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the EYIFprL•BR------• - -• ---- Cf#STRUCTION ._....... � -------------- <br />evere <br />CITY OF <br />ever�t't ® PERMIT <br />CITY HALL 2SB-0745 <br />EVEPt ETT.WA w201 COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />UWNER h1A1L AUDHE 11P YIIONE �r� <br />Z:b L(-i Z4- hA Yl O92,6ZSZ-4-SI10 <br />ARCHITECT OR DESIGNER MAIL ADORLS5 PHONE LICEN5E NO. <br />B <br />M <br />6 JL-Qe- m- zz a3I <br />❑ COMBINATION , <br />❑BUILOIND ❑►LUMBING ❑MECHANICAL <br />El ❑AOOITION ❑4LTERATION FAI ER <br />(ALUATION Of WORK �,/� <br />'Srn Y0 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />i.'� I r J-3 <br />l'i4OPCISED USE <br />LLGAL DESCRIPTION OF PROPER Y (SSHOOW�B�EELO�WJ�O�R ATTACH <br />FOUR C��ESI f n!�/E'L'Kl�lCi"/ <br />LOT BLOCK OF <br />Jo4e A7DDRESS�leti liQ,rc <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />BATH TUBS S - <br />CLOT14ES WASHER I <br />DISH WASHERS I <br />U RINKING FOUNTAINS I <br />FLOUR DRAINS I <br />KITCHEN SINKS A DISP. 1 <br />BAR SINKS T- <br />ROOF DRAINS - RAIN L CAOEIIS �i <br />SHOWER BATHS <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />UHINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC I <br />WASH BASINS 1 <br />LAUNOHY TRAYS <br />1 <br />1 <br />SUB TOTAL <br />PERMIT S <br />TOTAL <br />4ATER SERVICE SIZE BLDG. SUPPLY SIZE <br />',ILE YARDSETUACK STREETSETOACK REAR YARD SETBACK <br />MECHANICAL <br />TYPE OF ENERGY <br />UGAS ❑ELEC. <br />NO. _ _ _ _ TYPE OF EQUIPMENT FEE <br />AIR CLING. _UNITS- H.P. EA. E 1 <br />n Ern IGE RATION UNITS 11.P. EA, <br />001LPn5 II.P. EA. 1 <br />FOnCED AIR SYSTI..Mi-U.T.U• MEA. —T— <br />I <br />SPACE A WALL HEATERS - B.T.U. <br />UNIT IIEATEns-n.T.U. I <br />_ VIVE EAPURA TCOOLERS <br />_ <br />_ cLonles nn YEns <br />V f.Ni1LAT1UN FAN �� <br />RANGE 11000 I <br />Alit IIANDLING UNIT- C.F.M. <br />_ WATCn 11F.A_TER <br />rAC. IIUILT FIREPLACE A CHIMNEY <br />(i A. SYSTEM: NO OF OUTLETS <br />-- -- _---_.-- ...-SUUTOtAL S <br />-- vF.nMlr S <br />_ TUrALFEE S <br />THIS PI IIh11T WT15f MES NULL AND VOID IF WORK OR CON$TRUC <br />TIOTI AIJfm)1 o En IS NOT COVUENCLO WITIIIN 170 DAYS. OR IF <br />CONSTRUCII(IN O11 WORK IS SU;PENOEO OR ABANOUNLO FOR A <br />PERIOD OF 170 DAYS At ANY TIME AFTER WORK IS COMMENCED. <br />1 HEnERY CERTIFY 7/IAT I HAVE READ AN0 EXAMINED THIS AP - <br />Pt (CATION AND KNOW THE SAME TO LIE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANN 0IIDINANCES GOVERNING THIS TYrE <br />OF WORK WILL RE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OH NOT. TIIL CHANTING Or A PERMIT DUES NOT PRESUME TO <br />GIVE AUT(IUnITY TO VIOLATE OR CANCEL THE PROVISIONS CF <br />ANY 0111E11 STATE On LOCAL LAW REGULATING CONSTRUCTION <br />Olt TINE PEllr OIIMANCE OF C(INrsylT,n�U-CTnIONN.. - <br />X <br />SIGN TUBE OF CONTRACTOR OH AUi11. AGENt GATE <br />PLAN HECK NUMBER PLAN CHECK FEE <br />FEE IRECEI►T NO. <br />OYES ❑NO I FEES 1 VALUATION 1 FE <br />.IZL OF BLDG. NO. OF 570RIES MAX.00C. LOAD BUILDING f I 1 <br />Pt UMRING I <br />1111E ONE BASEMENT fInESPHINKLEAS T <br />R EOYES MECIIANICAI. <br />❑ES ONO I' <br />'•YLCIAL CONDITIONSOTllrn� 1 <br />' _ 1 <br />PCNALTY SI C. ]OJ IFI I <br />TOTAL 1 <br />1 <br />PERMIT VALIDATION <br />WIH N P110't ILLY VALIDATED (IN TINS SPACE) THIS IS YOUR PE RMI' <br />.• Iu.n uun wlU �'1u �• IrLwbl UN Rtu �♦ <br />