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Atli. <br />- —The rvcrpfmn — CONSTRUCTION cvcren <br />CITY OF <br />PERMIT <br />evcrctt <br />CITY HALL 15/11174/ <br />EVFRETT. WA 10/701 COMBINATION BUILDING • MECHANICAL • PLUMBING <br />UWNL II MAIL ADOHLSS LP C4f Q�� PHONL <br />vc /`Fc �'s�•/tv Ha/fcs 74a '.,c sA. uia 3.s's'-�! <br />A IICHII L C I OR DESIGN R M41L ADDHk55 PI/VNE UCLNSE NO. <br />GENE. HAL CONTRACTOR MAIL ADDHLSS PRONE,/-Nb-LtC. p> IN <br />S/•F,v c A*1 Ap4o v e, H <br />GG <br />ML.CHANICALCONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLRMIT <br />❑ COMBINATION <br />�ZOUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />11��•• <br />{p•NEW ❑ADDITION []ALTERATION ❑RE►Atq <br />VALUATION OF WORK <br />` '^J _ Q �[��t:!';, `•`-7 <br />[I DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK , <br />/s <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY <br />[]GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />F OUR COPIES) <br />LOTS- 4 BLOCKL OF`4U '6 <br />NO. <br />TYPE )F EOUIPME14T <br />FEE <br />AtR CORD. UNITS -H.P. EA. <br />f 1 <br />REr RIGERATION UNITS-H.P. EA, <br />BOILERS -/LP. EA. <br />I <br />/ <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />SPACE A WALL 14E AYERS - B.T.U. <br />UNIT HEATERS-II.T.U. <br />1 <br />PLUMBING <br />E VAPO NITRE COOLERS <br />T <br />I CLOTHES ORYE RS <br />VENTILATION FAN <br />/J- <br />RANGE HOOD <br />NO.I <br />TYPE OF FIXTURE OR ITEM <br />FEE _ <br />AIR 14ANDLRIG UNIT- C.F.M. <br />/ <br />BAiN TUBS <br />/( <br />WATER HEATER_ <br />1 <br />CLOTHE$ WASHER <br />EFJIUV <br />DISH WASHERS <br />:'. 71C,.. <br />------- <br />FAG BUILT FIREPLACE A CHIMNEY <br />GAS. SYSTEM: NO OF OUTLETS _ <br />—♦ <br />C, <br />-URIIt Y,IryG FOUNTAINS <br />1 <br />FLOOR DRAINS <br />I <br />/i <br />KITCHEN SINKS A UISP. <br />_ ,� I' <br />SUBTOTAL b <br />:.I:1 <br />BAR SINKS <br />L <br />PERMIT b <br />ROOF DRAINS - RAIN .EADERS <br />TOrnLFEE S � Q <br />fws- PLRMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />7ION AUTHORIZED IS NOT COMMENCED WITHIN 170 DAYS, OR I- <br />OR WORM. IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I FIEHLBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW TIIC SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAW: AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITHWHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES IJDT PRESUME TO <br />GIVF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />' UI HER STATE OR LOCAL LAW REGULATING C014STRUCTION <br />IIIE PERrCRMANCE OF CONSTRUCTION. <br />sIeA C Urm r lncloaoR 1N.AG E NT DATE <br />/V <br />SHOWER BATHS <br />- / J <br />SERVICE SINKS <br />I <br />SUfdPS - SEWAGE PUMPCONSTRUCTION <br />URINALS <br />WATER CLOSETS <br />/� <br />W/.TER HEATERS - EI ECTRIC <br />WASH BASINS <br />_IOU <br />LAUNDRY TRAYS <br />is — <br />fJu'• <br />1 <br />SUBTOTAL <br />PERMIT <br />f <br />YIATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />4ILL YAIIU bE I BACK <br />S/ <br />LIRLL7 SLT BACK R <br />a / <br />L A R Y A R D SE TO AC I <br />PLAN CIIL CK NUMI R <br />PLAN CHECK I LE <br />FEE RECEIPT NO. <br />VSL 2ONE <br />-3 <br />LOT AREA VACANT <br />PigO <br />SIT E <br />OYES t1NO <br />FEES <br />VALUATION <br />FEE <br />I YYL OF Cu F1 <br />OCCUPANCY GROUP NO.OF <br />UNITS <br />DWELLI G <br />/ <br />I <br />BUILDING <br />f s7&7 1t•�� <br />L� J I�(, <br />'I' LOP BLDG. <br />NO. UP STORIES MAX. <br />OCC. LOAD <br />PLUMBING <br />I IIIE Z014L <br />BASEMENT FIN <br />RF <br />�S <br />SPHINKIL <br />tIUIHLO r-� <br />❑YES ❑NO <br />MECl/AMCAI. <br />?. �,�O0 <br />M-LCIAL CLINDITIVNS'. <br />OTHrn <br />-- <br />- - <br />Pr NALTY <br />70TAL <br />SFC, SOS IH <br />T <br />I <br />1 <br />i'I HMIT VAI-IDATIUN <br />WHI I/ 1'IIUI'1.111.Y V ALIDATLO (IN 7111S E.PACEI THIS IS YOUR PLRMIT <br />