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r-- <br />TAR EYRfPfPP ALO N STR U CTI O N <br />ererlD <br />CITYof <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2594145 <br />EVERETT, WA 96201 ❑COMBINATION L7 BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />O/W`HIR 1 MAIL ADOR[SS CITY y� IIP PHONE <br />_:i l��'�� �+I. L:Y� �LG - �7C/. �✓�,�! SIB. `LJ?vC {�I %'<< �C' ] <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY RIP PHONE LICENSER <br />CLASS Of WORK <br />❑NEW ®ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />L 1:Fce`% <br />DISOIIRI WORK�L <br />t I �r wke4 <br />PROPOSIED USE OI BUT[ DING <br />S7C fC` eI .4✓K 6e4f' le S <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 />XZA- <br />L}CAL 01SCRl ION OI PROPPRVY [SHOWN RI LOW OR ATTACH FOUR CONE $I <br />ITN 'N 2L RLOCK,JZQf„�ol X• -`''L 'FY.�td 3 <br />Lori <br />• <br />108 ADDRESS <br />PLUMING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TIFF OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOIH11 <br />AIR COND UNITS -HP EA <br />BATHTUB <br />REFRIGERATION UNITS -HP FA <br />LAVATORY (WASH BASIN) <br />ROIL[RS-If P [A <br />SHOWER <br />GAS FIRED AC UNITS- TONNAGE[A <br />_ <br />KITCHI N SINK L DISP <br />FORCED AIR SYSTEMS-B ELF MIA <br />DISWASHFR <br />WALL HEATERS-BIU M <br />LAUNDRY TRAY <br />UNIT HEATERS-B T U M <br />CLOTHES WASHER <br />IVAPORATIVI COOLERS <br />WATER HFATIR <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLFADIRS <br />METAL FIREPLACE LCHIMN[Y <br />SINK (SF RV'ICl -BAR E iC ) <br />_ SUB TOTAL <br />SUBTOTAL R <br />PERMIT S <br />PERMIT R <br />'OVAL FEE E <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />ii h <br />REAR LARD SETBACK <br />PIANCH[CK NUMBER <br />9//Q <br />PLAN CHECK FEE <br />fit l.I-3 REC' IPT NO y, <br />USE ZONE <br />LOT AREA <br />VACAN SITE <br />OY[S lzo <br />TEES <br />VALUATION <br />I[[ <br />NST <br />TYPL.OF COp <br />/ ✓j Il1` <br />OCCUPANCY GROUP <br />CY <br />` _ <br />NO Of DWELLING UNITS <br />HVIIDING <br />S <br />SIZE Of BLDG <br />-G )( ZS 3 <br />NO Of STORIES <br />/ <br />MAX OCC LOAD <br />-- <br />VI UMBING <br />FIRE ZONE <br />BASEMENT <br />I RIOROUMS <br />FIRE SPRINKLERS <br />REQUIRED <br />nVfS f) <br />MECHANICAL <br />A►►ROVAL$ <br />BY <br />DATE <br />nTHIR <br />I F NVIRONMINTAL CHECK LIST <br />rI NATTY <br />UB[ <br />SIC [OAK) <br />I BI111O.NG PLANS <br />I IIRI HYDRANT <br />TOTAL <br />. IIRI PROT'CTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACII THIS IS YOUR PERMIT <br />L,R AUINGIIKUVATIONLCII ARINGfLRUBNIw, <br />6 DRAINAGE <br />I FNVIRnNMf NTAI IMPACIOATIMINT <br />