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ull Evergreen <br />TYOf ;Jjq`TRUCT10N everetl <br />CITY OF PERM1T <br />evere`t <br />CITY HALL 259.8745 <br />EVERETT,WA 9820- COMBINATION BUILDING • MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS !u PHONE <br />Flanders Auto Parts 2822 Hoyt Avenue m <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />-I <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. z <br />Everett Sign Co. 26361 C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />ti 7 m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT CLASS OF WORK <br />❑COMBINATION <br />[]BUILDING ❑ PLUMBING []MECHANICAL <br />❑NEW [I ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />S 240.00 ❑DEMULISH ❑FENCE ][SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />erect illuminated sign <br />PROPOSED USE MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />FOUR COPIES) - - - <br />LOT BLOCK _Of r <br />TYPE OF EQUIPMENT FEE <br />AIRCOND. UNITS-M.P. EA. S 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS SPACE & WALL HEATERS - B.T.U. <br />2822 Hoyt Avenue UNIT HEATERS-B.T.U. I <br />EVAPORATIVE COOLERS <br />PLUMBING CLOTHES DRYERS I <br />VENTILATION FAN <br />RANGEHOOD I <br />NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />CLOTHES WASHER I WATER HEATER _ <br />DISH WASHERS I FAC, BUILT FIREPLACE & CHIMNEY I <br />DRINKING FOUNTAINS I GAS. SYSTEM: NO OF OUTLETS <br />FLOOR DRAINS I - - <br />KITCHEN SINKS & DIS . I SUBTOTAL S 1 <br />BAR SINKS PERMIT S <br />ROOF DRAINS - RAIN LEADERS TOTAL FEE $1 _ <br />SHOWER BATHS i'HIS PERMIT BECOMES NULL AND VOID IF WORK OP CONSTRUC <br />SERVICE SINKS TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />SUMPS -SEWAGE PUMP CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />URINALS I HEREBY CERTIFY THAT 1 RAVE READ AND EXAMINED THIS AP <br />WATERCLOSETS I PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />WATER HEATERS - ELECTRIC I PROVISIONS DF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />WASH BASINS 1 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />LAUNDRY TRAYS OR NOT. THE GRANTING OF A PERMITDOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />1 OR THE PERFORMANCE OF CONSTRUCTION. <br />I <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE 5 X 6/5/79 <br />WATER SERVICE SIZE BLDG, SUPPLY SIZE SIGNATURE OF CONTRACTOR OR AUTO. AGENT DATE <br />SIDE YARD SETBACK STREETSETBACK FIEARYAROSETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE LOT AREA VACANT SITE <br />❑YES ONO FEES VALUATION FEE <br />TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING <br />UNITS <br />SIZE OF BLDG. NO. OF STORIES MAX.00C. LOAD BUILDING $ 240.00 3 j 00 <br />PLUMBING <br />FIRE ZONE BASEMENT FIRE SPRINKLERS <br />REOUIRED <br />❑YES ❑NO MECHANICAL I <br />SPECIAL CONDITIONS' OTHER <br />I <br />PENALTY SEC. 303(a) I <br />TOTAL 3 100 <br />PERMIT VALIDATION WIILNPRUPLRLY VALIDATEDII7 66 It SPAC&@INNS 810JKYLRMIJI <br />YOUR P.ECEIM <br />APPI IIIPIION ACIfI'Ikf111Y PIAN:L IILRI II IIY FM'IIfIV111fOI11:511pMf.f. flV THANK YOU <br />BAB BAB <br />B -5.m 19 <br />,1DDRESS !-ILL <br />