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Perg,E'eI, CONSTRUCTION <br />0^lN <br />CITY OF PERMIT <br />everett <br />CITY 9-8 <br />EV ER ETT, . MECHANICAL • PLUMBING <br />TT. WAWA 9a201 COMBINATION o1 BUILDING <br />DWNER MAIL ADDRESS ZIP PHONE <br />Tm Scm2mm 6.59-11069 <br />SAI•YG <br />❑ COMB INATION <br />®BUILDING ❑PLUMBING ❑MECHANICAL ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />c <br />00.Co ImDEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />everett <br />,.e., <br />DGIj)ISIII SIlIGMI; DAMM llyrl iG <br />MECHANICAL _ <br />TYPE OF ENERGY <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH ❑GAS ❑ELEC. <br />FOUR COPIES) <br />LOT BLOCK—O <br />JOB ADDRESS <br />PLUMBING <br />66o3 I MET IIIIG <br />E OR <br />I <br />E OF EQUIPMENT <br />ITS-H.P. EA. <br />ON UNITS-H.P. EA. <br />EA. <br />SYSTEMS-B.T.U. M <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS- <br />EVAPORATIVEC <br />CLOTHES DRYEI <br />VENTILATION F <br />RANGE HOOD <br />AIR HANDLING <br />WATER HEATE <br />FAC. UILT FIF <br />UNIT - <br />SUB TOTAL S I <br />r PERMIT S <br />TOTALFEE SI I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHO IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTI N OR WORK IS SUSPENDED OR ABANDONED FOR A' <br />PERIOD OF 12 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HEREBY CER IFY 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 Or A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />�RIITIB�Ji <br />TOTAL FEE <br />%/y�r/���iC.— Lam— I 2G 6 <br />SIGNATURE D FCONTRACTOfl OR AUTH.AGENT DATE <br />WATER SERVICE SL-- BLDG. SUPPLY SIZE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />❑YES ONO <br />FEE <br />I i <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />BUILDING <br />S 00�00 <br />I <br />001 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA%. OCC. LOAD <br />PLUMBING <br />FIRE ZUNE <br />BASEMENT <br />F_ 'RED KLEflS <br />❑YE, ❑NO <br />MECHANICAL <br />I <br />I <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 303(a) <br />TOTAL <br />I <br />ool oo <br />-- <br />ekkpp p��{..mp <br />PJERNIP VALRALIDATIORLY ALIOAT VALIDATED 11 M-7144SPAC'tto- itl�H'RT[71Mf� I <br />t <br />YQU R RECEIPT <br />THANK YOU <br />APPLICATION ACCEPTED tlV'. <br />PLANS CMECXEO aY: <br />AITPOV EO FON ISSUANCE BY. <br />Le C• <br />JAN 78 <br />ADDRESS FILE <br />