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APPLICATION FOP e <br />the E" <br />l"Ol"" : ONSTRUC:TION O <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERFTT,WA96201 ❑COMBINATION ❑BUILDING ❑MECHANICAL LIPLUMBING PERMIT NO. <br />OWNER MAIL ADDRESS CITY ZIP PIIONI <br />CITY ZIP PHONE LICINSE I <br />GENERAL CONIRANIOR <br />MAIL ADDRESS <br />CITY ZIP IHONI IICINSI R <br />AIICHANECAI CONTRACTOR <br />MAIL ADDRESS <br />OIY ZIP PNONF LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORK <br />$qEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE DBUILDING RELOCATION <br />vMUAUON OF WORK <br />S <br />DISCRETE WORK <br />OI BUILDING <br />LEGAL DI SCRIPIION OF PROPIRIY (SHOWN RIIOW OR AIIACH TOUR COPIISI <br />LOT-11LOCK-0I - <br />I HEREBY CERTIFY THAT 1 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 ITY TO VIOLATE OR CANCEL THEOF <br />ANY OTHEROST ATE OR LOCAL LAW REGULATING CONSTRIUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />IOB ADDRESS <br />BEECHAM L <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT FIT <br />NO. TYPE OF FI%TUBE <br />AIR COND UNITS-H P [A <br />WATER CLOSET LEWITT <br />REFRIGERATION UNITS -HP [A <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS -HP EA <br />GAS FIRED AC UNI15-TONNAGE fA <br />SHOWER <br />KITCHEN SINK R DISP <br />FORCED AIR SYSTEMS—P T U M EA <br />WALL HEATERS-B T U M <br />DISWASHIR <br />UNIT HEATERS -BTU M <br />LAUNDRYTRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER H[ATEP <br />VE NTIlAT10N FAN <br />URINAL <br />RANG[ HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT- C F AS <br />FLOOR DRAIN <br />S10VL <br />AS <br />ME L AI FIRE PI AC E R CHIMNEY <br />ADIRS <br />ETC) <br />MSUNTOTAt <br />SUBTOTAL F <br />RRRMIT S <br />_. <br />F <br />T <br />AREA <br />AMROVALS <br />1 ENVIRONMENTAL CHECK LIST <br />2 BUILDING PLANS <br />S FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />S GRADINGIIKCAVATION&CLIARINGIGRUBRING <br />6 DRAINAGE <br />7 ENVIRONMI NEAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY <br />VACANT SIIE <br />DYES ONO <br />IV <br />CHECK <br />FEE <br />BUILDING F <br />,D <br />PLUMBING <br />IRS <br />MECHANICAL <br />DATE OTHER <br />APPR foR ISSIIA, , E En <br />UBC <br />PENALTY I SEC 30346I <br />PLAN CHECK. ttt <br />I RECEIPT NO. <br />Fit <br />TOTAL I I <br />HIMIT VALIDATION <br />WHEN PROPIRLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />