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APPLICATION FOR <br /> CITY O[PIND :ONSTRUCTION <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 159.8745 <br /> O. <br /> EVERETT•WA9B201 ❑COMBINATION ❑ BUILDING []MECHANICAL <br /> ❑PLUMBING PERMIT N <br /> rn, nP <br /> MAIL ADORI IS ,`., <br /> OWNER 1 Q _ 7 - •/U-e.ST- Fv ir/ C <br /> .� m plloAi <br /> r�-• rr /" alr <br /> MAX ADORIss <br /> ARCHITI OR DESIGNER <br /> clrr <br /> ZIP PNOMI IIClN}II <br /> MMI ADDRESS GfV' W r' O _ <br /> GIXIMI CONiRAC�1/0R '/ ^ 7-�/4� LICENSE <br /> S c//i�f� ryc1iH R•s /y CII Zlf MON( <br /> MAN ADORTx <br /> MECHANICAL COMM[lOR <br /> CITY 11p LICINSI E <br /> NqN! <br /> ODMSS <br /> PLUMBING CONTRACTOR <br /> MMI A <br /> CLASS Of WORK <br /> ❑NEW ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VALUATION Of WORKO <br /> L c C ^` <br /> OISCRIS!WORK �A"�ao�ti( �'v n��� � <br /> -rN ISN I NG �F 1O� 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> "OPOSID USE of BUILDING PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> Lecu mscumoNO,pROPIR1YUHOWNBHOWORATTTAC FOUR <br /> cords) OF WORK WILL BE COMPLIED WITH WHETHER SPECNOT FLED ME TO <br /> F OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> LOT_ml�BLOCK� Of 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 A THORIZEO AGENT DATE <br /> TOR ADOX <br /> RISS •d �� �t� <br /> MECHANICAL FEE <br /> ►LUMBING FEE NO. TYPE OF ECIUI►MENT <br /> NO. TYPE OF FIXTURE AIR COND UNITS—H P EA <br /> WATEv CLOSET ItOII[D RFf RIG[RATIDNUNITS-HP EA <br /> BATHTUB BOIL[RS-HP LA <br /> LAVAIORY G ASH RASINI GAS FIRED A C UNITS-TONNAGE FA <br /> SHOWER FORCID AIR SYSTEMS-BTU MIA <br /> KITCHEN SINK B DISP WAIL Hf AT ERS-11 T U M <br /> DISWASHFR UNIT HIATE RS-OTU M <br /> LAUNDRY TRAY EVAPORATIVE COOLIRS <br /> CLOIHIS WASHER CLOTHES DRYIRS <br /> WATER HEATER VENTILATION FAN <br /> URINAL IF I HOOD <br /> DRINKING FOUNTAIN Alm HANDLING UNIT- C F M <br /> FLOOR DRAIN STOVE <br /> VACUUM RBEAKERS METAL FIREPLACE L CHIMNEY <br /> ROD( DRAINS-RAINLE ADI ITS <br /> SINK(SERVICE-BAR.ETC I <br /> SW TOUT S <br /> SUI TOTAL PERMIT BE <br /> PERMIT S TOTAL f[[ <br /> TOUT fit S rLnN CINCA HI <br /> SIO( YARD SI iflACK STREET S[Tfl ACK <br /> REARVARD SITBACK PLAN CHECK NUMB[R If Rf CfIPT NO <br /> LOT AREA VACANT <br /> R!S <br /> VALUATION fit <br /> USE ZONE OYESONO <br /> OCCUPANCY CROUP NO Of DWELLING UNITS <br /> TYPE OI CONST S <br /> BUILDING <br /> NO OF STORIES MAX OCC LOAD <br /> SIZE Of BLDG PLUMBING <br /> BASEMENT BI GROOMS FIRE SPRINKLERS MECHANICAI <br /> FIRE ZONE REOUIQD - <br /> flrls 11110 <br /> OY DATE OTHER <br /> APPROVALS UBC. <br /> 1 ENVISONMENTALCHECKUST PINALIY SEC IDXR) <br /> Z BUILDING PLANS TOTAL <br /> I TIRE HYDRANT "OMIT VALIDATION <br /> A FIRE pRO1EClIONSYSTEM wHIN PROPI PLY VALIDATED LIN THIS SPACE,THIS IS YOUR PERM( <br /> S GRADING,IXCAVATION&CLIARINGIGRUBRING <br /> 6 DRAINAGE <br /> INVITE NMENTAL IMPACT STATEMENT <br /> B H[AL1H DISTRICT ApPR FOR ISSUANCE BY <br /> APPLICAIION ACC BY <br /> PL <br /> CHECKED BY I <br /> 91 79 <br />