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16efveryrccn � CONSTRUCTION .- . everett <br /> "T�°F PERM17 <br /> �•_ <br /> everett <br /> c�rv HA1L2598145 � ; . , P!UMBING <br /> EVERETT, WA �azoi COMBINATION BUILDING MECHANICAL <br /> OWNER MNLADDftE55 ZIV PHONE � <br /> �ssal_L'.��ansen 3214 52nd P1. S.F�?. 98203 355-8331 m <br /> AFCNITECTORUESIGYEfi N.AILAOORE55 PHONE LICENSEND. � <br /> � <br /> "'� <br /> GENERALCONTRACTOR MAILADDRE55 PHONE LICENSEPIO. z <br /> C <br /> MECHANICAL CONTFACTOR 4�AIL ADDRESS PHONE LICENSE NO. W <br /> i f� fil <br /> PLU1,dBING COMAqCTOR MFIL ADDRE55 PHONE — LICENSE NO.� �:J � <br /> .` <br /> !� <br /> PERMIT C�ASS OF WOflK <br /> ❑COMBINATION <br /> �DUILDING ❑ PLUM�ING ❑A7ECF1FN1^A•_ <br /> ❑NEW ❑nDDITICN ❑ALTE!aATION ❑REPAIR <br /> i <br /> VA�UATION OF WOFK <br /> �L]EMOLISN ❑FENCE ❑SIGN ❑SWIMMING POOL <br /> 5 <br /> DESCflIBE WORK <br /> Tear docan old house & clear lots <br /> PIiOPOSED USE MECHANICAL <br /> TVPE OF ENERGV <br /> LEGALDESCRIPTIONOFPROPERiVISHOW �ELOWORATTACH ❑GAS ❑ELEC. <br /> FOUR COPIE51 <br /> LOT lZ 6LocK�oF Be�rly H111S �4 NO. TVPE OF EQUIPMENT FEE <br /> Alfl COND. UNITS-H.P. EA. S I <br /> REFHIGERATi'Jy UNITS -M.P. El�. <br /> � 601LERS-H.P. EA. I <br /> FORCED AIF1 SVSTEfdS-B.T.U. MEA. <br /> ' <br /> JOB ADDRE55 SVACE & Wl�LL MEATEFS - B.T.U. <br /> 5707 rver,�reen �'j UNIT HGMcRS-[i.T.LL �_ <br /> EVAPORATIVECOOLERS <br /> ?LUM6ING CLOTHES DRVFRS I <br /> VENTIIATION FAN <br /> FANG[ NOO� � <br /> . NO. TVPE OF FIXTURE OR ITEM FEE l�IR IIANDLING UNIT- C.r.M. <br /> BATH TUBS 5 I <br /> CLOTHES WASHER � WATER HEATER <br /> DISN WASHERS � FAQ 9V IL�f PIREPLACE & CHINf;EY � <br /> OFINKING FOUNTAINS __ � GAS. SYSTEM: NO OP OUTLLTS <br /> FLOOR Df7AIN5 � — ---- -- — <br /> � KITCHEN SiNKS & DISP. � SU61 OTnL 5 I <br /> BAR SINKS � i PERMIr 5 <br /> ROOF OHAINS - RAIN LEADEFS i TOTnL r-EE 5 I <br /> SHOWER BATHS THIS VEPMIT UECOMES NULL AtJO VOID IF YJOfiK ON CONSTRUC� <br /> SEFVICE SINKS TION AUTHORI2[D IS NOT COMMENCEO WITHIN 120 OAVS, OR If- <br /> � SUMPS - SEWAGE PUMP CONSTflUCTION OR WORK IS SUSPENOED OR l�6ANDONED FOfi A <br /> � PEFIOO OF 120 DAYS AT ANY TIME AFTE1i WORK IS COMM[NCGD. <br /> URINALS I HEREdV CERTIFV THAT I HAVE READ ANO E%AMINED THIS AP- <br /> WATER CLOSETS � PLICATION AND KNOW TI1E SAMF TO f3E TRUE AND CORRECT. ALL <br /> WATEfl HEATEftS - ELECTflIC � PfiOVI510NS Of Ll�WS AN[] OfiOINANCES GOVERNING THIS TYPE <br /> WASH BASINS i OF WORK WILL 6E COhiPLIED WITH WNETI�IEfl SPEGIFIFD HEREIN <br /> LAUNDRV TRAYS Ofi NOT TH� GRANTINu OF l� PERMIT DOES NOT FRESUME TO <br /> � GIV[ AUTHCRITV TO VIOLAT[ OR CANCEL THE PfiOV15101�5 OF <br /> ANV OTHER STATE OR LOCl1l LAW fiEGULATING C0IJSTRUCTION <br /> � OF THE PEftFOfiM/1NCE OF CONSTRUCTION. <br /> i <br /> SUBTOTAL i <br /> PERMIT 5 ! �� <br /> TOTAL FEE _K��X. "k-QZiII��.�_ <br /> WATERSERVICE512E BLDG. SUPPLVSIZE SIGNATV9EOFWNTRACTORORAUTH.AGENT onfE <br /> SIDE �ARO SETUACK STfiEET SET�ACK REAR YARDSETOACK PLAN CHFICK NUMftEP PLAN GHECK =EE <br /> FEE IREC[IPTNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑v[5 ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING T— <br /> UNITS � <br /> 517.E OF �LDG. NO.OF STORIES MA%.00C. LOAO 13UILD1�lG 5 j10 FP.e I <br /> _ � <br /> P�UM6ING � <br /> f-IIiE20NE 6ASEMENT FIRESFRINKLERS <br /> REQUIRED � <br /> ❑YES ❑NO MECHANICAL I <br /> SPF.CIAL CONDITIONS: OTHER I <br /> I <br /> PENALTY SEC.J071�) � <br /> I <br /> " ' V I <br /> � ! � TOTAL p0 fe <br /> v.-_... . ,,. .... U <br /> �� ---'� PERMIT VALIOATION <br /> �{'� _— WHEN 1'ROPEliLY VIILIfJ/�TED I IN THIS SPACEI TH15 1$YOUR P[RMIT <br /> E� � �!r {�i�, �.1) <br /> —� <br /> I � --�.}�My-7-j -`' I <br /> m + ..� <br /> Ll <br /> hl'P ICp ! " CIfUbY YLl�N`iLll[LI(fp11Y. �1PPf1UVIUVO111::SUAfIIl.I1Y <br /> �' '� . N <br /> I +fC up <br /> I ' "� � � <br /> '_ i , _ �� -_. ��_ , , <br />