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APPLICATION FOR tYlTBR <br />EvirrollFilm OF <br />clTr oP CONSTRUCTION e <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL AUORISS CIE\ ZIP PHONE <br />XI,IaMec p "/�Ys �6�it� �'v¢�pit- 9gaoy 33s-;�,G� <br />k <br />OR of IUNER MAIL AnURiss CITY <br />PIPMFH%(; CONIMCIOR MAIL AUDRIS$ CIE\ ZIP PHONE LICENSE I <br />(LASS ()I WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE []BUILDING RELOCATION <br />SAw A110%OE WORK <br />f <br />nl (RI"1 WORK <br />a.y_ <br />X <br />PROFUSE IF Psl of 111.11ttitEM 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED <br />Y <br />s' <br />HCAL Dls IPOON OF PROPIRIY IS OWN "FLOW OR AfIAIH FOUR Comm <br />101 __"IOCR—Of <br />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 />SIGN RE OF CONTRACTOR OR AUIH RIZFD AGENT DATE <br />fill <br />Ion AnnRlss <br />PLUMBING <br />P <br />MEICAL <br />C N <br />NO, <br />TYPE OF FIXTURE <br />FEE <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CIOSII(TOLIET) <br />AIR CONTE UNITS —HP EA <br />BATHTUB <br />RIFRIGIRATION UNITS —HP IA <br />LAVATORY(WASA BASINI <br />BOILERS —HP fA <br />;HOWIR <br />GAS FIRED AC UNITS —TONNAGE [A <br />KITCHEN SINK 6 DISP <br />FORCED AIR SYSTEMS—B T U MIA <br />DISWASHIR <br />WALL HIATI RS—BIU M <br />LAUNDRY TRAY <br />UNIT HIAIIRS—B I U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HIAIER <br />CIOTHIS ORYIRS <br />URINAL <br />VINTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C F M <br />VACUUM BILL AKERS <br />STOVE <br />ROOF DRAIN$ — RAINLI ADF RS <br />METAL FIRFPLACI 6 CHIMNEY <br />SINK (SERVICE —BAR. ITC I <br />' <br />SUBTOTAL <br />SUM TOTAL <br />PERMIT <br />1 <br />PERMIT of <br />0 <br />TOTAL Fit <br />• <br />TOTAL <br />III <br />SIDE YARDS[ TRACK <br />SIBLEY SEIBACK <br />RIM YARO SFIBACK <br />PLAN CHICK NUMBIR <br />PLAN CHECK F[F <br />FIE RECEIPT NO <br />USE ZONE <br />FOE ARIA <br />VACANT SIT[ <br />(:'IFS ❑NO <br />If IS <br />VALUATION <br />Iil <br />TYPE OF CONSI <br />OCCUPANCY GROUP <br />NO OF OWILLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />RASFMENI <br />BIDRIRFMS <br />FIRE UPRINNKIIR$ IRID <br />[lrls []NO <br />MF(IIANICAI <br />APPROVALS <br />BY <br />DATE <br />OIHFR <br />1 [NVIRONMINTAL CHICK LIST <br />pI NATTY <br />UBC <br />S[C EORRI <br />2 BUILDING PLANS <br />TOTAL <br />S FIR[ HYDRANT <br />R FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPIRAI VALIDATED IIN THIS SPACFI THIS IS YOUR PERMIT <br />S GR ADINLIIXUVAtIONL CH ARINGIGR11BflINL <br />6 DRAINAGE <br />7 FNVIRONMENIAI IMPPCT STATEMENT <br />• HIALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY <br />APPR1 FOR ISSUANCE BY <br />11 <br />