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TAB Evergreen <br />CITY OF <br />APPLICATION FOR <br />CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2S9.8745 <br />EVIRETT, WA 9BZ01 DCOMBINATION <br />❑ BUILDING CIMECHANICAL ❑PLUMBING PERMIT NO. <br />PLHMBINI CONTRACTOR MAIL ADDRESS Cliv ZIP PHONI LICINH I <br />CLASS Of WORK <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR ODEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING REIOCATION <br />VAHIMION Of WORM <br />PRUNIerDUH of BUIIOINC I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />LLGAI Oi SCRII110N 01 PROM Riv (SHOWN BE <br />LOWPROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />1)F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />LOT ��elaK_ar OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />2-2-2 <br />—SIGNATURE Of CONTRACTOR OR AUTHORIZED AGINT DATE <br />II,N <br />PLUMBING <br />MECHANIC <br />NO, <br />TYPE OF FIXTURE <br />FIT <br />NO. <br />TTPE OF EQUIPMENT <br />FEE <br />WATER C L05171101IFT) <br />UNITS —HP EA <br />BATHTUB <br />RIRCONU <br />IfRIGF0.A7ION UNITS —HP IA- <br />IAVATORN (WASH BASIN( <br />BOILERS —HP FA <br />STIOWFR <br />KITCHEN SINK A LISP <br />GASfIRFDAC UNITS—TONNAGI IA <br />fORCI D AIR SYSTEMS—fl T U M U <br />DISWASHI R <br />WALL HTMIRS—BTU M <br />LAUNDRYTRAY <br />UNIT IIf Alf RS —fliU M <br />_ <br />CIOTNIS IVASHFR <br />I VAPORATIVF COOL[ RS <br />WATER MATTER <br />CLOTHES ORYIRS <br />URINAL <br />VI NTIIA71ON MN <br />DRINKING IOUNTAIN <br />I IOOR DRAIN <br />RANGE HOOD <br />AIR HANDLING UNIT— C F M <br />VACUUM BREAKERS <br />"OVF <br />ROOF DRAINS —RAINLE AGE RS <br />MI IAl IIRFPIACF B CHIMNFY <br />SINK (STRVICd—BAR. ETC I <br />-- <br />-- <br />SUB TOTAL <br />SUB TOTAL 5 <br />_ <br />- <br />PERMIT <br />B <br />PERMIT I, <br />SIDE YARD St ifluFEAR <br />'r <br />TOTAL Fll <br />STREET S[IBACK <br />B <br />RR YARD SIIBACK <br />TOTAIFEE <br />CHICK NUMNIN <br />PLAN CH <br />If <br />PLAN CHECK FEE <br />IlF RECEIPT NO. <br />VALUATION FEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />CIYFS ONO <br />FEES <br />TYPE OF CONS7 <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLOC <br />NO OF STORMS <br />MAX OCC LOAD <br />PJUMHING <br />_ <br />TIRE ZONE <br />BASIMENI <br />III DRIR)MS <br />NTQU RILIJ IDKIERS <br />"'vIS ❑NO <br />MICIIANII AI <br />APPROVALS <br />BY <br />DATE <br />OHHR <br />I INVIRONMEN7AL CHICK LIST <br />Pf NATTY <br />UBC <br />SEC lox&) <br />_ <br />Z BUILDING PUNS <br />TOTAL <br />1 I IRI HYDRANT <br />A FIRE PROIlC71ON SYSTEM <br />PERMIT WHEN <br />WHEN PRROPERTOPERLY VAlIDA1FD TIN THIS SPACFI THIS IS YOUR PERMIT <br />_ <br />S GRADING II KLAVAIION A CL 1 ARINGIGRUBBING <br />6 DRAINAGE <br />_ <br />7 fNVIRONMINTAL IMPACT SIATEMINI <br />B HFAI III DISTRICT <br />APPIICATION ACC BY=PLANSAPPR <br />IOR IiMIM,t i M <br />9.1 79 <br />