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fM Eftrprimi APP )CATION FOR e7 e' , <br />CITY OF CONSTRUCTION e <br />everett PERMIT <br />DEPT OF COMMUNITY DIVILOPMENT SERVICES <br />CITY HALL 259 8745 <br />EVERETT, WA9B2D1 []COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OW/NE�R .All ADDR115 CIE\ ZIP PHONE <br />(�+�f FIT911rrl 1 Cq <br />ABHIIICI OR DISIf-M4 MAIL ADDRS�.01w (li\ ZIP PHONE <br />MAIL ADDRESS CITY ]IP PHONE LICIIA1 P <br />.11(INNI(AL CONTRACTOR MAIL ADDRESS (IL\ .:IP PHONE LICINSII <br />Pit %IRING(ONTRA(IOR .NIT ADDRESS (III ZIP PHON! IICINSI IF <br />S& A(�-.�rru, f.r a IW 3 Age 111ww 9P14 7G z-9�ofl <br />I All 1)1 WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />A AIFAHn%OF WORK <br />f <br />11 MIDIII WORK <br />PKUPOMD OII of RUR DING <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 />iIGNATURI OF CONTRACTOR OR AUTHORvfD AGENT DATE <br />x <br />(EGA( DISCRIPHON Of PIOPERTV(SHOWN SHOW OR ATTACH FOUR COPIIS) <br />COI _RIaK__OF <br />IUH .OnRI tt <br />243G uJcfrida.-p lee ear i,.OR <br />PLUG411NC. <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />SA AT I R CLOSE T(lot IT II <br />AIR CONED UNIIS-HP 14 <br />BATHTUB <br />RI ERICA RATION UNIIS-11P EA <br />I AVAIORV IW ASH BASIN( <br />HOII I RS-H P EA <br />SHOW I R <br />C,AS 1 RI D A C UNIIS-IONNAGE LA <br />KITCHEN SINK A DISP <br />1OH(I D AIR SYSTEMS -BTU MIA <br />DI%%%AllifR <br />WAIT HIATIRS-BTU M <br />I ACNORV TRA\ <br />I%IT THAIIRS-111U M <br />(IHHII S SAAA111 R <br />I SAPORATIVF COOLERS <br />\VAIIX 141 ATIR <br />CIOT111S DRIERS <br />11RENAL <br />SINTIUIION IAN <br />DRINKING I011NIAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C 1 M <br />VACUUM BRI AKE RS <br />SI( rY I <br />ROOF DRAINS-RAINII AOI RS <br />ME T AT I IRE PI At A f HIATM Y <br />Sr,C(SIRVICI-RAR ITC( <br />SUR TOTAL <br />SUB TOTAI S <br />PERMIT <br />S <br />PERMIT S <br />IDEAL FEE <br />S <br />701AL Fit S <br />SIDE LARD 9IHl(, <br />SIRI 11 SI TRACK <br />RI AR TARO SE IBA(K <br />PI AN C HICK%L11BIR <br />PLAN <br />TEE <br />CHECK FEL <br />RECEIPT NO <br />USE ZONE <br />101 AREA <br />VA(ANT Sill <br />1I5 NO <br />:; <br />TITS <br />VALUATION <br />fEl <br />1IP1 OF (ONST <br />0(CUPANCY GROUP <br />NO OI DAlLI INC, UNITS <br />III II Pr,r. <br />4 <br />SIZE Of BID. <br />NO Of STORIES <br />NEAR OCC TOAD <br />PLUMBING <br />FIR[ ZONE <br />BAS(A1LN1 <br />III UROUSIS <br />FIRE SPRINKLIRS <br />REQUIRED <br />IYES E1Nn <br />MICHANICAI <br />APPROVAES <br />BY <br />DATE <br />OTHIR <br />1 ENVIRONMENTAL CHI (K LIST <br />PINALIV <br />UBC <br />SIC TOl(4) <br />2 BUILDING PLANS <br />TOTAL <br />T FIRE HYDRANT <br />4 TIRE PROTECTION SYSTI M <br />PL R MIT VALIDATION <br />If HI N PROPERLY VALIDATED ITN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADIN(A M AVATION A ( 11 ARINC. GRUBBING <br />6 DRAINAGE <br />7 ENVIRONMINTAI IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPL ICAIION ACC 111 <br />CHICKlO BY <br />7 <br />APPR TOR ISSUANCE ID <br />