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`°" `` '""''''" CONSTR UCTION <br /> � <br /> ��r� ��� everett <br /> everett PERMIT <br /> cirv �inu zs�ains <br /> evr:Nerr, wn �aaoi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> O\NNL li <br /> M�II_ I1DDflESS 111' PHUNE <br /> ��il.f/n{ �s. �1-�G� 353-CoJ�p � <br /> naciiiTEci� or�oEsicNer� — m <br /> M11NL nDUqCoy PHpNF3 IJCIENSL NU. � <br /> � <br /> GEN[R.1L CONTHACTOft MNL ADORE55 ---- — '� <br /> PHONE LICENSE NO. <br /> CH�Jr.���v �e-�,s�.l�c- , 353-1�.�Do c <br /> MECIIANICAL CONTNACTOp MAIL ADDRESS <br /> PHONE LICENSE -!O, 3 <br /> W <br /> �'LUMOINGCONTRACTOR �.�.i m <br /> MAIL ADORESS PHONE LICENSE NO. � � <br /> PERMIT CLASSOP WpqK � _.� <br /> �COMDINATION .-- <br /> ❑ f3U11.DING � PLUMBING �IdECHANICAL <br /> �NEW ❑ADDITION ❑ALTERATION ❑H[pq�q <br /> Vi1LUATIO"N�OF WOfiK � <br /> 5 � ,J' � � �� ❑DEMOLISII ❑�ENCE ❑SIGN ❑iWIAiMIN6 PUOL <br /> DEtiCF113E WORK --_------_ <br /> C'�NSTQIIG'C Siti+C.,LE � ,J p <br /> PROPOSEO USE "' �L'� � �C.L <br /> n�ecHnruica� <br /> LEGAL DESCRIPTION OF PROPERTV (SIIOW pELOW OR qTTACII TVPE Of ENERGv - <br /> FOUfl COPIESI <br /> �7o !�� �'AS ❑ELEC. <br /> Lor�f_ pLOCrc_OF x��-FN�-��..�Y� �j�^�_ NO. TYPE OF EdUIPMENT <br /> FEE <br /> AIP COND. UNRS-II.R EA. 5 I <br /> REFRIGER/1TION UNIiS H.P. EA. —�--��— <br /> �OILERS II.P, EA. � <br /> FOFCEO AIR SVSTFMS-li.T.U. MEA. T <br /> JOB ADDRESS ------ � <br /> i SPACE !L WAIL MEATERS - R.T.U. <br /> 22� �k+S rO� UNIT HEMERS ❑S.U. � <br /> PLUMBING �vnvor�nrive coo�e�s <br /> CLOTIILS nRVER$ � <br /> VENTILATION fAN T <br /> NO. TVPE OF FIXTURE OR ITEM � RnNGG H000 � � <br /> FEE AIR HANDIING UP11T- GF.M. � <br /> BATH TUBS S —-- _ <br /> ( CLOTHES WASHE(i i - � <br /> DISH WqSHERS � W�TER IIEATER <br /> ORINKING FOUNT111N$ � __ �AC. BUILT FIREPLACE & CNIMNEY � <br /> FLOOF URAINS � GAS. SYSTEM: NO OP OUTLETS -7 - <br /> KITCHEN SINKS & UISP. i SU13 TOTAL 5 __b�_ <br /> BAfl SINKS i PERMIT 5 qGU <br /> ROOF DHAINS - RAIN LEAOE(i5 � � -------- TpTn� pEE 5 � <br /> SHOWER BATHS -- - -- �IC7� <br /> SEFVICE SINKS THIS PEpM111T F3GCOW[fi NVLL ANfJ VOIO IP WOfiK OR CONSTRUC <br /> TION AUTHOHILED IS NOT COMMENCED WITHIN 170 DAVS. OR IF <br /> SUMPS - SEWAGE PUMP CONSTqUCI ION OP WORK IS SUSPLND[D Ov n[3f�NDONED FOR A <br /> URINALS � PEfilO[J OF 170 l]l�YS AT /1NY TIM11E AFTER WOfiK IS COMMENCEO. <br /> I WATER CLOSETS � I H[REffV CEfiTIFV THAT I HAVE f9EA� ANO E%AMWED THIS AP- <br /> � �'LICMION ANp KNOW TH[ Sl1ME TO UE TRUE l�ND CORRECT. /1LL. <br /> ATER HEAlERS - ELECTHIC � PRpVItiION; OP LAWS ANO OIIOINANCES GOVERNING THIS TVPE <br /> WASH BASINS i OI' WpqK 1NILL UE COMPLIED WIiF' WHETHER SPECII'I[D HEREIN <br /> LAUNDRY TRAYS — OR NOl', 1H[ GRANTING OP A PElM1T 00[5 NUT PFESUME TO <br /> _ i GIVC /�UTHORITV TO VIOLATE OR CI�NCEL THE PROVISIONS OF <br /> --- I�NV OTHER STME OR LOCl1L LAW REGULt1TING CONSTRUCTION <br /> --� �- OR THE PERFORMANCE OF CONSTRUCTION. <br /> -__ . — I <br /> SUB TOTAL Z�� � � � � <br /> PERMIT g T� � ��� / . <br /> TOTAL FEE t - x /� <br /> WATER SERViCE SIZE //- `r - �_ /� <br /> 13LDG. SUPPLYSIZE 5 ;ffnfqTUqEplC ��anCTonoHnVTM.nGENT -���`i'c <br /> StDEYl1RD5[T6ACK STRE^ETSE.T�f3ACK REARYAROS[T[3ACKPLANCHECKNUM6ER PLl1NCHECKFEE <br /> S�� �`l i' ��� !-[F: _'_ RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE ��/��� -��'TQ_� <br /> W � QGES ❑No FEES VALUATION FEE <br /> TVPEOFCONST. OCCUPANCYGROUP NO.Of-DWELIINC; - — ' <br /> UNITS � I <br /> SI2[ OF f3LOG. NO. OF STORIES MA%. OCC. �OAD �VILDING 5',3�.GUc, �O � � I^O <br /> '.�lo' 7L4cc' � ,CA� _ ilJ <br /> FIfiE2ONE f1ASCMENi FINLSPNINKL[NS �WMBING �CIGQ <br /> 3 � / neouii�eo �� -- <br /> /��O ❑Y[5 �I�O MECHANICAL � <br /> I <br /> SPCCIAL CONOITIONS. �OG <br /> --- -- - OTHGR � <br /> I <br /> PENAITY SFC. 30JIa1 � <br /> __'-_'_-."__'_- --__'- '___ __"_'-1-_._ <br /> TOTAL � <br /> �W��e� <br /> _.__ PERMITVALIDATION ���� � ���� Tp� <br /> WH@NI•HpPf.RI.YVAl11)AtF.D11N -II ACL1 II` 1 1 . II <br /> -- - — . YQUR RECEIPT <br /> ��•„����,�������������.��. ������,����.�.�„„r .,,,,�,�,,��,,,,�,�•..,,,.�.,_� ��� � � � Tf=�F�.NK YOU� � <br /> �� <br /> .. � — 3 �ar� �8 <br />