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the Evelpreen APPLICATION FOR rvereD <br />CITY <br />�-ONSTRUCTiON <br />PERMIT <br />DI PI UI COMMUNIIS DEVELOPMENT SERVICES <br />CITY HALT. 259-8745 <br />EVERITT. WA98201 ❑COMBINATION ❑ BUILDING-TWECHANICAL ❑PLUMBING PERMIT NO. <br />7-,Fire <br />ARCN111CI OR DIStGNIR — <br />MAII ADDRISS <br />CITY <br />/IF <br />PHONE <br />GINIRAL coAT ACTOR <br />MAII AU00.1 SS <br />CITY <br />ZIP <br />PHONE <br />LICENS, IF <br />NBCHANII/ 1 t0 <br />MIFF ADDRESS <br />CITY <br />ZIP <br />PHONI <br />LICINSI S <br />PIUMRING I ONIRACTOR <br />MAII ADDRISS <br />CITY <br />ZIP <br />PHONI <br />LICINSF I <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑ BUILDING RELOCATION <br />S'M041104 OF WORK <br />OIM RINI WORA <br />Y _TiJSfr*/� 64"iBI Tf ,w57lce// GIDo V 57ove . <br />PROPOYu)CM Of Rmlm.r. <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 />PROVIS1014S 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 />SIGNAIURI Of CONTRACTOR OR AUTHORIZED AGENT DATE <br />x a 2 <br />HGAI UISCRIPIIONOIPROPIRIYISISOWNMIOWORATTASIItOUNCOPHSI <br />to? —RIOCK_01 <br />LOP AUDKI55 i /-��-G <br />(O/ � •f/] r <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WAIIR CLOSE T (TOILET) <br />AIR COND UNITS -HP EA <br />_ <br />BAIHTUB <br />REFRIGERATION UNITS -HP kA <br />LAVATORY IW ASH BASIN) <br />BOILERS -HP EA <br />SHOWER <br />GAS FIR[D AC UNITS-TONNACI IA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS-8 T U SI I A <br />DISWASHIIT <br />WAIL HEATERS—B I M <br />LAUNDRY TRAY <br />CNH fit ATERS-01 U M <br />CLOTHES WASHIR <br />I%APORATIVE COOLERS <br />WATER NEATER <br />1 O(THIS DRYERS <br />URINAL <br />S I N I ILATION CAN <br />❑RINKING IOLINIAIN <br />RANGE HOOD <br />f(f)OR DRAIN <br />AIR HANDLING UNIT— C F M <br />VACUUM BREAKIRS <br />SIOYI N/QQ <br />ROOF DRAINS—RAINI I ADI RS <br />MI TAI I IRI PI ACF 6 CHIMNEY <br />_ <br />SINK(SERVICE —BAR Iil'1 <br />SUBTOTAL <br />SUB TOTAL S <br />PERMIT <br />{ <br />PERMIT f <br />TOTAL FEE <br />6 <br />TOIALFEE 6 <br />SIDE YARD St TRACK <br />STRFEIS[TBACK <br />REAR YARD St (BACK <br />PLAN CHICK NUMBI R <br />PLAN <br />IF[ <br />CHECK FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />IE[f <br />1A111A110N <br />111 <br />TYPE OF CONSI <br />OCCUPANCY GROUP <br />NO OF USAF LUNG UNITS <br />BUILDING <br />S <br />S1ZE Of BLDG <br />NO Of STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />IIIORCXCMS <br />FIRE SPRINKIINS <br />RIVE/(RID <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OINER <br />1 ENVIRONMENTAL CHI CK LIST <br />PENMTY <br />U.RC <br />SEC 30C <br />2 BUILDING, PLANS <br />TOTAL <br />S FIRE HIORANT <br />A FINE PROTECTION SYSTEM <br />S GRADINCA XC'AVAI ION& CIE ARINGIGRURRING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDAIEO TIN THIS SPACII THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATIMENI <br />6 HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED 8Y <br />APPR FOR ISSUANCE BY <br />9,179 <br />