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_ _ .•-�- . <br /> r��� r�'�«,����',� CONSTRUCTION , e��erett <br /> CITY UF ^^^���T <br /> everet�t r�:�� i <br /> CITY HALL2598145 ' <br /> eveflerr, wa �azo, COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNEH Iv1AILl�UUHE55 ZIP YHONL � <br /> Jordan's r" <br /> � <br /> hliCHR[CT UR OESIGNER MAIL AUORE55 PHONE LICENSE NO. � <br /> � <br /> GENEfiAL CONTRACTOfl MN� l�DD�SE55 PHONE LICENSE NO. z <br /> Berry Neon Co. 21027 61st t9est Lynnwood D-50 C <br /> MECHANICAL CONTRACTOR MAIL ADORESS PHONE LICENSE NO. W <br /> �,, m <br /> PWMBINGCONTRACTOR MAILADDRE55 PHONE LICENSENO. i1-� � <br /> .�.� <br /> PERMIT CLASS OF WORK V ' , <br /> ❑COM�INATION <br /> ❑OUILD�NG �PLUMDING �MECHANICAL <br /> ❑NEW ❑AODITION ❑ALTERATION ❑REPAIR <br /> VALUATION OF WORK <br /> S IGOO.00 ❑DEMOIISH ❑FENCE D$IGN ❑SV/IM1iMING POOL <br /> Id <br /> OESCRI�E WORK <br /> erect illuminated sign <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGAL OESCFIPTION OF PROPEftTY ISHOW HELOW OR ATTACH TV PE OF ENERGY <br /> FOUqCOPIE51 ❑�AS ❑ELEC. <br /> NO. TYPE OF EQUIPMENT FEE <br /> LOT �LOCK—OF — <br /> AIR COND.UNITS-H.P. EA. 5 I <br /> REFRIGEFiATION UNITS-H.P. EA. <br /> �OILERS� HP. EA. I <br /> FOfiCE� AIR SYSTEMS-B.T.U. MEA. <br /> I <br /> JOB ADDRE55 5PACE & WAL� HE/1TERS - B.T.U. <br /> 9925 Evergreen Way uNir nEnreas-n.T.u. i <br /> GVAFO(il�TIVE COJLERS <br /> PLUMBING c�_orr+es onveAs i <br /> V[NTILATIONfLN �— � <br /> flANGEHOOO � <br /> NO. 7VPE OF FIXTURE OR ITEM FEE nlft Hl1NDLING UNiT- C.F.M. r— <br /> BATH TUBS S I <br /> CLOTHESWASHER � WATEa HEATEa <br /> DISH WASHERS � FAC. DUILT FIREPLACE�K CHIMNEY � � <br /> ORINKING FOUNTAINS � ----------- <br /> GAS. SVSTEM: NO OP OUTLETS <br /> FL"JOP Df7AIN5 i --- ----- ---- ' �— - <br /> KITCHEN SINKS & DISP. i _ SUIJ TOTnL 5 <br /> �AR SINKS --�— _ NtRh91T 5 <br /> __— I <br /> ROOF DRAINS - RAIN LEADEFlS 1 TOTAL FEE 5 I <br /> SHOWER 6ATHS THIS PEHMII' !3@COMES NULL /1NU VOID IF WORK OR CONSTRUC- <br /> SLRVIC6 SWKS TION AUTHC RIZ[D IS NOT COMMENCED WITHIN 120 OAYS, OR IF <br /> SUMPS - SEWAGE PUMP CONSTRUCTION OR WORK IS SUSP[NDED Ofi AAANGONED F0f1 !� <br /> PERIOD OF 170 DAVS AT ANV TI�1E I�FTEfi WOFK IS COMM'cNCEU. <br /> URINALS —. � � ��EREf3Y CLRiIFY THA7 I H4VE REAO AND E%AMWGD THIS AP- <br /> WATER CLOSETS � PLI:nTION AND KNOW TH[SAM[ TU 6[ TRUE /1ND CORRECT. ALL <br /> WATER HEATER$ - ELGCTRIC � PROVISION$ OF LAWS AND ORDIN/�NCGS GOVERNING THIS TVPE <br /> WASH BASINS i OF WORK WILL E3[ COMPLILD WITH WH[TH[R SPECIFILD HEREIN <br /> LAUNDRY TRAVS OR NOT, THE GRANTING Of !� PEfih11T DOES NOi PR[SUM11E TO <br /> i GIVG AUTHOflITY TO VIOLATL OR CANCLL THE PROVISIONS OF <br /> ANY OiHEfI ;TATE Ofi LOGAL LI�W REGULATING CON3T(iUCTION <br /> � OR THE PEf1FORM/�NCE OF CONSTPVCTION. <br /> _ I <br /> SUB 7�OTAL i O � <br /> PERNiIT S � <br /> TOTAL FEE x S�.�i��S <br /> WATER SERVICE SIZE �LDG. SUPPLV S12E SIUNAruive or coNiRnC7oROH nUrH.nc,ENr DnTE <br /> SI�E Vl1RD SE76ACK STRELT SE'i UACK R[AR VAR�SETf3ACK �LAN CHECK NUh1flLR vLAN CHECK F[E <br /> FEE �ECEIPT NO. <br /> USE ZCNE LOT AREA VACANT SRE <br /> ❑vcs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP ND.OF DWELLING �— <br /> UNITS � <br /> SIZE OF 6LDG. NO.OF STORIES MA%.00C LOA� BUILDING 5 � <br /> 16C0.00 3 � 0�._0 <br /> PWM�ING � <br /> FIRE20NE Ul�SEMLNT FIHESPRINKLERS � <br /> � REQUIRED � <br /> ❑VE$ ❑NO MECHAPIICAL I <br /> SPECl/1L CONOITIONS: OTHLN � <br /> I <br /> _`,['W_O S1�p5 PENALTv SEC. 3091n1 � <br /> —__ — � <br /> TOTAL �� � . � 9 100.. - <br /> PERMITVALIDATION ". . � <br /> WHEN 1'liOPF:fiLY VAUDATED(IN TII15 SPAC.EI TNIS IS �OUR PERA7IT. <br /> � <br /> — va'v-�. RE���er:; <br /> _ , TH,��INNK YOU .,-_, <br /> „ ` . n <br /> nrrnr.nuounccu�nuijv v�nr�;�y�i�ni.our nrrnov[oromssunun ur + � _ �� <br /> i <br /> i j � . � � <br /> L.c.Es e - y �AY �8 � <br /> ° � . � , �;� <br />