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trip E"'°'"° CONSTRUCTION J <br />CITY OF <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT %ERVICES <br />CITY HALL 2598745 <br />EVEREIT, WA 98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADDRESS CITY IIP PHONE LS7,L3/cg(li /7, lZeZl.eir / <br />MCNOICi OR DIS NER MAII ADDRESS CITY / ZIP PHONE �i -7 <br />/' / /]il 'l / /i !/71 /_ / 1// . - I= itd. lY--9,�%1J 3 i y0 / <br />CENTRAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE IICi Al, R <br />j ll�iZC <br />MICHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CIl1 LIP <br />PHONE LICENSE <br />PIUMBINGCOHIRACTOR <br />MAIL ADDRESS <br />CITY 71P <br />PHONE LICENSE 2 <br />CLASS Of WORK <br />❑NEW ❑ADDITION <br />, <br />OACTILRATION ❑REPA.IR <br />❑DEMOLITION ❑FENCE ❑SIGN <br />❑GARAGE ❑BUILDING RELOCATION <br />VALUAIION Of WORK <br />L <br />OUCRI ( WORK <br />3 <br />— f <br />PROPOSED1.51 DI BUILDING <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 />IIGAL DISCRIPIION OF PROPIRTY(SHOWN BELOW OK ATTACH FOUR COPIES) <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />101 _ BLOCK _OF <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 AUTHORIZED AGENT DATE <br />/ S(/) <br />LOB ADDRl55 <br />C <br />PLUMBING <br />MECHANICAL <br />NO, <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CIOSET ETOLIETI <br />AIR COND UNITS -HP EA <br />REFRIGERATION UNITS -HP EA <br />DATHTUB <br />LAV ATORY(WASH BASIN) <br />BOILERS -HP EA <br />GAS FIRED AC UNITS-1.14NAGE EA <br />SHOWER <br />FORCED AIR SYSIEMS-B T U M EA <br />KITCHEN SINK A DISP <br />WALL 4EATERS-BTU M <br />DISWASHIR <br />UNIT HEATERS-B T U M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />WATER HEATER <br />CI.OTHIS DRYERS <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT- C F M <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS -RAINLE ADE ITS <br />METAL FIREPLACE A CHIMNEY <br />SINK ISERVICE-PAR, ETC 1 <br />SUN TOTAL f <br />SUN TOTAL <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD 51 TBACX <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />IH <br />RECEIPT NO. <br />USE ZONE <br />I.OT AREA <br />VACANT SITE <br />fits <br />VALUATION <br />FEE <br />OYES ONCE <br />TYPE OF CONST <br />OCCUPANCY GROUP <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 />BASEMENT <br />HI OROOMS <br />FIRE SPRINKLERSREQUI <br />MECHANICAL <br />CITES FIND <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />I BC <br />I ( YI;W <br />2 BUILDING PLANS <br />TOTAL <br />] FIRE HYDRANT <br />1 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATEDBN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADINGE XCAVAT ION A Cl 1 ART NG,GRUBBING <br />A DRAINAGE <br />7 ENVIRONMENTALIMPACT 5TAIESIENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS GHCKED BY <br />APPR I�ISSUANCF BV <br />f c f <br />