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the Ewerg1I.I„1 CONSTRUCTION <br />CITY OF PERMIT <br />everett <br />CITY HALL 259-745 <br />EV ER ETT, WA 9:201 COMBINATION • BUILDING - MECHANICAL • PLUMBING <br />E <br />OWNER MAIL ADDRESS ZIP P'll INIOl <br />(MORGE F. DULL 5303 BEVERLY LAND 98203 353-5392 <br />.O <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />3 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />AM <br />C <br />MECHANICAL CO TRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />.P <br />I-' <br />CD <br />PERMIT CLASS <br />❑COMBINATION <br />®BUILDING ❑PLUMBING ❑MECHANICAL <br />OF WORK <br />1NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />9944 <br />VALUATION OF WORK <br />S 400.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIOE WORK <br />BUIIAING TIRED BARN" (81 x 121) <br />PROPOSED USE <br />IPOOL STORAGE <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />FOUR DESCRIPTION OF PROPERTY 15HOW BELOW OR ATTACH <br />LOT 44 BLOCK DDDOF D"'00 <br />HIGMANiND FARMS #2 <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />5303 BEVERLY IN <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />1 <br />BATH TUBS <br />CLOTHES WASHER <br />S <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I _ <br />DRINKING FOUNTAINS <br />GAS. SYSTEM: NO OF OUTLETS <br />FLOOR DRAINS <br />SUBTOTAL S <br />I <br />KITCHEN SINK & DI <br />PERMIT S <br />TOTAL FEE SI I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />114EPEBY 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 VIOL,ITE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCA L LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />✓ 5-22-78 <br />BAR SINKS <br />ROOF DRAINS - RAIN LEADERS <br />SWER THS <br />BAVICE <br />SERHO <br />SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />LAUNDRY TRAYS <br />1 <br />I <br />SUB TOTAL <br />PERMIT <br />$ <br />ILI PAL E <br />WATER SERVICE SIZE BLDG. SUPPLY SIZE <br />SIDE YARO SETBACK STREET SETBACK REAR YAROSETBACK <br />S GNATURE CONTRACTORORAUTH. AGENT GATE <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />hFo OF DWELLING <br />I <br />BUILDING <br />$ 400�00 <br />I <br />S. O <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEtA NT <br />FIRESPRINKLERS <br />R EO61REO <br />❑YES ❑NO <br />MECHANICAL <br />_ <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 303(N) <br />I <br />TOTAL <br />-- <br />I <br />bn <br />PERMIT VALIDATION <br />WTIENTROPERLYVALIOATEO(INOTIII PACEI�1j1VtYY PERMIT <br />77 �9�3tf oo y <br />-YOUR k5dmPi� <br />THANK YOU`T) <br />A"LIG110NACUP,EDHy. <br />PLANS0ILCKLDbY. <br />API'NOV[DIONIC:NANf.1IIY <br />ADDRESS FILL <br />. . 1.l III1► / n <br />