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tM Enrg"n 4.PPLICATION FO" <br />CITY OF CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />/rrsGa�� N, 7/cyc-Ilk -f7/ t s, '!r // <br />CENTRAL CONTRACTOR MAIL ADDRESS 7 CITY ZIP PHONE LICENSE f <br />S!r,7rt <br />MICH ANICAL CON TRACTOR MAIL ADDRESS CIiY ZIP PHONE LICENSER <br />PLUMBING, CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />CLASS Of WORK <br />❑NEW ❑ADDITION OALTE RATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑S;GN ❑GARAGE ❑BUILDING RELOCATION <br />WORA <br />7� <br />ER161 WORK <br />L i A /--Ap <br />PROPOSED USF Dr MALDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT 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. <br />SIGNAIURE Of CONTRACTOR OR AUTHORIZED AGENT DATE <br />x <br />MECHANICAL <br />UCAL D(SCRIPIION Of PROPERTY ISNUYYN RILOAOR AIL',9 ;OUR COPIES) <br />LOT _ STOCK —Of <br />IDx AonRlss <br />,�'S36 <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOLIETI <br />AIR COND UNITS -If P EA <br />BAIHIUB <br />REFRIGERATION UNITS —HP EA <br />LAVATORY (WASE BASIN) <br />BOILERS —HP FA <br />SHOWER <br />GAS FIRED AC UNITS —TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSI[MS—BTU MEA <br />DISWASHFR <br />WALL HLATLRS—B I U M <br />LAUNDRY TRAY <br />UNIT HEATI RS—B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION MN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— CFM <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS —RAINLE ADL RS <br />METAL HREPLACE A OIIMNEY <br />SINK ISIRVICL—BAR, ETC) <br />SUBTOTAL <br />SUBTOTAL B <br />_ <br />PERMIT <br />! <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL Hit B <br />. 'bt YARD SETBACK <br />USL ZONE <br />SIRIIT SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />fit <br />CHECK HI <br />RECHPI NO <br />LOT AREA <br />VACANT SIIE <br />DYES ONO <br />FEES <br />VAIUATION <br />fit <br />TYPE Of CONST <br />OCCUPANCY CROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMINT <br />BE DROOMS <br />FIRE SPRINKLERS <br />P I KLERSREQUIR <br />^.YTS F HO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I ENVIRONMENTAL CHECK LIST <br />PINALTI <br />UBC <br />SIC ]OJIRI <br />2 BUILDING PLANS <br />TOTAL <br />TIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />Y E[N PROPERLY VALIDATED TIN THIS SPAC[I THIS 15 YOUR PERMIT <br />S GRADINGLXCAVATION A CI IARINGGRUBRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />91.79 <br />