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NIF EwlprTrxl <br />CITY OF <br />everett <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2S9.874S <br />EVERETT. WA 98201^❑COMBINATION <br />IkPPLICATION FO" <br />CONSTRUCTION <br />PERMIT <br />❑ BUILDING El MECHANICAL ❑PLUMBING PERMIT NO. <br />'A <br />evereN <br />NUMBING CONTRACTOR MAIL ADDRISS CITY SIP PHONE IICIINH# <br />❑NEW XADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION []FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK/] <br />ppIIFy 0( je 6 <br />/7r TR[I If IOC <br />do/v L <br />DO <br />PROPO5I0 UST c URVING <br />(HEREBY CE IFY THAT I HAVE READ AND EXAMINED THIS AN <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 CONTRACT R OR AUTHORIZED AGENT DATE <br />Vy <br />LEGAL OISCRIPDONOI PROP1NTy V140AN Bll W OR ATTACH FOUR COPIISI <br />tot _RIoAA_OF <br />6 <br />ION Alll] _ _ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WAIIR CLOSE I CIOLHTI <br />AIR COND UNITS-H P IA <br />BATHTUB <br />RFFRIGIRATION UNITS -HP fA <br />LAVATORY (WASH BASIN) <br />BOILIRS-H P fA <br />SHOWIR <br />GAS FIRED A C UNITS -TONNAGE [A <br />KITCHEN SINK A DISP <br />FORCID AIR SYSTIMS-B T U MIA <br />DISWASHER <br />WALL HEAT(RS-B T U M <br />LAUNDRY TRAY <br />UNIT HIATIRS-BTU M <br />CIOTHIS WASHIR <br />IVAPORAfIV[ COOL[ ITS <br />WATER HIATIR <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F N� <br />VACUUM BREAKERS <br />SIOV[ <br />ROOF DRAINS -RAINUADI ITS <br />MEIAt FIREPLACE B CHIMNEY <br />SINK (SIRVICf -BAR. ETC I <br />SUB TOTAL <br />SUM TOTAL 1 <br />EE <br />FIRMIT S <br />F[RMIT S <br />TOTAL fit R <br />TOTAL <br />fit 1 <br />5101 VAR() 51 TIHI Y. <br />�yj�-( <br />STRF[T SETBACK <br />ZmFT <br />ROAR YARD SETBACK <br />'7�fjF <br />PLAN CIIFCK NUMBER <br />9 30 <br />PLAN <br />FIE 11" <br />�- <br />CHECK FEE <br />RECEIPT NO. <br />; ' <br />USE ZONE <br />( <br />1�%—I <br />LOT AREA <br />VACANT_j O <br />OYES NO <br />F!R <br />VALUATION <br />f[! <br />TYPE OF CONST <br />�' '� <br />OCCUPANCY CROUP <br />�'' 3 <br />NO Of DWI LUNG UNITS <br />BUILDING <br />R 2Cgm tv) <br />SIZF OI BLDG <br />NO OF TORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIR( ZONE <br />-- <br />r <br />BASEMENT <br />- <br />BI DRCFOAIS <br />- <br />FIR[ SPRINKIIRS <br />RF QUIRT <br />LTYIs o <br />MIC14ANICAI <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMI�IAI I M( I. uST <br />PENALTY <br />UB <br />SEC CIO OR <br />2 BUIIDINL rI +1+ <br />TOTAL <br />1JZ- <br />Sa <br />FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />S GRADING11 XCAVATION A CLE ARINGIGRUBRING <br />"OMIT VALIDATION <br />WHIN PROP[KLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7 INVIRONMENIAL IMPACT STATEMENT <br />B H[MTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHICKto By <br />ve� <br />APPR FOR ISIUANCE BY <br />1(., <br />J <br />9.179 <br />