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r- <br />r <br />4 <br />L <br />TM EYapmn <br />CITY OF <br />APPLICATION FOR <br />�ONSTRU TION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2594745 <br />EVERETT• WA 98201 ❑COMBINATION ®BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNIN MAIL ALLUMISS I ih ZIP PIIONI <br />MAIL <br />_11GINIRAL CONTRACTOR MAIL ACHIMSS CITY ZIP PHONE LICINSta <br />_ a wNrR <br />MI:HANICAL CONTRACTOR MAIL ADORtSS CITY ZIP MONT LICINS[# <br />PIUMRING CONTRACTOR MAIL ADDMISS CITY ZIP PHONS LICINS[ [ <br />CV•A OF WORK <br />,NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />OF WORK <br />�Uj MMRI NOMA <br />Tyr•_. c4 _ CI_ _ 1 /A/Y I/ <br />v V\ jL u <br />DI <br />�OPOSio usl OF Bu11Nc <br />IIGAL DESCRIPTIONOF P PlROISHOWNRILOW OR ATTACH TOURCOPHSI <br />LOl Al GIG <br />BLOCK_OF ' T <br />5 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT 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. p <br />SIGNATURE OF C NTRACTOR OR AUTHORIZED AGENT DATE 7- 7- pZ <br />X =&L41 <br />tun Anonns <br />'1 A cS�. cS • <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />WATER CLOSET 110LIETI <br />AIR CONO UNITS-HP[A <br />_ <br />BATHTUB <br />REFRIGERATION UNITS-H P FA <br />LAVATORY IWASH BASIN) <br />"OILERS -HP EA <br />SHOWER <br />GAS FIRED AC UNITS -TONNAGE EA <br />KITCHEN SINK A UISP <br />FORCED AIR SYSTEMS -BTU M EA <br />OISWASHIR <br />WALL HEATERS -BTU M <br />IAUNDRYIRAY <br />UNIT HIATFRS-BTU M <br />CLOTHES WASH!^ <br />EVAPORATIVE COOLERS <br />WATER FLIRTER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />I IOOR DRAIN <br />AIR HANDING UNIT- C F M <br />VACUUM BREAKIRS <br />S70V! <br />ROOF DRAINS-RAINLF ADI ITS <br />METAL FIRTPIACI &CHIMNEY <br />_ <br />SINK (SERVICE -BAR. FTC 1 <br />SUN TOTAL <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />B <br />TOTAL <br />'CHECK <br />if[ [ <br />SPOT YARD Sit BACK <br />11-0 <br />STREET$[TRACK <br />BE AS YARD SF IBACK <br />PLAN NUMBIR <br />PLAN <br />CHECK FEE <br />1((IIPT NO <br />USE ZONI <br />LOT AREA <br />VACANT SIIF <br />OYES G1NE) <br />FEES <br />VALUATION <br />FEE <br />TYPE CFF'�'CONST <br />- N <br />OCCUPANCY GROUP <br />IA <br />— <br />NO OF DWELLING UNITS <br />— <br />BUILDING <br />SIZE OF BLOC <br />REIl 24 5- f, <br />NO OF STORIES <br />I <br />MAX OCC LOAD <br />— <br />PLUMBING <br />FIRE ZONE <br />-- <br />BAST MENT <br />_ <br />flI UNOONIS <br />LIB! SPRINKLERS <br />rlvfs 96 <br />MfCHANICAI <br />APPROVALS <br />BY <br />DATE <br />07HIR <br />1 ENVIRONMENTAL CHICK L157 <br />P[NAl1Y <br />UBC <br />SEC IONS) <br />Z BUILDING PLANS <br />TOTAL <br />) <br />12.(I <br />I FIRE HYDRANT <br />A FIRE PROTECTION yYSTIM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATEDIIN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRAOINGII XCAVA7ION& CIE ARINGIGRUNNING <br />6 DRAINAGE <br />7 INVIRONMFNTAt IMPACT SIAT[MENT <br />N HE ALTFI DISTRICT <br />APP! ICAT ION ACC BY <br />PLANS CHECKED BY <br />ii-L✓l"Y7 <br />APPM II1R IlSUANI 1 HIS <br />L �' , <br />9179 <br />