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APPLICATION FOR <br /> FM EYBNmn ONSTRUCTION <br /> CITY Of r+ <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 2599745 ❑MECHANICAL ❑PLUMBING PERMIT ___NO. <br /> EVERETT,WA98201 ❑COMBUILDING BINATION ❑ ZIP moNl <br /> rTr <br /> MALI ADOMIU a�3 (. <br /> � I <br /> DwNLR /S r /t l h/''<? L ✓E RE7T 203 <br /> /'7l L IP rNONf <br /> CIl <br /> MA 1 ODRI SS <br /> ARcnrticr OR DFSIcnu <br /> arr <br /> zlr rTsoNl ucwu I <br /> GI NI RAI CONTRACTOR <br /> MAIL ADDRI SS <br /> � � nv reaNL uansll <br /> l4 ` ulr <br /> MIC NANICAI C4,4RACIOR <br /> MAn ADDuss <br /> Clir <br /> tIP PNOnI IICI nS[I <br /> PI l!MBINL COhIMC10R <br /> MAII AODRI SS <br /> CI ASS OI WORK <br /> ❑NEW ❑ADDITION ❑ALTERAVON ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br /> VALUATION Of WORK <br /> 1 <br /> DISCRIBI WORK <br /> I <br /> P 49 - � � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A - <br /> 'm USI OF BUILDING PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> LEGAL Disc,IPTIDN OF PROINRTr(SHOWN RILOW OR AITAlH 10uR COPHSI OF WORK WILL BE COMPLILD WITH WHETHER SPECIFIED HEREIN <br /> OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> LOT � BLOCKS 01 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> YTHE REGULATING CONSTRUCTION <br /> PERFORM NCE OF CONSTRUCTION, <br /> SIGNAIURF OI CONTRAC`OR OR AUTHORIZED AGENT DATE <br /> LOB AODKIS4 y 7� X <br /> TYMECHANICAL FEE <br /> PLUMBING NO. TYPE Of EQUIPMENT <br /> PE OF FIXTURE FEE <br /> NO. AIR GOND UNITS–LI P FA <br /> WATTS CLOSET(10""' REFRIGERATION UNITS–H P EA <br /> RAIHTUD BOILERS–HP FA <br /> LAVATORY(WASH flASIN) .,AS FIRFO AC UNI15–TONNAGE EA <br /> SHOWER TOR' DAIRSYSTFMS–BTU MFA <br /> KITCHEN SINK 6 UISP WALL HFATII 1 U M <br /> DISWASHFR UNIT IIFATHJ I U M <br /> LAUNDRY TRAY IVAPORATIVI COOLERS <br /> CLOIIIIS WASHER CLOTHES ORYFRS <br /> WAIIR HI ATTR VINTILAIION FAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN AIR HANDLING UNIT– C F M <br /> FLOOR DRAIN SIOVI <br /> VACUUM BREAKERS MI IAL FIREPLACE 6 CHIMNEY <br /> ROOF DRAINS–RAINLEADIRS <br /> SINKISERVICI–OAR.FTCI <br /> SUB TOTAL S <br /> SUB TOTAL PERMIT B O <br /> PERMIT _ S TOTAL FEE S a <br /> TOTAL IEE S _ PIAN CNFCK FFF <br /> SIDE YARD SITflACK SIRI[75[TflMK <br /> REAR IAAD SITBACK PLAN CHECK NUMIRR HF RECEIPT NO <br /> USF ZONE LOT AREA VACANT SRIF F[[S <br /> VALUATION FES <br /> '1YF'. ❑NO <br /> OCCUPANCY CROUP NO OF DWI TANG.UNITS <br /> TYPI OF CONST S <br /> NllII DING. <br /> NO OF STORIES MAX OCC LOAD <br /> SIZE OF BLDG PLUMBING <br /> l / FJ <br /> BASEMENT 111 DRIK1M5 TIRE SPRINKIIRS b <br /> LIR[ ZONE RIQUIRID MDFANICAI <br /> YIS CNO <br /> APPROVALS IT DATE OTHER - <br /> UBC <br /> 1 ENVIRONMLNIAI[H[CKIISI PINAITY —_ SIL 103(A1 <br /> 2 BUILDING PLANS TOTAL <br /> 1 FIRE HYDRANT <br /> PERMIT VALIDATION <br /> I FIRE PROTECTION SYSIIM Wlit N PROPERLY VALIDATED(IN THIS SPACE)1111515 YOUR PERMIT <br /> S GRADINGIIXT VAIION16CJIARINGICRUBRING <br /> 6 DRAINAGE <br /> 7 FNVIP'INMFNTAL IMPACT STATEMENT <br /> B HEALTH DISTRICT <br /> PLANS[NECKED BY APPR FOR IsSUANCt BY <br /> APPLICATION ACC BY Y <br /> 9-179 <br />