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APPLICATION FOR <br /> IAB EYPEpLPPP <br /> cm OF Z O N S T R U C T I O N PY <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-0745 <br /> EVERETT•WA 96201 EICOMBINATION JZ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWN ! /�MAII AUUNI SS till <br /> ZIP <br /> /L�JTJ PHONE`�� �� <br /> AR(. /L 1N1 �y�l Aof.�J t_l'/.'.�1 �1L/�Z cH/ J T//N Z!R 1 //.L//[1!/ �i/n Y/U <br /> GINIRAN`-1—�•N AAALLAASL CCO•••NIM�(TO__7R-- --// _ ` (((MLLLAD ADORLSS CIiY� '1 ZIP PHONE LICENSE/ <br /> AIICNANICAt( N ACTOR MAIL ADDRISS LIP PIIONI UCINSE R <br /> PIUMfl1AC R MAIL ADDRESS III. LIP PIIONI IICINSFI �f <br /> CLASS OF W6IK �{' r�II <br /> ❑NEW ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION E4ENCE ❑SIGN 4GARAGE ❑BUILDING RELOCATION <br /> VAIUANON Of WORK <br /> zl�z 6222 <br /> ❑I YCR 1 OPK <br /> �x2y� o <br /> FIFTY:IOUs fluNuING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> —tir.At RIPIIO ROPIRIY OHMLOwO nA 1 On PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> 1 <br /> A 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 /> SIGNAIURI CONTRACTOR OR AUTHORIZED AGENT DATE <br /> IOfl AOORISS ��/j <br /> PLUMBING MEC IC <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CIOSET IIOLIt TI AIR COND UNITS-IIP [A <br /> BATHTUB REFRIGERATION UNITS-HP EA <br /> IAVATORI(WASH BASIN) BOILERS—HP [A <br /> SHOWER GAS FIRED AC UNITS—TONNAGE EA <br /> KITCHEN SINK It DISP FORCID AIR SYSTEMS-11 T U MEA <br /> DISWASHER WALL HEATERS—B I U M <br /> LAUNDRY TRAY UNIT HEAIIRS—BIU M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C F M <br /> VACUUM BREAKERS SIOVI <br /> ROOF DRAINS—RAINLEADIRS METAL FIRIMAC! 6 CHIMNEY <br /> SINK ISERVICE—BAR.ITC) <br /> _ <br /> SUN TOTAL SUBTOTAL S <br /> ►FRMIT S PERMIT S <br /> TOTALFEE S TOTAL III IF <br /> 111)I YARD St TRACK STREET 5[TBACK RUR YARD S[TRACK PIAN C11[CK NUAS [ _- N CHICK <br /> It RICFIPTN <br /> NO <br /> USF ZONE TOT AREA VACANT SITE <br /> pl—I OYES CNO F[f VALUATION 1[[ <br /> TYPE Of CONST OCCUPANCY GROUP NO Of DWELLING UNITS <br /> TT-m M I BUILDING s �✓ H _ <br /> SIZE OF BLDG NO OF STORIES MAX OCC LOAD Dom' SZ� <br /> 3L.o 5,P• ADA'L1 I — PLUMBING <br /> F{PI ZUNI BASEMENT I OIDROK)MS TIRE SPRINKLERS <br /> RIQUIRED MICHANICAL <br /> -- — nits Ill ' <br /> APMOVALS BY DATE OTHIR <br /> I ENVIRONMENTAL CHECKLIST PENALTY UPC <br /> SEC )BXRI <br /> 2 BUILDING PLANS <br /> L FIRE HYDRANT TOTAL <br /> A FIRE PROIECTION SYSTEM PERMIT VALIDATION <br /> WHIN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> S GRADINGII XCAVAIION IS CI IARINGIGRUBBING <br /> L <br /> 6 DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT SIAIEMINT <br /> B HEALTH DISTRICT <br /> APPLICATION ACC BY PLANS CHECKED BY APPR FOR ISSUANCE "I <br /> 9179 <br />