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tht Em9nr 011 <br />CITY OF <br />everctt <br />CITY HALL 758-07.5 <br />EVERETT. WA 94701 <br />I'd <br />r CONSTRUCTION <br />PERMIT everet <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />MAIL AUGHtU lug PHONE <br />)k 17 I 1:� I �• _ <br />• .._..-.._......,� /, PHONE <br />GENERAL CON- (FACTOR MAIL ADDRESS <br />PIIUNE -� <br />tCHANICAL CCNT RACTOR MAIL ADDRESS L I I ..J..: �_ � // <br />r..aa nunA <br />OCOMBINATION yr � <br />411UILOINO ❑ /LUMBING []MECHANICAL 4 ' 1 /; •',�. �f . I t <br />• NEW _ -ADDITION ❑ALTERATION ❑REPAIR <br />\ VALUATION OF WORK <br />\ B �(/(,(^•,.- ❑DEMOLISH ❑FENCE L�SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />1 <br />� I IIOIOSEO US <br />MECHANICAL <br />LIOAL OES C I/TIONOF PROPERTY (SHOW BELOW OR ATTACH TYPE OF [N EnGY <br />FOURCO PIE SI _ UG AS ❑ELEC. <br />r <br />\ LOT / `' BLOCK-- 1�- OF ' !, �� �1 ,-, , NO _ _ _ TYPE OF FOUIPMENT FEE <br />Al rl C_UND. UNITS-H.P. <br />n ErnIGERATInN UNITS11. P. EA. T <br />OOILFn$ 11.P.EA. <br />FORCED AIR SYSTf.1649_O.T.U. )AEA. <br />JOB ADDRCSS r __ <br />-S' b WALL 1ff ATE RS _ B,T.U. <br />UNIT HEATEn3-&T.U. <br />PLUMBINGevnronnTI E-Fo LErls <br />-El" 1fkl(6n VERS <br />__ <br />V rNiILAiIUN FAN ---T— <br />NO. <br />MN(iE HI10U �;'�' <br />TYPE OF FIXTURE OR ITEM FEE -' I <br />A I11 IIANULING UNI T - BATH TUBS B �- _. C.F.M. <br />CLOTHES WASHER <br />DISH WASHERS I __ WATCR II F.ATFq <br />URINKING FOUNTAINS I r♦C. IIU n.T FIRE►LACE A CHIMNEY <br />FLOUR DRAINS I _ I;AS SYSTEM NO OP OTLE 7S <br />KITCHEN SINK A IS I __RUT <br />U <br />BAR SINKS SOU TOTAL S <br />- I <br />ROOF ORAINS - -HA —IN-LTA 0 C HS ---- PE OMIT S <br />•�_ SHOWER BATHS I _ _ TO rAI FEE S <br />SERVICE SINKS THIS Of HN, IfLCf1ME , HULL Alfa yOID IF WgNK OR CONS TRUp <br />11ON AUIIIOn N Of Vi ENCED WITlf;N 170 DAY$, OR If NOT fOVU <br />SUMPS - SE WAD PU'•1P CU NST IIUCi1f1N Oft YID IIK V !;L•'.PENOEO OR ABANOUNt0 FOR A <br />11H INA LS PEn1CH) OF r0 0 r5 AT nNY T,ME AFTER WOnK ISCUMMENCED. <br />WATER CLOSETS I UEn CITY CEnTIFY THAT I HAVE READ AND EXAMINEO THIS AP. <br />WATER HEATERS - ELECTRIC I PLICATION AND KNOW YNE SAVE TO HE TRUE AND CORRECT. A(L WASH BA IN PnUVIti1UNs Or LAW.^. AN() 01I0INANCES GOVERNING THIS TYOC <br />LAUNDHY TRAY$ I OF WOIfK WILL PIE COMPI. ICO WITI4 WHETHER SPECIFIED HEREIN <br />Off NOT, TIIC GIIANTING Ur A PERMIT UUks NOT Pn ESUME TO <br />GIVF AUTIIOnIrY TO VIOLATE OR CANCEL THE PROVISIONS CF <br />ANY OTIIEII STATE On LOCAL LAW REGULATING CONSTRUCTION <br />011111E PCIIFUIfMANCE OF CONSTnUCTIn N. <br />I <br />SUO TOTAL <br />PERMIT S _ / <br />Jj 1 i <br />HATER SERVICE SIZE SLOG- SUPPLY 512E X•'- <br />S IUNATV OFCUN TnAGi On OI Al/T11. AGENT GATE' GIVE YARD SF TRACK STRtCTSETBACK REAR YARDSk TOACF PLAN CLfk CK NUMIlER <br />PLAN CNt CK FEE <br />79 FEE RECEIPT NO. <br />•Y.L ZONE LOT AREA VACANT SITE 'i�aj� <br />OYES ONO _FEES VALUATION FEE <br />I VPL OF CONST. OCCUPANCY GROUP NOOF OWL LLING <br />1 I /_, _ I UNITS __ I <br />uZL Of SLOG. NO. OF 570ASE5 MAX, OCG LOAD BUILDIN/i <br />1144C ONE HAS MEN 1RF PHINKL R Pt UMRING i <br />FlECUIREO r-� III I <br />I` YES ONO MECI(ANICAI. I <br />I.PLCIAL CONDIT-ONS <br />OTllfn I <br />Pf NALTY —�T�— <br />scc. col In 1 <br />TOTAL I I <br />1 <br />PERMIT VAI. IDAT'UN <br />WIN N I'ngrr fit I•ALIUA7LD 11% TUIS SPACE) Tills IS YOUR PERMIT <br />n.wnUN �LLIINU�• I'IAN\LW NIU •T •ir N.\lu nnl <br />