br />SUBTOTAL S <br />SUBTOTAL <br />PI RA'IT S <br />PERMIT <br />S <br />TOTAL FIE S <br />TOTAL R[ <br />S <br />RI,R YARD St 111ACK <br />PLAN CI4CK NUMRIR 1'I AN(IIIIA 1(I <br />SIDE YARD S E THAT K SIM I I SI IBACK <br />III NI(I IN NO <br />USE ZONE <br />IOT ARIA <br />VACANT SITE <br />FIRS <br />VALUATION <br />YET <br />LIVES ❑NO <br />TYPE OF CONSI <br />OCCUPANCY GROUP <br />NO Of D\YILLING UNI7S <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO Of SIORIIS <br />MAY OCC LOAD <br />PLUMBING <br />I HIT ZONE <br />BASIAIINI <br />III UROI)NIA <br />TINT SPKINKLIRS <br />:!•.;UINfO <br />Mf('HANICAI <br />'YTS LINO <br />— <br />�I APPROVAIS <br />BY <br />DATE <br />L IHIR <br />1 I NV IRONMI NTAL CHIK I ISI <br />_— <br />PI NAI II <br />I IT( <br />1I111a1 <br />2 WETTING PLANS <br />TOTAL <br />) FIRE HYDRANT <br />SYSIIM <br />PERMIT VALIDATION <br />THIS SPACfI THIS IS YOUR PERMIT <br />A FIRE PROTECTION <br />WHIN PROPERLY VALIDATED TIN <br />S GRAOINGA %( AVA IION A (l I AR IN(,'(iRL 111f11`.(. <br />N DRAINAGE <br />7 INVIRONMINTAL IMPACT STAIIMINI <br />B IIFALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED RI <br />AI11'N I(IN t",t c I RV <br />I <br />9179 <br />