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;;,�, E�-,��,r,;��,� <br />CiTY ��F <br />e�erett <br />CITY IIALL 2v9 B]4 � <br />F.V[P@TT, WA 9o?O1 <br />CONSTRUCTION <br />PERNIIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />GWNGfi MA:LADONE55 ZIP PHONE <br />Douglas Healey 6011 Lombard Ave. 353-9402 m <br />/1RCHIT[CT UN O[SIGNER � MAIL ADDllESS PHONE LICENSE NO. � <br />� <br />�� <br />GENEfiAL CONTRACTOR MAIL ADOFESS PHONE I.ICENS[ NU. z <br />Waynes Const. Co. 5317 S. 2nd Ave. 252-5212 c <br />MECHl�NICAL CONTfiACTOR MAIL ADDHESS PHONE LICENSE NO. � <br />W <br />m <br />PLUM6ING CONTRACTOR MAIL AODRE55 �HO(<C LICENSE NO. � � � <br />PERMIT CLA55 OF `NOF1K - - <br />❑ COM61N ATION <br />❑ DUILDING ❑ PLUM6ING ❑MECHANICAL <br />❑NEW ❑ADDIIION ❑ALTERATION ❑R[PAIH <br />VAWATION OP WURK <br />5 ZZOO.00 ❑ VENOLISH ❑FENCE ❑S�GN ❑S�VIP.IMING POOL <br />OESCRIBE WOFK <br />twc, feet addition to porch area <br />PROPOSE9 U58 <br />single family residence MECHANicaL __ _ <br />LEGALDESCRIPTION OF PPOPERTV (SNOW 6ELOW OR ATTACH T�Y[ OF [N@RGY <br />❑6A5 ❑EL[C. <br />Foup CpP1E51 pinehurst D1V. °A° NO. TYPE OF E�UIPMENT FEE <br />LOT , �LOCK—OF qIR COND. UNITS-H.P. EA. $ I <br />RG 004 - Sec. 5 REFRIGEFI�TION UNITS -H.P. EA. <br />�..OILEH3-H.P. GA. I <br />FOflCE� AIR SYSTEMS-Q.T.U. MEA. <br />I <br />JOf3 ADDRE:iS SPACE W WALL HEATERS - B.i.U. � <br />6011 Lombsrd AvOrille urvir nenrer+s ❑.r.u. i <br />LVAPORATIVECOOL[RS � <br />PLUMBING c�oTr��s o�ver�s I <br />— VENTILATION FAN �— <br />RANGEHOOU � <br />NO. TVPE OF FIXTURE OR ITEM FEE NR HnNDLING UNIT- C.F.M. <br />BATH TU95 S I <br />CLOTHES WASHER � WATEFi HEATEF <br />UISH WASHERS � fAC �UILT FIPEPLACE & CHIMN[V I <br />DRI�JKING FOUNTAINS � �--- <br />FLOOfl UftAINS � _ GAS. SVSTEW: NO OP OUTLETS _ <br />KITCHEN SINKS & DISP. i __ SUo TOTnL 5 I <br />OARSINKS � ____ __ Pt�MIT 5 <br />ROOF URAINS - RAIN LEA�LRS i TOTnL FEE 5 1 <br />SHOWER BATH$ TFIIS NEfiMIT f3GCOMES NVLL AND VOID IF WORK OR CONSTPUC <br />SERVICE SINKS —T TION AUTHORIZED IS NOT COMMENCED WITMIN 120 Dl�VS, OR If- <br />$UMP$ - SEWAGE PUMP CONS?FiUCT1UN OR WORK IS SUSPENDED OR ApANDONED FOR A <br />� PERIOD OF 120 DAYS AT I�NV ?IA1E l�FTER WORK IS COMMENCED. <br />URINALS i_ <br />WATER CLOSFTS � ��ER[NV CERTIFY TH/1T I HAVE FEAD AND E%AMINED THIS 11P� <br />—� PLICATIUN AND KNOW THE SAME TO 3c TRUE ANO COfiRECT. ALI. <br />WATER NEATERS -- ELECTRIC � PROVISIONS Of Ll�WS AND OfiDINANCES GJVERNING THIS TVPF <br />WASH BASINS I OF WORK WILL 6E COMPLIBD WITH WFIETHER SPECIFIED HEHEIN <br />LAUNORV TRAYS O(i NOT, THE GRANTING UP l� PERMIT �O[5 NOT PRESUME TO <br />� GIVE AUTNORITY TO VIOLATE OR Cl�NCEL THE PROVISIONS OF <br />ANV OTH[R STATE OR LOCAL LAW R[GVLl�TING CONSTRUCTION <br />� Ofi THE PERFORNANCE OF CONSTRVCTION. <br />SUB TOTAL I ` <br />PERMIT S � �j7, � , ].O�ZS�%% <br />TOTAL FEE X. L � (.C',�l'/t�C�'�� <br />WA7ERSERVICE512E RLOG.SUPPLVSIZF. SIGN.TJRGO� O RACTOROFAUTH.AGENT onTE <br />SIDE VARD SET6/�CK ST(iCET SET�ACK REAfi YARDSET�ACK PL CHECK NUMREfi PLI1N CHECK FEF <br />FEE RECEIPT NO. <br />USEZONE LOTAREA VACANTSITF <br />❑vEs ❑No FEES VALUATION FEE <br />TVPE OP CONST. OCCVPANCY GROUY NO.OP OWELLING <br />VNITS � <br />51213 OF OLDC. NO.OF STOFIES MA%.00C. LOAD 6UILOING 5�'z0� lZ ��Q <br />I <br />— --i-- <br />PLUMBING � <br />FIIiE20NE Ul15EMENT FIRESPf:INKLERS <br />RE(]UIRE[] � <br />(.]YES ❑NO MECHANICAI I <br />SPECIAL CONDITIONS: OTHER � <br />_ I <br />__. -- — PENALiY SEC.9031a) � <br />70TAL �.Z IOO <br />PERMITVALI�ATION � sppp <br />_._ -- WIICNPROF[HI.vV/�LIDl1T[DII'J95�$SP/\Cq11g1��.��%�lfil'fii\I�� <br />� W U <br />___ _ YOUR-RECE{PT <br />�,�,,�,.,����:�.�,:��,E��,,.- ,������„E�K�„�.� ��,�,��,�,,,,�,,:�::,.,���:�, �,r THA�iX YOy � <br />x.c. �� <br />n <br />•� !1 �' wnT 'Il <br />". J Wl = l . . ._ ._.. <br />