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r���, f�-�.,���.��, CONSTR UCTION everett <br /> "'y °' PERMIT <br /> everett <br /> CITY HALL2598]45 <br /> evenerT, wn osaoi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER MNL ADDHESS ZIP i'HONL <br /> r�..,c :1::on !!:l� ii,-��-:i�t .'1^.�J1 � <br /> m <br /> AfiCHITECT OR OESIGNEfl MAII.ADO19E55 PHONE LICENSE NO. � <br /> 3 <br /> � <br /> GEf�EF/A1.CONTRACTOR MAIL AO�RE55 PHONE LICENSC NO. Z <br /> Sltftcr S :�cvcl.l P.O. ilo_: i� J 334-1.9?� °3-�1 :;3 Cii c<< c"?�i�; C <br /> MECMANICAL CONTRACTOR MAII ADORE55 PIIONE LICLNS[ NO. W <br /> vJ � <br /> PWM(31NGCONTRACTOR MAILADDRESS PHONE LICENSENO. (.il <br /> � <br /> PERMIT CLASS Of WORK �"� <br /> ❑COMBINATIO�I <br /> :❑DUILDING ❑ PLUAIRING ❑MECIiANICAL <br /> ❑NEW ❑ADDITION _.�ALTEFIIT�ON ❑RFPAIR <br /> VALUATION OF WOiiK <br /> 5 °��0:)U.�O ❑OEMOLISII ❑PFNCE ❑SIGN ❑SWIMMWG POOL <br /> DESCRIBE WORK <br /> :t�.. ���.p `ot a1_-�.�.�:r ;;hop panclin�. - acc c� "_��.iC, .loors <br /> PROPOSED VSE <br /> co�.:-��crci�ll (bat�ar ::hop) MECHANICAL <br /> LEGAL DESCRIMTION OF PROPERTY ISHOW�ELOW OR ATTACIi TV PE OF ENERG V <br /> FOURCOPIESI ❑GAS ❑ELEC. <br /> LY (� Ll ^11t o� _�.•C�Cct[ NO. TVPEOFE�UIPMENT FEE <br /> LOT BIOCK �—OF _ <br /> Alfl COND.UNITS-H.P. EA. S I <br /> I�nT �./��1.j:�1.''�1]��^��.?.\ REfRIGERATIONUNITS-H.P. EA. <br /> DOILERS-II.P. EA. I <br /> FORCED AIR SYSTEMS-B.T.U. MEA. <br /> I <br /> JOB ADDRE55 5�'ACE !4 WALL MEAIERS - B.T.V. <br /> ��I li• J�C'�J1CC UNIT HEATEHS- [3.T.U. I <br /> EVAPONATIVECOOLERS <br /> PLUMBING — c�or�+es uavEns i <br /> VENTIl/1TION FAN <br /> NANGEHOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE NR 11ANOUNG UNIT- C.f-.M. <br /> BATH TUBS 5 � <br /> CLOTHES WASHER � WqTER HEATER <br /> DISH WASHERS � - --- --� <br /> fAG 9UILT FIREPLACE R CHIMNEV I <br /> ORINKING FOUNTAINS � <br /> FLOOR DRAINS � _ GI�S. SYSTEM: NO OP OUTLFTS _ <br /> KITCHEN SINKS & DISP. --~ �Un TOTnL S I <br /> BAR SINKS � �EnA11T S <br /> ROOF DRAINS - RAIN LEADERS � roTn� FeE 5 I <br /> SHOWER BATHS THIS P[RMIT 0@CUMES NULL A�D VOIO IF WORK OF CONSTRUG <br /> SERVICE SINKS 1lON AUTHONI7.EfJ IS NOT COMMENCEO WITHIN 170 DAVS, OR IF <br /> SUMP$ - SEWAGE PUMP CONSTtiUCTION OR WORK IS SUtiPBND[D OR AOANDONED FOR f� <br /> URINALS � - �ERIOO OF 120 DAYS AT ANY i1�1E Af-TEF WORK ISCOMMENCED. <br /> WATER CLOSETS - i � ��ERGOV cEr�nFv n�nr i HAVE PEAD nNf� Ex.^.I.11W6U THIS AP- <br /> - PLICATION AND KNOW THC .^,ALIL i U liL l RUG I1ND CORRECT. ALL <br /> WATER HEATERS - E�ECTRIC � PRf1V1^.IOflG UF LnWS AND ORDINANCES GOVEfiNING THIS TVPE <br /> WASH BASINS —I- OI� WOHK WILL Il[ COM1IPLILD Wlill WH@TNGR SPECIFIED HEREIN <br /> LAUNORY TRAVS OR NOT, TII@ GfiI�NTING UF A P[RMIT DOES NOT PRESUME TO <br /> - GIVE AUTIIOfiITV TO VIOLnTE OR CANCEL TIiE PHOVISIONS OF <br /> . ANV OTHGfi STME Ofi IOCAL LAW REGULATINGCONSTflVCTION <br /> � Ofl THE PGRFOf1Mf�NCC Of- CONSiRUCTION. <br /> SUB TOTAL ' <br /> PERMIT 5 � � �., 1�,�7.� <br /> TOTAL FEE _� a ) <br /> WATER SERVICE SRE BLDG.SUPPLV SIZE SiGNnrVnE CONT� cio anU7�+.nGeN7 onTE <br /> SIDE vARD SETDACK STREET 5[T�ACK FEAR VAROSETf3ACK PLAN CHECK UMfl[R PLAN CHECK FEE <br /> f-EE fiECE1PT NO. <br /> USE ZONE LOT AREA VACANTSITE <br /> ❑v[5 ❑NO FEES VALUATION FEE � <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING � <br /> UNITS <br /> SIZEOFUI.OG. NO. OFSTORIES MA%.00C. LOA� OUILDING S ��. �Gi'C.�O -� �011 <br /> PlUM61NG � <br /> FINE20NE �l�SEMGNT FIR[SPRINKLE(i5 � <br /> pEOUIRED � <br /> ❑VES ❑NO MGCIIANICAL I <br /> SPLCIAL CONDITIONS'. OTHER � <br /> _ I <br /> PENALTV SEG7071a1 � <br /> TO7AL ��-' I '�� <br /> PERMI7 VALIDATION I , t � I <br /> WIIENPRO�@RLVV/�UDA7GDIINl10�:i��E1T� � URPERMIT <br /> — �fOUR RE���c1� ' <br /> THAN� Yl�'� : <br /> nrrur.nnnr�nrr.�rnunr. vinruo�tcrcimm �rwiowu�ur�i:sunr�uuv. = � <br /> ...�.u�� � . C : _ � � 1 <br /> � • � <br /> '' F ,�:��'�$ <br /> . � s r _�. ` _ .__. 1 <br /> � <br />