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. , <br /> tbeEvergreen ,_ COJ�STRUCTION . -� everett <br /> "'�°F PERMIT <br /> � <br /> everett <br /> �. <br /> CITV HALL 759-8745 � <br /> EVEflETT, WA eazo, COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER MI�IL ADORE55 ZIP VHONE � <br /> Dennis Milner 2527 jE Grand Everett 98201 � <br /> ARCHITECT OR DESIGNER MAII.AODRE55 PHONE LICENSE NO. 3 � <br /> �toddard & Assoc 7912 8th Ne Seattle 522-9960 ST-OD-DA 220 � <br /> GENERAL CONTRACTOR MAIL AODRE55 PHONE LICENSE NO. Z <br /> Same � <br /> MECHANICALCONTRACTOq MAtL AODfiESS PNONE LI�.LNSE NO. � � � <br /> � m 1 <br /> PLUMBING CONTRACTOF MAI�ADDflE55 P!IONE UCENSE NO. � A <br /> �n � <br /> PEflMIi CLASS OF WORK � � <br /> ❑COMBINATION � <br /> �BUIIDING ❑PLUMBING ❑MECHANICAI ,�[ y ]�, <br /> ❑NEW �JADOITION ❑ALTERATION '[�REPAIR I I <br /> VALUATION OF WORK � <br /> s ❑DEMOLISH ❑FENCE �SIGN ❑SWIMMING POO� <br /> DESCPIBE WORK <br /> PROPOSEU USE � <br /> MECHANICAL <br /> • TVPE OF ENERGV � <br /> FOUR CO►SESI�PTION OF PROPERT\' ISNOW BELOW OH ATTACH ❑GAS ❑ELEC. <br /> p � � pp Mithell LanA NO. TVPE OF EQUIPMENT FEE <br /> ' LOTaL��fBLOCK�.SL�F <br /> - IDERt CO• AIR CONO.UNITS-H.P. EA. $ 1 <br /> � HEPRIGERATION UNITS-H.P. EA. <br /> BOILERS-H.P. EA. 1 ' <br /> ' FORCED AIR SYSTEMS-B.�.U. MEA. <br /> � I <br /> JOB ADDRESS SPA.CE d WALL HEATERS - B.T.U. <br /> . . I, '252 E. r$ VNIT IiEA7ER5-B.T.U. I <br /> EVAPORATIVECOOLERS <br /> � � P«���� CLOTHESDRVERS I <br /> . VENTILATIDN FAN <br /> � RANGEHOOD 1 <br /> � NO. TV►E OF FIXTURE OH ITEM FEE AIR HANDLING VNIT- C.F.M. <br /> . i BA N TU S __ � <br /> I CLOTMES WASMER � � <br /> DI$N WASHERS M�ATER HEATER <br /> � FAC. 9UILT FIREPLACE d CHIMNEV I � <br /> � -. . � D 1 KI G F UNTAiNS � � <br /> FL II AI � GAS. SVSTEM: NO OP OUTLETS <br /> , , � K� SV6TOTPL E I � <br /> . BAR INK$ —j_ PERMIT $ �y <br /> ' � R F NAINS - RAIN LEADERS TO7AL FEE S I I <br /> ' R BATNS TNIS PERMIT UECOMES NULL AND VOID IF WORK OR CONSTRUC <br /> , ' . �Ry�� �N� TION AUTNORIZED IS NOT COMMENCED WITHIN 1Y0 OAVS, OR IF � � <br /> � � SU - WAG UMP CONSTRUCTION Of WORK IS SUSPENDED OR AOANOONED FOR A � <br /> .- UNINALS PEFIOD OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. � <br /> � WATE LOSETS 1 HEREBV CEflTIFY THAT I HAVE READ AND EXAMINED THIS AP� I <br /> . PLICATION AND KNOW THE SAME TO RE TRUE AND CORRECT. ALL . <br /> � WATER MEATERS - ELECTRIC � PROVISIONS OF I.AWL AND ORDINANCES GOVEPNING TMIS TVPE j <br /> W M B I �— OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN I <br /> � LAU V A S OR NOT, THE GRANTING OF A PERMIT DOES NOT PpESUME TO � <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS Of I <br /> ANV OTMER STATE OH LOCAL LAW REGULATING CONSTRUCTION <br /> � UR THE PERFORMANCE OF CONSTRVCTION. <br /> I � <br /> � SUB TOTAL <br /> rF.RMIT f I � <br /> X 2-2�-�9 � <br /> ' WATERSEflVICE512E BLOG. SUPPLVSI2E SIGNATUREOFCONTRACTOf10RAVTH.AGENT OATE � <br /> � SIDE VARD SETBIIRK STREET SETgACK REAR VARDSETBAC PIAN CHECK NUM9ER P�qN CHECK FEE �i �� <br /> � FEE RECEIPT NO. ' <br /> �, USEZONE IOTAREA VACANTSITE 79/180 rj(.�� 373�jQ . ' <br /> ❑vE5 ONo FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GRDUP UN;OS UWELLING I � <br /> V—N R-3 1 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD BUIL.DING S 2S�OOO. O 1�.2 �OO <br /> PLUMBING � I <br /> FIREZONE BASEMENT qEDUIREDKL@RS � ' <br /> ❑VES ❑NO MEI;NAn�CAI. I <br /> SPECIALCONDITIONS: OTNEP � � <br /> I <br /> .. PENALTV SEC. 30JIa) � <br /> I <br /> — TOTAL � <br /> � PERMITVALIDATWN � • � � � ' <br /> — WHEN PIiOPERLV VALIDATED IIN Tli15 SPACE) TNIS IS VOUR PERMIT <br /> — YOUR RECEiiCdn � <br /> ' THANK Y'Ol� ', <br /> �VPLIC�TIONACCFVIkUtlV: Pl�li5l11fCKkU11Y�. MM'POVU1f01115'.U�NCE NV � � � � � <br /> { <br /> s � 20 � .79 <br /> NDDRESS FlLE ! j 3 ' , <br />