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X <br />TAI EYR,P. PNn APPLICATION FOR �. <br />CITY OF (.JNSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY,HALL 2594745 <br />EVERETT, WA9BZ01 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING <br />MAIL <br />PERMIT NO. <br />everen <br />CININAL CONTRACTOR <br />MAIL ADONIS$ <br />CITY <br />ZIP <br />PHONI <br />LICENSEE <br />x wA, n .��p <br />dl Y..� <br />M�ANICAL CONTRACTOR <br />MAIL ADORISS <br />CITY <br />ZIP <br />PHONI <br />LICENSE I <br />Y <br />PIVMRIYC CONTRACTOR MAIL ADDRISS CITY ZIP PHONI LICENSE <br />Cl All Of WORN <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BL:ILDING RELOCATION <br />S'ALUAIION Of WORK <br />DISCRIM WORk <br />L._ IL .%a , c -,IC <br />PROros1D US[ Of BUILDING <br />�, <br />OCAL DI IPTION of PROPER Y nIFowN ,1, OR A TACH FOUR COPHSI <br />to? _61ock_of <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 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 />A <br />X <br />ION ADORIss <br />ST £kF_T <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEI <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOIIETI <br />AIR COND UNITS —HP EA <br />BATHTUB <br />REFRIGERATION UNITS —HP [A <br />_ <br />LAVATORY (WASH BASIN) <br />BOILIRS—H P EA <br />SITOWIR <br />CASFIRFDAC UNITS—TONNAGEEA <br />KITCHEN SINK & DISP <br />FORCED AIR SYSTIMS—B T U M EA <br />DISWASHIl <br />WALL HIATIRS—BIU M <br />L AUNDRV TRAY <br />UNIT HIATIRS-BTU M <br />(LOIHES WAS4ER <br />EVAPORATIVE COOLERS <br />WATER HATER <br />CLOTHES DRYERS <br />URINAL <br />VINTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />I LOON DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLIAOFRS <br />MI FAIL FIREPLACE &CHIMNEY <br />SINK (S[RVICI -BAR. ITC) <br />SUB TOUT <br />SUB TOTAL f <br />PERMIT <br />IF <br />PERMIT I <br />TOTAIFFI <br />f <br />TOTAL FIT I <br />SIDE YARD SETBACK <br />STREEI SETBACK <br />REAR YARD SFIBACK <br />PLAN CHECK NUMBER <br />PLAN CHICK FEE <br />III RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ❑NO <br />FEES <br />VALUATION <br />fll <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />HIOROoms <br />FINE SPRINKLERS <br />'IYIS ['NO <br />MECHANICAL <br />APPROVALS <br />By <br />DATE <br />OTHIR <br />1 ENVIRONMENTAL CHICK LIST <br />PF NATTY <br />UBC <br />SEC 1BXR1 <br />! BUILDING PLANS _ <br />TOTAL <br />1 IIRF HYDRANT <br />A FIRE PROTECTION SYSTEM <br />S GRADINCTN(AVAIION&CLIARINGICRUBBIN(C <br />►!BAIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />I [NVIRONMINIAI IMPACT STATEMENT <br />6 HEALTH DISTRICT <br />APPLICATION ACC BY F77ANS CHICKID BY <br />APPR FUR ISt( All( I III <br />