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APPLICATION FOR <br />CJNSTRUCTION <br />everett PERMIT <br />DEPT Of COMMUNIIY DEVELOPMENT SERVICES <br />CITY HALL 25"745 <br />EVERET7,WA98201 DCOMBINATION mBUILDING ❑MECHANICAL. ❑PLUMBING <br />UW'NLN �-1 m•,.....,...,. <br />L <br />ARCHITFCI OR OF SIGNIR MAIL ADDRISS <br />ZIP <br />PERMIT NO. <br />CYPIPII <br />t <br />NUMBING CONTRACTOR MAIL ADORE SS CITY ZIP PITONS LICENSER <br />CUSS Of WORK <br />❑NEW ❑ADDITION ❑ALTERATION AIREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION Of WORK <br />S <br />DISCRIBF WORK �o� � <br />PPOPOSfO USE OF BUILDING <br />IIGM DESCRIPTION OF PROPERTY (SHOWN RLIOW ORATTACH FOURCONfA <br />LOT NLOCK-OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION %ND 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 />vGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />LOB ADDRISS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FIE <br />WATER CLOSET (TOM IT <br />AIR CONE) UNITS —HP FA <br />BATHTUB <br />REFRIGERATION UNITS—H P U <br />LAVATORY (WASH BASIN) <br />BOILERS —HP IA <br />SHOWER <br />GAS FIRED AC UNHS—TONNAGE [A <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTI. MS-9 T.U. MIA <br />DISWASHER <br />WALL HEATERS—BIU M <br />LAUNDRY TRAY <br />UNIT HEATERS— III T U M <br />CLOTHES WASHER <br />IVAPORATIVI (O(NIRS <br />WATER WATER <br />CLOTHES DRYIRS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HF700 <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C F A/ <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF DRAINS—RAINLE ADf RS <br />Mf TAT FIREPLACE & CHIMNEY <br />SINK (SERVICE —BAR. ETC) <br />SUN TOTAL <br />SUB TOTAL S <br />PERMIT <br />! <br />PERMIT II <br />TOTAL FIT <br />N <br />TOTAL FEE B <br />SIDE YARDS[ TRACK <br />STREET SORACK <br />RIAR YARDSITBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />fit RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />IYES ONO <br />TIES <br />VALUATION <br />►EE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO Of DWELLING 01115 <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX. OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />IIASF ME NT <br />III BROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />CIYFS LINO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 FNVIRONMEHIALORCKLISI <br />Pf NALIV <br />UBC. <br />sEC.]OIUI <br />2 BUILDING PLANS <br />TOTAL <br />T FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />S GRADING/EXCAVATION N CLEARINGIGRUIIIIINC <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED RN THIS SPACF) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />Z ENVIRONMENTAL IMPACT STATEMENT <br />N HEALTH DISTRICT <br />APPLICATION ACC RY <br />PTANSCHECKIIT BY <br />APPR FOR ISSUANCE BY <br />91 79 <br />