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APPLICATION FOR evereH <br /> TR'E"""'B 'GASTRUCTION ei <br /> CITY OP <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 159-8745 <br /> EVERETT, WA 98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> O IIIn MAII AUDNI 55 (I 1 ZIP PHONE <br /> AR[NI�C(\O�II,USI SIGNIII �� /� T gf MAIL AO�MS �� �� Clt�// ZIP��CJ PHONE <br /> (�S���/� <br /> GE M RAI CONTRA(FOR MAIL ADONIS$ (ITS ZIP PHONE LICENSE <br /> MI('HANICAI CONTRACTOR MAIL ADDRISS CITY /IP PHONE IICINS1I <br /> NIS MBINI,G CIN I R AC ION MAIL ADDRISS CITY IIP PHONE LICENSE <br /> CI AS$Of WORA <br /> ❑NEW ❑ADDITION CALL FRATION XREPAIR ❑DEMOLITION ❑FENCE ]SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> 4Ad WTION OF WORK <br /> ♦ V <br /> DISC RINI W09- <br /> rr, <br /> Ne Do Ron F <br /> PROPO"D us; ) BUILDING. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> 6 -e PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LIGAL DESCRIPTION OF PROPENTVHHOWN KILO"DN ATTAIN HOURCOPNTH PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> IDI _Nlcv-K_ol 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 AUIHORIIED ACENT DATE <br /> k X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> _ WATER CLOSET ITOLIFTI AIRCOND UNITS-HP FA <br /> BATHTUB REFRIGERATION UNITS—HP EA <br /> LAVATORY(WASH BASINE BOILERS—HP [A <br /> SHOWER GASFIRFDAC UNITS—TONNAGE IA <br /> KIICHEN SINK A. DISP FORCID AIR SYSTEMS—BTU M FA <br /> DISWASHIR WALL HEATIRS—BLU M <br /> LAUNDRYIRAY UNIT Hf ATERS—BIU M <br /> CLOTHES WASHER EVAPORATIVE COOL[RS <br /> WATER HEATER CIOTHES DRIERS <br /> URINAL VENTICARION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> f LOOR DRAIN AIR HANDLING UNIT— C F M <br /> VACUUM BREAKERS $IOU <br /> ROOF DRAINS—RAIN IIADFRS MIIAI fIRIPLAQ A CHIMNIY <br /> SINK ISFyV'Gj—BAR.FTC) <br /> Ea <br /> SUBTOTAL SUBTOTAL f <br /> PIRMIT S PERMIT 1 <br /> TOTAL Fill S TOTAL FEE S <br /> $IDI YARD 51 TRACK SIRE f I SI TRACK BLAB YARO SI TBACK PLAN CHICK NUMBER <br /> PLAN CHICK FEE <br /> LEI RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE NIS VALUATION 1[! <br /> L]vIS [`NO <br /> TYPE Of ('ONST OCCUPANCY GROUP NO Of DWELLING UNITS <br /> Bon DING. T <br /> SIZE OF BE[)(; NO Of STORIES MAX OCC LOAD <br /> PLUMRING <br /> TIRE ZONE BASEMENT IIIIH IIMl FIRE <br /> IRISPRINKLERSREQUMECHANICAL <br /> WES LINO <br /> APPROVALS BY DATE OIHIR <br /> I ENVIRONMENTAL CHECK LIST PINAITY UPC <br /> SEC loyal <br /> I BUILDING PLANS <br /> TOTAL <br /> I FIRE HYDRANT <br /> 4 EIRE PROTICTION SYSTEM PERMIT VALIDATION <br /> PRO <br /> W IIIN PERLY VAI IDATID LIN THIS SPACEI THIS IS YOUR PERMIT <br /> S GRADINGIX(AVATIONA CLIARINGIGRUBRING <br /> Q DNIIY AL! <br />