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flu� Evcirlrrnn <br />��, � ���. <br />everett <br />CITV HALL 25&8]48 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everelt <br />OWNEft M11�11L ADOFESS ZIP PHONE <br />'9 <br />��o,?nT.n rnco:�sot� `" <br />� <br />AflCHITECT 01i L1[SI(iNGR Ml11L AOCRE55 PHONE LICENS[ Np. 3 <br />'-� <br />GENEqALCO^:TNACTOR MAILl�ODRESS PHONE LICENSENO, z <br />:' 'I�i !'Dif�i'.r� C <br />MECHFNICALCONTRACTON MAILADDRESS PHONE LICENSENO. 3 <br />W <br />� ._� m <br />PLUMBING CONTRACfOR MAIL ADD(iESS PHONE LICENSE NO. ;`;_) � <br />�a <br />PERMIT CLASS OF WORK �."�� <br />❑COMBINATION <br />[��UILDING �PLUMBING �MECIiANICAL Ip1 <br />yvNEW ❑ADDITION ❑ALTERATION ❑RGPAIR <br />VALUATION OF WORK <br />5 1SOOjOO ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />�ESCRIBE WOFiK <br />A'�TACI�D Ci!iiPOP.T <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTV ISHOW 6ELOW OF ATTACH TYNE OF ENERGV <br />FOURCOPIE5) ❑GAS ❑ELEC. <br />Lo7 BLOCK—oF NO. TVPE OF EQUIPMENT _ FEE <br />AIR COND. UNITS-H.P. EA. 5 I <br />REFRIGERATION UNITS -H.P. E/.. �— <br />IIi;P7�. �1-29-OK ooi�er�s-r�.e En. i <br />FORCED AIR SVSiEMS-B.T.U. MEA. --T- <br />1 <br />JOB ADDRE55 SPACE & WALL HEATIEqS - B.T.U. <br />�102 rTD�%iAL urvir iitnrtr�s- i;.T.u. i <br />EVNPORATIVECOOLEFS <br />PLUMBING c�on+es oaverss i <br />V[NTILATION FAN — _� <br />ftANGE Ii00D I <br />NO. TVPE OF FIXTURE OR ITEM FEE nia i�nNouN� uNii- C.F.nn. <br />BATH TUBS S � <br />CLOTHE$ WASHER � WATER HEATEa <br />DISH WASHERS � FAC. BV ILT FIREPLACE R CHIMNEY I <br />DRINKING FOUNTAINS � �—� I c�s. svS7EM: No oP oVrLE75 <br />FLOOR DRAINS � �5uo7oTnL 5 I <br />KITCHEN SINKS & DISP. i _L <br />BAR SINKS i reqnn�,r 5 <br />ROOF DRAINS - RAIN LEADERS i rp-i nL FEE 5 I <br />SNO�VER BATHS TI115 PERMIT 6ECOMF$ NUL� AYD VOID !F WOFiK Oft CONSTRUC- <br />$ERVICE SINKS TION AUTHORIZED IS NOT COfvIMENCED WITIIIN 120 OAYS, OR IF <br />SUMPS - SEWAGE PUMP CONSTRVCiION OR WOfiK IS SVSPGNDED Oft P.�ANDONED FOR !1 <br />� PEPIOD Of- 120 DI�YS AT ANV TIME I�PTER WOfiK IS COMMENCED. <br />URINALS <br />WATER CLOSETS i I HERGI3V GERTIPV 1HAT I RAVE REl�D AND GY.AMINEO TFIIS AP� <br />PLICATION AND KNOW THE SAME TO f3E TRVE AND CORRECT. ALL <br />WATEfi HEATERS - ELECTRIC � PROVISIONS OF Ll�WS AND O�DINl�NCES GOVERNING TNIS TVPE <br />WASH �ASINS i OP WORK WILL UE COM�'LIBD WITH WHCTHER SPEGFIED HEREIN <br />LAUNORY TRAYS OR NOT, TR[ GfiANTING OF A PERMIT �OES NOT PRESUME TO <br />i GIVE AUTIIORITV TO VIOLl�TE OR CANCLI THE PROVISIONS OF <br />ANV OTHER STAT[ OR LUCAL LAW RGGULATING CONSTRUCTION <br />� OR THE P[Rf-ORMANCE Of CONGTFiUCT10N. <br />I <br />SUB TOTAL i <br />PERMIT S ` <br />TO7AL FEE ~ x n�� \ ��L/�/Ii(�� 9 <br />WATERSERVICESIZB [3LDG.SUPPLVSIZE SiG nrurteoFcoNir�ncTORONnura.ncENT onr <br />SIDE YARO SET�ACK STREET SETf3ACK REAFi YAROSETBACK PLl1N CHECK NUMfiER PLl1N CHECK FEE <br />FEE liECEIPT NO. <br />USE ZONE LOT AREA VACANT SITE 77/553 1'!�i�.�j1�i <br />❑vEs ❑NO FEES VALUATION FEE <br />TVPE OF CONST. OCCUPANGV GflOUP NO.Of- �W[LLING <br />UNITS � <br />1 <br />SIZE OF 13LOG. NO. OP STORIES Idll%. OCQ LOAD fiU1LOING 5 1�iOQ�C10 151 � <br />I <br />1 <br />PWM[31NG � <br />FIRE 20NE Lii15[MENT lIRESPHINKlEfiS � <br />RE�UIFED � <br />❑Y[S ❑NO MGCHANICAL I <br />_�—_ <br />SPECIAL CONDITIONS: OTHER � <br />I <br />— PGNALTY SEC.3031a1 � <br />—_ _ � <br />rorn� 15'00 <br />PERMITVALIDATION n Q � -- <br />— WH[NPfiO�'ERLVVILLIDI11GU11t�1�1�5PAC[1 I, . fiPEfiM1T <br />1'QU R RE��iPj.`; <br />' T H,Q,Ai K Y'O U-� <br />,, <br />nrviir.nnm�ncctrrtuim r�nrrsuucr:�.ouv neruovtuiuni„snnnuin . _ ..- <br />JJ . <br />3 ..OS�P77 <br />