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:=.�. - , <br /> �,T�aF PERMIT ��..:' , - - . <br /> everett -,, � ' � <br /> GTY HALL 459-8745 <br /> EVERETT.WA �azoi COMBINATION • BUILDING • ��F�unn;��n � _ �� ��...,�.�� <br /> LVIt1U11YV ` - ' <br /> � <br /> OWNER MAIL ADDHE55 ZIP PMONE <br /> JoneB� Joues• i Jonei 129Q2 High7ray 9! Sotxth 355-8$24 ��++ <br /> ARCHIiECT OR OESIGNER MAIL ADOFE55 PHONE LICENSE NO. � <br /> 3 <br /> � <br /> GENERAI CONTRACTOR MAIL ADDRE�S PNC:.IE LICENSE NO. Z <br /> Stme JO 2JL S3 Al�O C <br /> MECNANILAL CONTRACTOR Mqll ADORE55 PNONE LICENSE NO. 3 <br /> W <br /> W m <br /> PLUMBING CONTRACTOR MAI�ADDRESS PNONE LICENSE NO. � � <br /> � <br /> PCiiM1T CLA55 OF WOPK Q <br /> ❑COMBINATION <br /> aBU1LDING �PLUMDING �1ECIiANICAL <br /> ❑NEW ❑ADDITION ❑ALTEf1AT10N ❑REPAIP <br /> VALUATION OF WORK <br /> 5 32,187�00 ❑DEMOLISH ❑FENCE ❑SiGN ❑SWIMMIhG POOI <br /> DESCRIUE WORK <br /> erect ainqle familp resideace <br /> PN SSIKJl� family IB9{4�eACQ MECHANICAL <br /> LEGAL GESCRIPTION OF PROPERTY (SIiOW BELOW OR ATTACN T�PE aF ENERGY ,y�� <br /> FOUHCp PIESI ❑GAS �s�.EC. <br /> l �Evergraea Gleti NO� TVPE OF EUUIPMENT FEE <br /> LOT BLOCK__pP 1qIRCOND.UNITS-H.P. EA. S I <br /> @TCLjJC AOI�1 7S tAB�� toqet_`�ar wirh � REFHIGERATION VNITS -M.P. EA. <br /> --�--- -- - <br /> soi�eas �i.r. 6n. i <br /> �— - l-- _ <br /> 1=0RCED AIR SVSTEMS-6.T.U. MEA. <br /> 1 <br /> JOB ADORESS �SPACE R WAI.I HEATERS - B.T.U. <br /> 800� ��� C+1� /7r��� !VNIT F1Ei1TE{i5- N.T.V. I <br /> �LVAPpqATIVE COOLERS <br /> PLUMBING _IiCIOTNESOfiVERS — j � (� <br /> I VENTILAIIONfAN J�-T"` <br /> _��� FinNG@�IIOOO '-- � <br /> NO. TVPE OF FIXTURE OR ITEM FEE � -nir. HAtvDLING UNIT� C.F.M. <br /> BATH TUBS S �,�k:Gtai ����21C@ 1 <br /> Cl07NE5 WASHER � � - � WATER HEATEH <br /> DISHIVASMERS � -- -- --�------ <br /> iAC. 6UILT FIREPI ACE 8 CNIMNEV � <br /> ORINKIPIG FOUNTAINS � �GAS. SYSTEM' NO OP OVTLETS <br /> FLOOR ORAINS ' - SU6TOTAl 5 <br /> KITCHEN S�NKS & DISP. -��2-�� ___�— 1 � <br /> OAR SINKS � PER^d1T 5 3 <br /> ROOF D�,AINS - RAIN LEADERS ---r— roTnL FeE 5 1 <br /> SHOWER [iATHS THIS PFRbtIT CEC011ES NVLL ANO VOID IF �VORK OF CONSTRUC <br /> SERVICE S�tiKS TION AUTIIOq12ED IS NOT CON:'E10ED WITHIN 1.0 DAVS, OR IF <br /> SU�dPS - SELYACE PU\iP CONSTRUCTION ON NOI?K IS SUSPE\DED OR ABANOONED FOR A <br /> � PERIOD UF f20 DAV$ AT ANV TI:!E 4FTEfiINORK �SCOMMENCED. <br /> URINALS � I HERE6V CERTIFV THAT I HAVE R[AO AND E%AAt{n;ED THIS AP� <br /> WATER CLOSETS � PLICATION AND KN01V THE $Ah1E TO UE TRU[ AND CORF@CT. ALL <br /> 4VATER HEATERS - ELECTRIC �Q � � PqpVIS10NS OF LA\V; AND ORDIkANCES GOVERMNG THIS TVPE <br /> �NASH BASINS �j 1 OP WORK YJILL [iE COM1IP�IED LNITH 1VNETHEH SPECIF�ED HEREIN <br /> IAUNDRY TRAVS 017 NOT, THE GRANTING OF A PERMiT DOES NOT PRESUME TO <br /> � GNE AVTMORITV TO VIOLATE OR CANC[L THE PROVISIONS OF <br /> __— ANV UTHER $TATE OR IOCAL LAl9 REGUTAT�NG CONSTRUCTIDN <br /> � OR TH[ PERFOPMANCE OP CONSTRUCTION. <br /> � r <br /> s�s TOTA� r , r � <br /> PERMIT $ t <br /> TOTAL FEE S x ! � � r'^- ' r" <br /> WATER SEROICE S�ZE BLDG. SUPPLV S12E SIGrvn7UReOFCONiRnCTORORnVrH.acENr DATE <br /> SIOc V/1qOSElRACK STREET SETUACK REAft VARDSETBACK PLANCIIECR NVM1IBER PI.ANCHECK FEE <br /> II��S,l� FEE gasic RECEtPT NO. <br /> USE ZONE lOT AREA VACANT SITE <br /> ❑rE5 ❑NO FEES VALUATION F'E <br /> TVPE OF CONST. OCCUPANC.Y GROVP NO.OF DWELLING <br /> UNITS � <br /> SIZEOF �3LDG. NO.OP sToaies Ininx.occ. t.ono nui�oiNc 532�187.OQ 136i 00 <br /> y— <br /> ���,.,��,,,-. - -- »� nn <br /> --c�;_. ..__. _,. <br />