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, , <br /> rheEvergmen �CONSTRUCTION ,� _ � everett � <br /> CITV OF pERMIT � j <br /> everett <br /> c�Tv HA�1- 7598145 � . MECh1ANICAL • PLUMBING � <br /> EVEFETT, WA 9szo� COMBINATION BUILDING � <br /> OWNER MAIL ADDRESS <br /> ttictiARD SUI.t.IvnN Z�� 259-3G56P��NE � i <br /> ARCHITECT OR DESIGNER MAIL lIDORESS PHONE LICENSE NO. 3 ' <br /> � I <br /> GENERAL CONTHACTOF MAIL A�DRE55 PHONE LICENSE NO. Z ' <br /> C <br /> `S�� PHONE LICENSE NO. 3 � <br /> MECHANICALCONTRACTOR MAILA;-9RE55 � <br /> W r^ I <br /> PWMtlING CONTRACTOR MAIL ADDRESS PMONE LICENSE NO. (� � � <br /> � <br /> PERMIT CLASS OF WORK � I <br /> ❑COMBINATION i <br /> �BVIIDING ❑ PLUMBING ❑MECHANICAL �NEW �AODITION ❑ALTERATION �REPA�R I <br /> VALVATION OF WORK ( <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOI <br /> S <br /> DESCPIBE WOFK <br /> ?�F3pI3 DECK � <br /> i <br /> PROPOSEO USE MECHANICAI ' <br /> i <br /> TVPE OF ENERGY <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW BELOW OR ATTACN ❑GAS ❑EIEC. Y <br /> FOUR C��Or�riE51 �.��j ryp, 7rPE OF EUUIPMENT FEE { <br /> LOT J14_ BLOCK ��c OF $�+�r DIV� G q�q CONO. UNITS-N.P. EA. S I ` <br /> REFRIGERATION VNITS-H.P. EA. <br /> � BOILERS H.P. EA. � i <br /> FORCED AIR SVSTEMS-B.T.U. MEA. I <br /> I P <br /> JOB ADDRE55 Ma SPACE & WALL HEATERS - B.T.V. � <br /> PVIN d�� UNIT HEATERS-�A.T.U. � � <br /> � EVAPORATIVECOOlEHS � <br /> PWAABING CLOTMES DRVERS _� <br /> VENTILATION PAN � <br /> � RANGENOOD � d <br /> � NO. TYIE OF FIX�URE OR ITEM FEE AIF HANDLING VNIT- CF.M. � <br /> BATH TU S S _ � <br /> x CLOTHES WASHER � _ wnTER HEATER , <br /> DISH WASNERS � FAC. BUILT FIREPLACE b CHIMNEV I ! <br /> � � DRINKING OUNTAINS � GAS. SVSTEM: NO OP OUTLETS � <br /> l0 <br /> i Fl R DNAINS � SUo 7oTn� S I � <br /> 'i KI ME SI OIS . � <br /> } SAH SINKS __ PERMIT E � <br /> � R F DRAINS - RAIN LEADERS TOTA� FEE S I <br /> � R ATMS THIS PERMIT OECOMES NULL AND VOID IF WORK OR CONSTRUG <br /> � RVI E SINKS iION AVTHOR12E0 IS NOT COMMENCEO W�THIN 120 DAYS,OR IF � <br /> �- -S WAGE PUMP CONSTRUCiION OR WORK IS oVSPENDED OR ABANDONED POR A 1 <br /> PERIOD OF 120 DAYS AT ANV TIME AFTER WORK �S COMMENCED. { <br /> j URINALS � HEREA� CERTIFV THAT I HAVE REAO AND E%AMINED THIS AP� '� <br /> S WATER CLOSETS PL�GATION AND KNOW TF1E SAME TO 9E TRUE ANO CORflECT. ALL k <br /> - �4 WATEH MEATERS - ELECTRIC � PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TVPE � <br /> ! W N B I � Of WORK W�LL BE COMPLIED WITH WHETHER SPECIFIED H�REIN } <br /> Oii NOT, THE GRl�NTING OF A PENMIT DOES NOT PRESVMt TO <br /> . - ( LAUND Y TRI�VS GIVE AUTHORITV TO VIOIATE OR CANCEL THE PROVISIONS OF � <br /> ANV OIHEF STATE OR LOCAL LAW REGULATING CONSTAUCTION [ <br /> I OR TliE PEFFORMANCE OF CONSTRUCTION. ' <br /> �� 1 ' <br /> SU6 TOTAL <br /> PERMITF E t x /.' ` t��v 9/26 77 ; <br /> �� .oa <br /> WATER SERVICE SIZE BLDG. SUPPLY SIZE SIGNATURE OF CONTHACTOROR AUTH.AGENT DATE <br /> SIDE YARD SETBACK STREET SETBACK REAH YARDSETBAC fLAN CHECK NUMAER PIAN CFIECK FEE <br /> �) FEE RECEIPT NU � <br /> USE 20NE LOT AHEA `JACANT SITE <br /> ❑vE5 ❑NO FEES VAWATION FEE ' <br /> TVPE OF CONST. OCCUPANCV GROUP UNITOS OWELLING � <br /> 512E OF BLDG. NO.OF STORIES MA%.OCC. LOA� BUILOING s 2rJO�OO � OO <br /> � 1 <br /> PLUMAING <br /> FIR ONE BASEMENT q�E�U1PEDKLERS <br /> ❑VES ❑NO MECHANICAL � <br /> I <br /> SPECIAI CONDITIONS: OTHER I . <br /> PENALTY SEC.7031a1 � � � <br /> 1 <br /> TOTAL S�� <br /> PERMIT VALi0AT10N w��� ���;f;,d,� � . <br /> WHENPROPERLV VAUOMEOIIMF � ACE) i�7trar���T� . <br /> �YOtDR REC,�EIP�' <br /> T�NK �qrn <br /> APp1.ILATION�CGF%fUbP pLTNSCHlCK4I)MV� I�PFROVfOfOflI55U/�M:f PY ' . <br /> �. c• � � ' 4 I <br />