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the Evergreen CONSTRUCTION <br />STRUCTIO <br />CITY OF everett <br />everett PERMIT <br />CITY HALL 2598745 <br />EVERETT, WA 98201 COMBINATION • BUILDING <br />MECHANICAL PLUMBING <br />DWNEft <br />MnIL ADDRESS J. K. Gill 1512 South Broadway ZIP PHONE <br />%RrulTc.-r <br />---"""' <br />MAILADD RESS <br />PHONE <br />Plumbin <br />LICENSE NO. Ll- <br />ATON <br />CLASS OF WORK <br />_ <br />I-' <br />G ❑ PLUMBING ❑ MECHANICAL <br />rDESCRIBEW�ORIK— <br />_ <br />OF WORK <br />❑NEW <br />❑ADDITION ❑ALT[RATION ❑REPAIR <br />I —❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />MECHANICALmstad'S <br />LEGAL FOUR COPI DESCF,$)RIPTION OF PROPERTY (SHOW BELOW <br />OR ATTACH <br />TYPE OF ENERGY <br />LOT BLOCK —OF. <br />❑GAS ❑F.LEC. <br />NO. <br />_ <br />TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS- <br />_H. P. EA. S I <br />REFRIGERATION UNITS-H.P. EA. ---i— <br />BOILERS Eq. <br />FORCED AIR SYSTEMS- 1 <br />B.T.U. MEA. <br />JOB ADDP.ESS <br />1512 South Broadway <br />SPACE & WALL HEATERS - B.T.U. <br />PLUMBING <br />_ UNIT HEATERS-B.T.U. <br />1 <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN - 1 <br />T— <br />NU. I TYPE OF FIXTURE OR ITEM <br />RANGE HOOD <br />6NTH TUBS _ <br />e FEE <br />AIR HANDLING UNIT- .. <br />_ WATER 11Eq TER <br />FA C. BUILT FIREPLACE & CH--- IMNEY <br />GAS. SYSTEM: NO OP OUTLETS T <br />SUU TOTAL S i <br />PERMIT S <br />TOTAL FE c S I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC, <br />TION AUTHORIZED IS NOT COMIA ENCED 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 1 HAVE READ AND EXAMINED THIS AF- <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 />TER SERVICE SIZE GU x <br />BLDG. SUPPLY SIZE SI <br />E YARD SETBACK ST REET SETBACK <br />REAR YARD SETBACK PI <br />SPECIAL CONDITIONS: <br />BY: <br />OYES ONO FEES <br />PLAN CHECK FEE <br />FEE IRECE IPT NO. <br />VALUATION I -FEE <br />"��•r_�nu BUILDING S <br />I <br />I <br />'PRINKLERS PLUMBING <br />RED <br />8 100 <br />ES ONO MECHANICAL <br />I <br />I <br />OTHER <br />I <br />I <br />PENALTY SEC. A3 (a) j <br />TOTAL <br />0 Q <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN <br />THIS SPACEI THIS IS YOUR PERMIT <br />YaJ R "k* PT <br />7� <br />YRU <br />I r011 IMUNIC! BY. <br />; .� I • p '• <br />Q <br />ADDRESS FILE <br />