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lipp <br />S FUBBT ruw - Ennll <br />flitEver9me), CONSTRUCTION everett <br />CITY OF ® PERMIT <br />ever.ett <br />CITY HALL 76BBT•B F BUILDING • MECHANICAL • PLUMBING <br />[VFR [TT, WA w2oT COMBINATION <br />LIie <br />MAIL AUD,ILSS ZI1• PHONE <br />e2ex.rt' .2$D.) �Ec /ct ArL.EvF_ �t�ao1 as a-1��1 <br />IL <br />.aYL MI CLASS OF WORK <br />COMBINATION -- <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 10 NEW <br />VALUATION OF WORK <br />f -�--,,D ❑DEMOLISH <br />D E SC P I/////B7777JE W RK <br />Pita U <br />I. LGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />, Don COPI EI <br />LOT � 31 t, BLOCK a50F PI ESQ' r-a <br />cLCC aC I � <br />JOB ADDR15SJEWa <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />BATH TUB <br />2 CLOTHES WASHER <br />pISN WASH RS I <br />— URINKING FOUNTAINS <br />— FLOOR DRAIN I <br />KITCHEN SINKS & DISP. 1 <br />MAR SINK <br />R O AIN - RAIN LEADERS <br />SHOWER PATHS <br />SERVIC- jr <br />INKS <br />SUMPS A PUM _ <br />URINALS <br />WATER LO$1S <br />WATER HEATERS - ELECTRIC I <br />WASH BASINSI <br />LAUNDRY TRAYS <br />1 <br />SUS TOTAL <br />u,t. • <br />'I !;ATER SERVICE <br />'.IUE YAHOSM <br />4s (w)Lpa <br />I iSC ZONE <br />I YPL OF ONST. <br />�- rJ <br />:.111. Of SLOG. <br />IIO04 <br />n(ElC ONE <br />3 <br />'.1'LCIAL CONDITIONS: <br />LICENSE NO. <br />$- S <br />LICENSE NO. <br />LICENSE NO. <br />❑AODITION ❑ALTERATION ❑REPAIR , <br />❑1f.NCE ❑SIGN ❑SWIMMING POOL <br />MECHANICAL <br />TYPE OF ENERGY K1�1 <br />LIOA7 FLEE. <br />NO. _ TYPE OF FOUIPMENT FEE <br />-- AIR COND. UNITS-H.P, EA. B 1 <br />mcI nIGL nAT ION UNITS 11.P, EA. �— <br />IlOIL111S IIJ. EA. I _ <br />FOnC1.0 AIN SYSTEMS U.T.U. MEA. <br />-- --- <br />SFACF & WALL HEATERS -- e.T.0 <br />— UNIT IIFATE11S.M.T.U._ 1 <br />LVAPOIIAIIVE COOLERS <br />CI.OTIIES OIIVERS <br />- <br />VENTILATIONFAN <br />nnN(.0 14001) <br />Atli IIANOLING UNIT C.F.M. <br />WA7E 11 IIFATE-R—_ ---_-_ <br />(A C. BUILT FIRE/LACE A CHIMNEY to <br />S, SYSTEM: NO OF OUTLETS <br />— ------------SUII TOTAL f <br />PF.nMIT S <br />�- TOTAL FEE f <br />11US PL II All I IILCOMES NULL AND VOID IF WORK OR CONSTRUC- <br />11ON All illO 11111 O IS NOT COMMENCED WITHIN 170 DAYS, OR IF <br />CONSTIIUr..I ION ()If WOnK IS SUSPENDED OR ABANDONEO FOR A <br />PEnR)D Of I'm DAYS Al ANY TIME AFTERWDIIK IS COMMENCED. <br />I HEIILUV CERTIFY MAT I HAVE READ AND EXAMINE. THIS AP• <br />PI ICATION ANn KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS Of LAW,^, AND OIIDINANCES GOVERNING THIS TYPE <br />OF WOIIK WILL LIE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NO1, 111E GRANTING OF A PERMIT DUES NOT PRESUME TO <br />GIVE AUTIIOnITV 70 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY 0111f11 •:)ATE On LOCAL LAW q EGULAT ING CONS TRUC TION <br />ON THE PLII(UIIMANCE OF CONSTnUCT1ON. <br />"_(,�+.- -- CA-x�.-t �- <br />SIGNAI UnE0 CONT RACTOROR TH. AGENT DATE <br />BLDG. SUPPLY SIZE <br />IEET SETBACK <br />'Lei- <br />FILARYAROSETRACK <br />2.00 <br />PLAN CIILCK NUMIIER <br />[J/ <br />�/ `fS.s <br />•L- <br />PLANCHECK <br />(EE �p <br />/3S <br />FEE <br />RECEIPTNO. <br />�pc <br />AREA <br />$ZS 0 <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />:U►AN—COUP <br />Q —I <br />NO. OF DWLLLING <br />UNITS <br />T <br />RUILOING <br />OF STORIES <br />2 <br />MAX. OCC/./LOAD <br />PLUMPING <br />MECHANIC. AI. <br />----- <br />51 C. 30:1 Id <br />- <br />MENT <br />/O <br />1,1111, PISI— <br />R D <br />OYES ES EII ,.., <br />Ly gU <br />OTIIC II <br />PENALTY <br />TOTAL. <br />1 <br />I <br />_ <br />— <br />3� 00 <br />- <br />PERMIT VALIDATION <br />W111N1'lIOl�1.111.YVALINAIEDLIN IIUSSPACEI TIIIS IS YOUR PERMIT <br />v IiLL1IUN NLLI rll 11 �r Yl�Nl ull lulu ur /drlWvlu lun f.:.onMl nr I -2 6—%ALQ <br />0 <br />C t <br />