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the ELergnren <br /> CITY OP CONSTRUCTION everett 1 <br /> everett PERMIT <br /> CITY NAZI ? OS <br /> EVERETT AASRIYG101 <br /> 34,11 <br /> URI OF CIWANITY BUILDING MECHANICAL PLUMBINGel <br /> 9E VELCNI Nt <br /> OWNER MAIL ADDRESS ZIP PHONE <br /> Joan Salta/Art >kota'.e,5 F.U. 'Jou 73 98206 25f'.-4354 `:bfiw r <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 1041-•77 <br /> Lai;rance. 6 Vato <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> Tohri Salton/Art 31 of 1al <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. CC <br /> CC <br /> CO • <br /> 2 <br /> PERMIT CLASS OF WORK D <br /> z <br /> ❑BUILDING ❑PLUMBING O MECHANICAL 1- <br /> 0 NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br /> VALUATION OF WORK M <br /> S 12,030..00 ❑DEMOLISH ❑FENCE DEIGN ❑SWIMMING POOL 2 <br /> DESCRIBE WORK <br /> add walla 2857 <br /> PROPO E USE <br /> l.� <br /> o��i rental MECHANICAL <br /> TYPE OF FUEL DOH. 0NAT. LPG. OELEC. <br /> LEGAL DESCRIPTION OF PROPERTY ISF'OW BELOW OR AT1 ACH GAS <br /> FOUR COPIE51 `jiagt Ridgeih NO. TYPE OF EQUIPMENT FEE <br /> .OT'!•L BL^::i_...-_OF _-___.- I <br /> AIR COND.UNITS-H.P.EA. S I <br /> REFRIGERATION UNITS-H.P.EA. 1. <br /> DOILERS-H.P,EA. I <br /> a GAS FIRED A.C.UNITS-TONNAGE EA. E <br /> I <br /> FORCED AIR SYSTEMS-B.T.U. M EA. I <br /> JOB ADDRESS ' -- WALL HEATERS-B.T.U. M 1 <br /> 2?':, ^ iC le-Ir+s► <br /> " LO UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVE COOLERS '1 <br /> PLUN,BING CLOTHES DRYERS 7 <br /> VENTILATION FAN i <br /> 1 <br /> RANGE HOOD 1 _ <br /> AIR HANDLING UNIT- C.F.M. 1 <br /> Np. TYPE OF FIXTURE OR ITEM E(7!,� INCINERATOR 1 <br /> v Wk.ER CLOSET(TOILET( S 1 <br /> 7 BATHTUB (,1 00 <br /> LAVATORY(WASH BASIN) <br /> SHOWER <br /> KITCHEN SINK&OISP. SUB TOTAL. S <br /> DISHWASHER PERMIT S <br /> LAUNDRY TRAY j"` TOTAL FEE S <br /> CLOT HES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> 2 WATER HEATER d (O TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> _ <br /> DRINKING FOUNTAIN 1 PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DRAIN 1 I TIERED"CERTIFY THAT I HAVE HEAD AND EXAMINED THIS AP. <br /> VACUUM BREAKERS I PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> I I- PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF DRAINS-RAIN LEADERS OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK(SERVICE-BAR,ETC.) 2;."" OR NOT, THE GRANTING OF A PERMIT ODES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL Tli£PROVISIONS OF <br /> IANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> SUB TOTAL — 0'',,j y OR THE PERFORMANCE OF CONSTRUCTION. <br /> PERMIT S 27100 <br /> TOTAL FEE S L".t'1aGk 498-577 3k of I:v 7/9/77 <br /> X <br /> SIGNATURE OF CONTRACTOR ORAUTH.AGENT DATE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER �xp:$M CHEC CF4 E •7 <br /> 77/421 FCE 33JJJii!! yin JD \ <br /> USE ZONE LOTAREA VACANT SITE <br /> OYES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING I <br /> UNITS r2 � I <br /> 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD BUILDING $ �" r IJ` b 17$.R 100 <br /> I <br /> PLUMBING 21I ETT3 <br /> FIRE ZONE BASEMENT —FIRE SPRINKLERS 1 <br /> RECWI RED <br /> OYES ❑NO MECHANICAL 1 <br /> SPECIAL CONDITIONS: OTHER I <br /> I <br /> I <br /> PENELTY SEC.303 NI ..�,III <br /> iFY::') <br /> TOTAL I <br /> I <br /> — PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED ON THIS SPACE)THIS IS YOUR PERMIT <br /> APPLICATION ACCEPTEC DV P l AliS CUE CK FD@Y APP90V'E 0I 01115St1ANCE Pr <br /> It.r.rw� p <br /> D <br />