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�"�' E°��������°��� CI�NSTR UCTION <br /> �,T, �, evereri <br /> everett PERMIT <br /> � CITY HALL ?598).ib <br /> e;�NETr. wn �a2oi CGMBINATION • BU•LDING • MECHAN 'CPl • PLUMBING <br /> UNNFR I.tAILAD�iHLtiS LI VNONE <br /> '9 <br /> _JED COYp_ P.O. Box_ 5049___ 98206 252-G300 m � <br /> •119CHi�hCTOfi0051GN[R hiAll. ,�UDHE55 P��pryt � <br /> I-ICFNSE ND. 3 . <br /> � <br /> GEYER/1L C(�Nl'HACTOR � MAIL ADORESS PIIOLE LICENtiE NO. Z �i <br /> Same <br /> C <br /> M1AECNANICAL CONTRACiOR MAIL A�OfiESS PHONE LICENSE NO. � <br /> W <br /> v ) �NWh1UINC.CONTRACTOR MAILADDfiI".SS PHONE LICENSENO. r� , <br /> 11� <br /> P[HMIT CLASSOPWORK �) ' <br /> ❑COM1181NATION ', <br /> �] DUILDING � PLUMBING ��1ECHANICAL � <br /> ❑NEW ❑AOOITION ❑ALTERATION ❑RLPqIR <br /> VALUATION OF WORK — <br /> 5 [�.D[MOLISN ❑FENC[ ❑SIGN ❑SWIMMINt� PpOL <br /> �ESCRI9E WORK � - <br /> Demolish single family residence <br /> PRDPOSCD USE <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTY ISHUW l3ELOW OR ATTACl� r��E OF ENERGV <br /> � FOURCOPIL51 ❑�+n5 ❑ELEC. <br /> LO7�7-28_ pLOCK 694 OF SWd1W0115 2.d d NO. TVPE OF EOUIPMENT FEE <br /> R_A_SI•.__ ___ __ — <br /> Alfl CON�. UNITS-II.P. EA. 5 I <br /> RFFRIG[RItTION VNITS-H.P. EA. <br /> [IOILERS-N.P. E/1. � <br /> FORCED AIR SVSTEMS-D.T.U. MEA. --T�— <br /> — 1 <br /> JOB ADORESS SPACE & WqI.L MEATERS - B.T.U. � <br /> 2918 Pine Street uNiT ��enieris o.r.u. i <br /> [VAPORATIVECOOLERS <br /> PLUMBING . . 1-------- � <br /> _ CLOIHESURYERS � . <br /> VENTILATION FAN j <br /> RANGE HOOfJ � � <br /> NO. TVPE OF FIXTURE OR ITEM FEE AIN IIANDLING 11N1T- 0.F,M, '� <br /> BATH TUBS 5 — <br /> CLOTHES WASHEft � -- -- -------"---- — '7--- I <br /> DISH WASHERS � _ �''�ATER HEATEF <br /> DRINKING FOUNTAINS � FAC. AUILT FIPEPLACE & CHIMNEV � <br /> PLOOR DRAINS � _ G�+S. SYSTEM'_NO OP OUTLETS � <br /> KITCHEN SINKS & DISP. ---j— _ _ ___ _ . _ _ :UO TOTnL 5 � <br /> BAR SINK$ � PEPMIT S <br /> ROOF DRAINS - RAIN LEAUERS � toinL FEE 5 � <br /> SHOWER BATHS _ THIS PkqMll BECOMES NULL AND VOID IP WURK OF CONSTRUC <br /> SERVICE $INKS TION AUTIIOHI2ED IS NOT COMMENCED WITHIN 120 DAVS, Ofi IF <br /> SUMPS - SEWAGE PUMP CONSTViUCiION ON WOHK IS SUSP[NDEO OR Al3ANDONED FOR A <br /> URINALS � PERIOO Of 170 DAVS AT ANV TIA1E AFT[q WOAK IS COM�dENLED. <br /> WATLH CLOSETS � � ��<<����Y CEf�TIFV THl�T I IIAVE RCAp AND EXAMINED THI$ AP <br /> WATER NEATERS - ELECTRIC � PLICATION nNo KNow r��e snhie ro ne rnu[ nNo cOnnec7. n�� ��, <br /> PPOVIiIONS OF LAWS AND OHDINANCES GOVEFNING THIS TVPE � <br /> WASN BASINS � OF WOqK WI�L 13E COM1IPLIEO WITH WHEINEli SPECIFIED HEREIN � <br /> LAUNDRY TRAVS OR NpT, iHE GRANTING OF A VEfih11T OOk: NOT PRESUME TO <br /> � GIVG AUTIIORITV i0 VIOLATE Oli CANC[L THE PRDVISIONS OF � <br /> ANVOIHCRSiAlLO IACALLNNliEGULAi1NGCONST(iUCT10N ' <br /> � OR TIIE P[RfORh1ANG@ UF CO STfiUCTION. <br /> � <br /> SUB TOTAL � � . <br /> PERMIT 5 _I ZZ�L�S�7B <br /> TOTAL FEE i <br /> _�\ <br /> 1 <br /> WATER SERVICESIZE BLDG. SUPPLV SIZE sic niureoFcov �nn no n�.n�eNr unre <br /> SIDEYARDSETOACK STREETSETBACK H[ARVARUSETOACKPLAPICNFCKNUM1111CR PLANCHECKFEf ' <br /> F[E RECEIPT NO. <br /> USE 20NE LOT AFlEA VACANT SITE <br /> ❑rEs ❑No FEES VALUATION FEE ! <br /> TVPE OP CONST. OCCUPANCV GROUP NO.OF DWELLING � <br /> UNIiS � <br /> i <br /> SIZE OF �LDG. NO.OF STORIES MAX.00C. LOAO ❑UILDING S OO � OO I <br /> PWM�ING � <br /> � 1'IHE 20NE BASEMENT FIRESPRINKLLfiS _ � <br /> H[OVIRCp j— <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIALCONDITIONS: UTHER � <br /> I <br /> --- — PFNALTV 5[C. :1091a1 I <br /> TOTAL OOi 00 , <br /> PERMITVALIDATION , ' • .�J' �, <br /> -- - -- WIIf'NPROPf.fl1VVALIDA7f.� ll 11I,��Pl10E� �. I �PF.PMIT <br /> _ ,, ' <br /> — -- YfJU.R RfL16M�`� . <br /> TMANK YOt� � <br /> nrriu:nnnr�n�.crruuxv vinrrscu[cR�nnr. nrivmv�urniursunuc7nv � - » <br /> . � � ...#;.:.i <br /> • i <br /> ° ' !�i � �� ,. .,;� ; <br /> � , . � � <br /> � . . . .... .l. �. ��l ._1. <br /> '��. <br />