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FIRE <br />CET/ OF CONSTRUCTION <br />OF <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HAIL 259-8745 <br />EVERETT, WA98201 DCOMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ARCHIIICI OR DISILNIR MAILADDRIg ' CITY <br />CINIRA1 CONTRACTOR MAIL ADDRESS CII) )m PHONE LICE NSF R <br />MICHANICAL CONTRACTOR MVI ADDRESS CH, 71P MIONI lICINSI R <br />❑NEW ❑ADDITION ❑ALTERATION ❑RI PAIR ❑DEMOLITION LJTENCI LJ51GN IJGARAGE UBUILDING III At IUN <br />%Ali ATIONOI WORK <br />IS AC FIRE O'ORK <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PRoroaove of BDIm"; <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVI5IONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />HGAI DIURIPTIOICE PROPIRI) OHOWNBIIOA OR \HACHIOURCOP1ISI <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />Iol _RIOCK_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 />X <br />41N \OPg14t <br />� �) <br />W <br />PLUMBING <br />MECHANICAL <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE <br />SS AH R QOSI T IIOLII TI <br />AIR COND UNITS -HP [A <br />RIIRIGFRATION UNHS-HP EA <br />BATHTUB <br />BOILERS -HP LA <br />I AYAIHR) ITV ASH BASIN) <br />GASHRLD AC UNIT5-TONNAGE LA <br />SHOWIR <br />IORCLD AIR SYSTEMS -BTU MEA <br />KITCHIN SINK A DISP <br />WALL HIAIIRS-BTU M <br />WASHER <br />UNIT HLATIRS-BTU M <br />IAUNOR)IRA) <br />EVAPORATIVE COOLERS <br />(lO1Hl5 WA5111R <br />CLOTHES DOORS <br />WAllR HE AllR <br />VI NT IIATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT- C I AS <br />f IOOR DRAW <br />VACUUM SRI AKE RS <br />S10V <br />SII IAI IIRIPIACI A CHIMNEY <br />ROOF DRAINS-RAWIi AUI R5 <br />SINK (SERVICE -IIAR ITC 1 <br />SUBTOTAL <br />SUB TOTAL <br />f <br />PERMIT <br />IF <br />PERMIT <br />f <br />IF <br />IF <br />TOTAL <br />FEE <br />TOTAL FEE <br />SIR[17 SETBACK <br />RE U H PU li TRACK <br />PUN CHECK NUMBER <br />HECKCIE I E l <br />SICi Mp R51111ACK <br />CE I <br />ILL RECEIPT NO <br />USE ZONE <br />101 ARIA <br />VACANT SIZE <br />FEES <br />VALUATION <br />FEE <br />DYES GNO <br />IYP( Of CONST <br />OCCUPANCY GROUP <br />NO OF DWELIING 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 />III DROOMS <br />ISH SPRINKLERSREQUIRED <br />Ml (IIANICAL <br />YIS LINO <br />APPROVALS <br />BY <br />DATE <br />OTHIR <br />1 ENVIRONMENTAL CHICK LIST <br />PI HALT) <br />LIIf, <br />SIC 10C.) <br />2 BUILDING PLANS <br />TOUT <br />L FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION WHEN PROM RLY VALIDAIEO (IN THIS SPACII THIS IS YOUR PERMIT <br />S GRADINC.9 R( AVAI ION 8 CL I ARINGIGRURILING <br />6 DRAINAGE <br />7 ENVIRONMIAHAl IMPAC' STATEMENT <br />8 HIALTHDISTRICT <br />APPLiCAI ION ACC BY PLANS CII(CKID BY <br />APPR IOR ISSUANCE BY <br />