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1 thr. Evergrr.en CONSTRUCTION � <br /> ��T,- o� -� everett <br /> everett PERMIT <br /> JC:TV HALL 259 P]4v <br /> eveaErr. wn �ezoi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNEH MAIL AOO{iL55 Zlf' PHON[ <br /> J.E.D. Corp. P.O. Sox 5099 Everett 9820G 252-G300 � <br /> m <br /> ARCHITECi OR pESIGNLR MIML ADORE55 PIIpNE LIC[NSE NO. � <br /> � <br /> GENLfiAL CONTRACTOR MqIL AU�RFSS � � <br /> PHONE LICENSE NO. . <br /> Same Z <br /> MECHl�NICAL CONTItACTOR MNL ADORESS PHONE LICENSE NO. 3 <br /> Cn m <br /> PLUMdING CON�RACTOR MAIL ADDfiESS PHONE LIGENSf NO. ..� � <br /> PEFMIT CLASSO� WORK � <br /> ❑COMBINATION <br /> �'AUILDING � PWMOING �MECHANICAL <br /> ❑NEW ❑(�OUITIpN ❑qLTGRnTION ❑qQp/��ry <br /> VALUATION OF WORK <br /> S �OEMOLISH ❑FENCE ❑SICiN ❑SWIM1IMWG POOL <br /> DESCHI(3E WORK --- --- <br /> Demolish single family residence <br /> FfiOPOSED USE ' <br /> MECHANICAL <br /> LEGAL OESCfiIPlION OF PqOPERTY ISHOW f3ELOW OR ATTACH TYPE OF ENERGY I <br /> � FOURCOPIESI ❑GAS ❑ELEC. � <br /> LOT 29 o�ocK 694 oF SWd1We11'S 211d Add. _NO. TVPE OF E�UIPMENT FEE <br /> nf�coNo. uNirs-ri.r. ea. 5 � <br /> REFRIG[RATION UNITS-H.P. E0. I <br /> BOILEfiS �II.P. EA. � <br /> FORCEO AIR SVSTEMS-D.T.U. MEA. ' <br /> JO� AD�RE$$ -- - — � <br /> SPACE & WALL HEATERS - B.T.U. j <br /> 2914 Pine Street vNiT �itnrcns n.r.u. i <br /> PLUMBING _ evnro��nnvE coo�eas i <br /> — CLOTHESpRYEN$ � <br /> VENTILIITION Pi1N I <br /> - -_ RANGE HOoO � I <br /> NO. TVPE OF FIXTUFE OR I7EM FEE AIq IIANDLING UNIT- QF.�i � <br /> BATH TUBS g -- - �---- � <br /> CLOTHES WASHER � -- —.-- _— � I <br /> DISH W/ISHERS WATER HE_ATER <br /> � _- <br /> DRINKWG FpUNTAINS � FAG [3UILT FIPEPLACE R CHIMNEV � �� <br /> FLOOR DRAINS � GAS. SVSTEM� NO OP OUTL[TS <br /> KITCHEN SINKS & DISP. �— _ SUR TOTAL 5 � <br /> BAF SINKS — _._._._-__...____ Pe�n�i7 5 <br /> ROOF DRAINS -- RAIN LEADEFS � roin� ree 5 � <br /> SHOWEfl AATH$ T�1I; P[RMIT I3[CUMGS NUL� AND VOID IF WO�K OR CONSTqUG <br /> SERVICE SINKS 1lON /1VTIlOq12@D IS NOT COM6iENC@D WITHIN 120 DnvS, OR IF <br /> SUMPS - SEWAGE PUMP CONSiNUCf10N OH WORK IS SUSPEND[D OR Af3ANDON[U FOIi A <br /> URINALS � �'flPIOD Of 1;10 DAv; AT ANY TIM[ l�PTER WOfiK IS COMMENC[D. <br /> WATER CLOSETS i � ���i�Lliv CLHIIFV THAT I III�V[ f�EAD AND L%�MINEO THIS AP� <br /> WATER HfATERS - ELECTRIC � PLICnTION /�NU KNOW TIIE 5l�h1E TU 13E TfiUE l�ND CORRECT. ALL <br /> WASH HASIN$ -----t �'�OVISIONS OF LAWS AND OHDINANCES GOVERNING THIS TYPE <br /> I Of WOHK \NI�1. [3E COh1PLIED WIT11 WM[l'IIER SPLCIFIED HEREIN <br /> LAUNURY THAYS OR NOT, T/I[ uliANiING OF i1 YERMIT DOES NOT PqESUME TO <br /> i GNE �1VTHOR�IY 10 VIOLAiG OR CANCLL TIIE PROVISIONS OF <br /> ----- ANY OTN[R STATG OR LOGAL �AW R[GULATING CONSTPUCTION � <br /> — � UR THB PERfOIiMANCE O- CONSTRUCTION. <br /> - 1 <br /> SUB TOTAL � � <br /> _ PERMIT 5 � p ` .. , / � 7 <br /> TOTAL FEE x o y �� r7 � <br /> X��_/ <br /> WATERSERVICESIZE BLDG. SUPPLVSIZE iGN iUREofCo wnaTol�oHnun�.ncENT Dnre <br /> SIDEVAFOSETOACK STREETSET�ACK RLiINYARDSFT[lACKPL/1NCIIEGKNUMPER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE �OT AREA VACANT SITe <br /> ❑vEs ❑No FEES VALUATION FEE I <br /> TYPE OF CONST. OCCUPANCY GRDUP NO.OF DW[LLING <br /> UNITS --- � I <br /> SIZE Of- 6LOG. NO.OF STORIES MA%.00C. LOA� [3UILDING 5 OO I OO <br /> � i <br /> • fINEZONE PLVMOING <br /> AASEMENT FIRESPNINKLBfiS � i <br /> neoumeo — — :� <br /> ❑V[5 ❑NO MECNANICl1L � <br /> I I <br /> _� <br /> SPECIAL CONDITIONS: OTIIEq I <br /> I <br /> -- — PENALiV Sf:Q JO:I(.d I <br /> _—___._—._____-' —_."--- I <br /> TOTAL 100 - � <br /> __ _— 1.f, <br /> . PEPMIT VALIDATION � � <br /> WHLNPHOPCRIVVnIII)MfDI1Nt1;�C;SPAC[ITIIISISYOUR�Cqh11T . <br /> ___ _ ; <br /> - YOiI R RECEIP'fJ, <br /> --- ` 7HANK YOU � � <br /> nri�ucnuoNnr.r.rmtuin v�nms��mer:iuuv nrrnnviu�oue:nrn�..� in � � <br /> 3 • ; _ ) g .uwil ' .;: :� <br /> -- - _ . _ � � <br /> ..._, <br />