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r <br />.r <br />the Evuprosn <br />CITY OF <br />,APPLICATION FOR <br />everett �-ONS'TRAIAJCTION <br />DEPT OF COMMUNITY DEVELOPMI NT SERVICES PER1 7. I T <br />CITY HALL 259.8745 <br />FWRETT, WA 98201 ❑COMBINATION <br />❑ BUILDING <br />❑MECHANICAL ❑PLUMBING PERMIT NO. <br />GININAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICINSI R <br />CLASS Of WORK <br />@NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />f <br />a <br />USE Of BUIIDING <br />LEGAL OISCRtP110N Of PROPERTY (SHOWN RILOW OR AIIALH FOUR COPIESI <br />tot RLUCK Of <br />5-. <br />PLUMBING <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 />xT� <br />MECHANICAL <br />i 1161-eZ <br />NO. <br />TYPE OF FIXTURE <br />III <br />NO. <br />TYPE OF EQUIPMENT <br />FIE <br />WATER CLOSET[TOLIEII <br />AIR COND UNITS -TIP U <br />BATHTUB <br />RI FRIOFRATION UNITS -HP IA <br />LAVATORY [WASH BASIN) <br />BOILERS -HP [A <br />SHOWER <br />GAS FIRED AC UNITS-TONNAGfIA <br />KITCHEN SINK B DISP <br />FORCED AIR SISUMS-B T U MIA <br />DISWASHER <br />WALL HIAIIRS-BTU M <br />LAUNDRY TRAY <br />UNIT HEATERS -BTU M <br />CLOTHES WASHER <br />IVAPORATIVE COOLERS <br />WATER HEATER <br />t-[')THIS DRYERS <br />URINAL <br />S I NTILATION TAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />I OOK DRAIN <br />AIR HANDLING (NIT- CFM <br />VACUUM BREAKERS <br />_ <br />SIOVI <br />ROOF DRAINS -RAINLFADERS <br />METAL FIREPLACE It CHIMNEY <br />SINK ISIRVIQ -BAR. FTC) <br />SUB TOTAL <br />SUBTOTAL s <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL TEE f <br />SIDt YARDS( TRACK <br />STREET SE10A(F <br />REAR YARD SE TRACK <br />PLAN CHECK NUMBER <br />PLAN CHECK 111 <br />fit RICEIPT NO <br />USE ZONE <br />10T ARI A <br />VACANT SITE <br />1YF5 ONO <br />FEES <br />VALUATION <br />fit <br />TYPE OF CONS( <br />OCCUPANCY GROUP <br />NO OF DWII.LING UNITS <br />BUILDING <br />f <br />SIZE OF BIOG <br />NO OF STORIES <br />MAX DCC TOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />III DRO(.)MS <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMINTALCHECK LIST <br />PENALTY <br />( III <br />SI( Lnlal <br />7 BUILDING PLANS <br />I FIRE HYDRANT <br />TOTAL <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />W HF N PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT <br />S GRAUING/f KCAVAI ION{ CC I ARINOCRUBBING <br />6 DRAINAGE <br />7 ENVIRONME VIAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS (NECKED BY <br />APPp FOR ISSUANCE BY <br />1 <br />1 <br />91 79 <br />