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',PPLICATION FORthe 161 <br />CIPYOF "° CONSTRUCTION <br />CITY OF <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 25"745 <br />EVERETT. WA95201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNIR MAIL ADDRESS CITY ZIP PHONE <br />// J1 <br />MICHANICAI CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />/ <br />NVMRINC. CONTRACTOR If MMS ADDRESS CITY ZIP PHONE LICENSEE <br />l� <br />CIA <br />Nor WORK <br />ONEW ❑ADDITION R LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑ BUILDING RE LOCAT ION <br />VLION OF WORK <br />ALy6:E ^ /1 0. O U <br />DIURIM WORK <br />-e_s,_ ,s <br />raoroaD•.LT of BUILDINGI <br />IICAI DISCMPnoNOF PRONRTY(SHOI allow' AitAO1IOVR COPIl51 <br />�f� <br />Lot (1_elocKor <br />i_ <br />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 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 OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />//� <br />Loa ADDRESS <br />/ -A <br />PLUMBING <br />MEC ANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />',NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WAIIR CLOSFT 1701111) <br />AIR COND UNITS -HP lA <br />BATHTUB <br />NI FRIG[RAIION UNITS -HP IA <br />LAVATORY (WASH BASIN) <br />I <br />ROLLERS -HP (A <br />SHOWIR <br />GAS FIRED AC UNITS -TONNAGE EA <br />KITCHEN SINK B DISP <br />rORCID AIR SYSTEMS-9T U M [A <br />DISWASHER <br />WALL HIATFRS-BTU AS <br />_ <br />LAUNDRY TRAY <br />UNIT HIATIRS-B T U M <br />CLOTHES WASHER <br />IVAPORATIVf COOLERS <br />WATER HEATIR <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANCI HOOD <br />FLOOR DRAIN <br />AIR HANDI INC UNIT- C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS -RAINIEADI ITS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE -RATE, f TC 1 <br />SUB TOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FIE <br />S <br />TOTAL FEE S <br />%lot YARD S(TRAf Y. <br />STRI II SI TRACK <br />RI AN YARD SE TRACK <br />PI AN C III C K NUMBER <br />o <br />PLAN <br />fit ��� <br />CHICK FEE <br />R(C[IPT NO <br />1 <br />USE ZONE <br />COT ARIA <br />VACANT 511E <br />OYES ONO <br />EELS <br />VALUATION <br />F[[ <br />TYPI Of CONSI <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />S �Z R� <br />sz. <br />2 <br />SIZE Of FROG <br />NO OP STORIES <br />MAX OCC LOAD <br />PC LIMITING <br />FIRE ZONE <br />BASIMINI <br />HIDROR)MS <br />IHIT RfIINNKLERS REQU <br />(-1VIS ('NO <br />61fCHANICAI <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHICK LIST <br />PINALIV <br />UBC <br />C <br />E10X <br />SRI <br />7 BUILDING PLANS <br />TOTAL <br />I FIRE HYDRANT <br />R FIRE PROIECIION SYSIIM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT <br />S ❑RADINGIIXCAVA110N6 CIE ARING!GRUBBING <br />6 DRAINAGE <br />7 LNVIRONMENIAL IMPACT STATEMENT <br />a .11ALTH DISTRICT <br />AFPLICATIOFIACC BY <br />PLANSCHECKEDSY <br />APPR FORISSUANCI BY <br />9-1 79 <br />