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_' .. .. _ _3s, r . <br /> �''" E''" ��,'�„ CONSTR UCTION everett <br /> ` �-,� °� PERMIT <br /> everett <br /> cirv �in�� zse a�n, <br /> ever�err. wa �s�ai COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNEP. MAIL ADOflESS LIP PHONE <br /> � <br /> Robert E. Perin 4512 Forest Urive 98203 252-�465 m <br /> � <br /> l�RCHITLCT pR DESIGNER MAIL 11UOP�F55 PHONE UCENSE NO. � <br /> ' � <br /> GENERAL CONI'RACTOH MAIL AOORESS PHONE UCENSE NO. z <br /> S'ame � <br /> MECHi1NICALCONTR.qCTOR MAILl1pDflESS PI�IONE LICENSENO. � <br /> W <br /> .._, m <br /> PLUMBINGCONTI9ACTCFi MAILl�DDRcSS PI�ONE LICENSENO. j`:�) � <br /> �,� <br /> PERMIT � - �L>35 OI=WORK i`' <br /> �]COMBINATION <br /> � �UiLDING ❑ PWMBING �MECHANICl1L <br /> ❑N[W ❑ADDITION ❑l1LT[flATIUIJ ❑RLPAIft <br /> VALUATION OF WORK -- <br /> g Z�OOO.00 CnEh10L15N ❑FENCE ❑SIGN ❑SWIM1IMWG POOL <br /> DESCRIBE WOiiK � —' <br /> Garage <br /> PROPOSED USF �� <br /> MECHANICAL <br /> single family —�_— <br /> TYPE OF ENERGV <br /> LEGALOESCRIFTipNGFPRO�'EfiTVISHOV/AELOWORAiTACN ❑GAS ❑ELEC. <br /> FOUR COPIE51 <br /> i0Y^St pdili NO. TVPE OF E�UIPMENT FEE <br /> LOT 9 qLOfD.__OF'—__'____ '____"." AIF COM1D. UNITS–H.P. EA. S I <br /> R[FRIGERATION VNITS-�N.P. EA. —��— <br /> " - -- --- --� BOILFRS H.P. EA. � - <br /> '-----"��---"_"-" --' POP.CED AIF SVSTEMS-d.LU. MEA. —r <br /> ._____.___'__—_- I <br /> JOB ADDFiESi SPACE R WAIL HEATEFS - B.T.V. <br /> 451= Forest Dri:�e —�uwrn=_nreivs-u.r.u. i <br /> �" EVAPOFiATIVE COOLERS —T <br /> PLUMBING c�orHes onvEr�s <br /> i <br /> vFN���nT�oN FnN —T <br /> Rl�NGE NOOO I <br /> NO. TYPE OF FIXTURE OR ITEM FEE nin �inNouNG UNiT- C.F.M. <br /> BATH TUBS $ — --- � <br /> CLOTHES WASHER � WqTER HEATER <br /> DISHWASHERS � -- ---- - - -- <br /> DRINKING FOUNTAINS I _ FAC. 6UILT FIREPLAC[ & CHIMNEY � <br /> FLOOR DRAIN� � G�+S.�SYSTLM: NO OP OUTLETS <br /> KITCHEN SINKS & UISP � � _ Sun toTnL 5 i <br /> BAR SINKS � �'ERMIT 5 <br /> ROOF DRAINS - RAIN LEAf�EfiS i TOTnL f-EE 5 � <br /> SHOW[R BATHS THIS PEftM1T F3ECOMES NULL AND VOID IF WORK OR CONSTRVC- <br /> � 'oEHVICE SINKS TION AUTHOflIZED IS NOT COMMENCE� WITHIN 12U DAYS, OR IF <br /> $IJMP$ - $EWAGE PUMP CONSTRUCi'ION O� WORK IS SVSPENDED OR ARl1NDONED FOR A <br /> i PEFIGD OP 1[0 OnYS AT oNY TIME AFTEfi WOR'C IS COMMENCEO. <br /> URiNALS _L <br /> WATER CLOSETS � ���EREBV CERTIPv THi1T I HI�VE FEAD AND EXAMWED 1'HIS AP- <br /> WATER HEATERS - ELECTRIC � PLIGATION AND KNOW THL SAME TO E3E TRUE I�ND CORRhCT. PLL <br /> PROVISIONS OF LAWS AND OliDINANCES GOVERNING TY.IS TVPE <br /> WASH BASINS —j OF WOfiK WRL BE COMPLIED WITH WH[l HER SFECIFIED HEftEIN <br /> LAUNDRY TflAYS � Oft NOT, THE GRnNIING OP A P[RMIT DOES NOT PRESUME TO <br /> � GN[ l�UT110HITV TO VIOLAT'e OF CANC[l THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCl1L LAW R[GULATING CONSTRUCTION <br /> _ � OR THE PEliFORAtANCE Of- CONSTRUCTION. <br /> � <br /> SUB TOTAL � <br /> PERMIT S _� /� � <br /> TOTAL FEE � X; 1i\ �_p„�� '�� 4/20/7 <br /> WATEF�. SERVICESIZE BLDG. SUPPLVSRE SiGNA7ZfftEOFCO TRAC ROR.1UTrLnGENT �ATE <br /> SIDE YAfYD 5[T�ACK S'fNEET SET�ACK RE.�R YARDSETF3ACK PL'1N CHECK NUAAREFi VLAN CHECK FEE <br /> FGE REC[iPT YC. <br /> VSEZCNE LCiAR[�1 VACANTSITE <br /> ❑v[s ❑No FEES VALUATION FEE <br /> TVPE Oh CONST. OCCUPANCV GHOUP NO.Of-DWLLLING <br /> UNITS I <br /> SIZE OF BI.DG. NU. OF STORIES M!�%. OCC. �OAU ftUIIDING ' S 'j_(JOQ.Q� 20 I�0 <br /> . PLUM6ING � <br /> FIREZONE pASEMENT FIHESPFiINKLEfiS I <br /> REOUIRED I <br /> ❑YLS ❑NO M[Clil�NlCl1L I <br /> 1 <br /> SPECIAL WPJUITIONS: OTHER � <br /> - I <br /> ----- PENALTY SEC 309(al I , <br /> _— ___ — — � <br /> — __ _ ' <br /> TOTAL 20 �00 <br /> PERMITVALIDA710N � <br /> -- -- WIiENPROPERLV VALIOA7[U11¢`�11�SV.1C�,���-�fLL'�(i�911 � <br /> 1 <br /> -_ ' r .. .. <br /> — . __ .. ! w . � . 1 :. r' <br /> -- ; +�d'U�t RE.`�EMT_;.� <br /> nrrucnnur�nccrrnuxv- r�nr�scmcK�oirv nm•nuvuna��rsunnuu� � f����t��A ��J �'.-`-� <br /> K.C.eb � 1 <br /> „ <br /> .. 23 ��tt18 <br />