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I♦ <br />Ure Evergreen CONSTRUCTION everetl <br />CITY OF PERMIT <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />TEED SCIETULER <br />SAKE <br />❑ COMBINATION <br />BUILDING ❑ PLUMBING [:]MECHANICAL <br />Cl NEW ❑ADDITION ❑ALTERATION ❑REPAIfl <br />VALUATION OF WORK <br />$ 00,00 RlDEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />DEMOLISH SINGLE PAAfILY DTJELLING <br />USE <br />LOT 611 BLOCK <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />W <br />00 <br />CA) <br />'i <br />JOB ADDRESS <br />6612 I/2 FM, TING <br />SPACE & WALL HEATERS — B.T.U. <br />UNIT HEATERS—B.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />3FEEAIR <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />HANDLING UNIT— C.F.M.BATH <br />TUBS <br />CLOTHES WASHERWATER <br />HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />DRINKING FOUNTAINS <br />I <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />N.. <br />KITCHEN SINKS & DISP. <br />I <br />SUBTOTAL $ <br />1 <br />�'. <br />"Y <br />BAR SINKS <br />ROOF DRAINS — RAIN LEADERS <br />SHOWER BATHS <br />SERVICE SINKS <br />I <br />I <br />PERMIT S <br />TOTAL FEE 5 1 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />I ION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY 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 OF 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 />x �6�/ ✓ /!/�./`a�— D <br />SUMPS — SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATERHEATERS — ELECTRIC <br />I <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />I <br />I <br />SUB TOTAL <br />I <br />PERMIT S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE (RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />❑YES ❑NO <br />FEES <br />I VALUATION <br />FEE <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />$ 00,00 <br />00I0O <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES ❑NO <br />MECHANICAL <br />1 <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />1 <br />PENALTY <br />SEC. 709(a) <br />I <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED <br />FOR ISSUANCE <br />in <br />1. O. <br />ADDRESS FILE <br />406 �UUU:U'U - I 1 <br />L 'HISSPACTHIS S YOUR PERMIT <br />YU U R RECEIPT, <br />THANK YOU w <br />2 p.MA <br />