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\\ <br /> the f ver9rcen G�.ON ST R U C TI O N <br /> everett <br /> "T� �r PERMIT <br /> everett <br /> CITV HALL 75987d5 <br /> F.v�AErr, wn 9azoi COMBINAI'ION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER Ml�IL ADORE55 ZIP �'IiON[ � <br /> KWYZ Radio 123 2917 Pacific m <br /> — � <br /> ARCHITECT OR �ESIGNER MAII ADDRE55 PMONE LICENSE ND. 3 <br /> � <br /> GENERAL CONTRACTOR MAIL HD�RE55 PIiONE LIC[NSE NO. z <br /> Simco Si n Co. Inc. E1339 C <br /> MECHl1NICAL CONTRACTOR - MAIL ADDRE55 PHONE LICENSE ND. W <br /> .p m <br /> PLUMOING CONTFACTOF MAIL AODNESS PHONE LICENSE NO. (,JJ � <br /> � <br /> PENMIT CLASS OF WORK � <br /> ❑COMBINATION <br /> ❑ 6UILDING ❑ PLUMBING ❑MECHANICAL <br /> ❑NEW ❑ADDITION ❑ALTERf�TION ❑RF_PAIq <br /> VAIVATION OF WOqK <br /> $ �],ZOO.00 ❑DEMOLISH ❑FENCE �SIGN ❑SWIMMING POOL <br /> DESCRIBE WGRK <br /> erect illuminated sign <br /> PqOPOSED USE MECHANICAL <br /> TVPE OF EN[PGV <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW DELOW OR ATTACH ❑�qS ❑ELEC. <br /> FOV R COPIE5) <br /> LOT BLOCK—OF NO. _ TVPE OF EQUIPMENT FEE • <br /> AIR COND.VNITS--H.P. EA. $ I <br /> REFRIGEfiAT1pN UNITS -H.P. EA. <br /> 60RCHS nP. Ln..... ._ 1 <br /> FORCLD AIH SVSTEMS-B.T.V. MEA. <br /> I <br /> JOD ADDRESS SPACE & WAIL HEATEHS - B.T.U. <br /> 2917 Pacific uNiri�ErTens�-o.r.u. . i <br /> EVAPORATIVECOOLERS <br /> PLUMBING c�oniis oaveAs i <br /> V[Nil�l�TION FAN <br /> � — RAN(3E HOOD I <br /> NO. TVPE OF PIXTURE OR ITEM FEE j ni�� HnNOLwG UNrt C.i.M. <br /> E3ATH 1U65 5 ' I <br /> CLOTHES WASHER � Wn1[1i HEATEP <br /> DISH WASHEftS � f nC. f1U1LT fIREPLACE 14 CHIMNEY I <br /> UHINKING �OUNTAINS � ,/�S ;ySTEM�. No OP OUTLETS <br /> FLOOR URAINS i ------ ------- - <br /> KITCNEN SINKS & UISP. i _ SUfI TOTAI S I <br /> OAfl $INKS � _ _ __ PERMIT S _ <br /> ROOF DRAINS -� RAIN LEADERS TOTn� rEE S I <br /> SHOWER 6ATH5 TMIS PH9MIT �ECOMES NULL AND VOID IF WOAK OR CONSTRUG <br /> SEI2VICE S�NK$ TION AUTHORI2ED IS NOT COMMENCED WIT{iIN 120 DAYS, OR IF <br /> SUMPS - SEWAGE PUMP CONSTfiUCTION Ofi WDiiK IS SUSPENDGD OR A[lANDONED FOR A <br /> � P[RIOD Of 120 DAVS AT AIJV TIME AFTER WORK IS COMMENCED. <br /> URINALS I HER@I3V CEfiT�Fv THAT I HAV[ REAO AND ExAMWED TIi1S AP� <br /> WATER CLOSETS � PLICqT10N AND KNOW THE SAMF: TO[iE TRUE AN�CORRECT. ALl <br /> WATEIa HLA7LR$ ELECTRIC � PROVI;ION$ OP LAWS AND ORDINANCfS GOV[RNING THIS iVPE <br /> WASH BASINS � CF WORK WILL �[ COM�'UGp WI7H WHETHER SPECIflLO HEfiEIN <br /> �AUNDRV TRAVS OR NpT, 1NF. (3Rl1NTING OP !� PLNMIT DOES NOT PRESUME TO <br /> � GIVG AUTHORITV TO VIOLATE Ofi CANC[L THE PqOVI510N5 OF <br /> /�NY OTH[R iTI�TL OR IACAL LAW HEGULATING CONSTf9UCTION <br /> � ON THE PCNFUf1MANCE OI' CON51(iUCIION. <br /> I <br /> SU6 TOTAL 1 + <br /> PERMIT 3 ��, A ^ 5�17��78 <br /> TO7AL FEE X �s�Ei <br /> WATE(7 SERVICE $RE �LOG. SUPPLY 9ZE SIGNATUREOFCONTq CTOROFnUIH.AGENi �AiE <br /> SI�EVAfi[JSE1fSACK STREETS[i�ACK P[ARVAflD5ET6ACY. PL/1NCHECKNUMAER PLANCHECKlEE <br /> FEE RECEIPT NO. <br /> USL ZONE LOT AREA Vl1Cl�NT SITE <br /> ❑vEs ❑No � FEES VALUATION FEE <br /> TVPE OP CONST. OCCUPANCY GROUP NO.OF DWELLING � <br /> UNITS <br /> SIZE OF BLOG. NO.OF 570N�[S MAX.00G LOl�� [iUILOING S] ZQQ.QQ Z71 QQ <br /> FLUM8ING � <br /> f913L ZONE IiAiLMENT HRLSPRINKLE(iS � - <br /> REOUIFED � <br /> ❑VES ❑NO MECHANICAL � <br /> 1 <br /> SPECIAL CONUI71UN5�. OTHEF � <br /> � PENALTY SEC. J031») � <br /> __ _—"—�� . i_ <br /> - TOTAL 27� 00 � <br /> --- PERMITVAIIDATION -�"" ' <br /> WI/LNI'NOPLIiIYVAIIflMCO11N HI; 'PACE ] 1� , flPERA111 <br /> —__ t`` . �- <br /> _— ,ro`u R a�s� ' <br /> - THANK YI� <<> , <br /> ba^.ur,lln•.L�/I�q11�Hv VIf�Ntll�lillli�lr %.I•19�pVlllln�i . ... . i _ • <br /> ( <br /> L.C.eU . .. .. <br />