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U TUCET PKtt{ • tYrnU <br />I <br />■ <br />tj <br />the Evergmen <br />CITY OF <br />everett <br />CITY HALL 2596745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />f• <br />o erett <br />1 � 1 • <br />QWNLn MAIL AUURLSS21P PHONE <br />/y. 27 r u1�A 9!'tna d ats� <br />----- <br />AHCHIT CT OR OE NER MAIL ADOR ESS PHONE LICENSE NO. <br />XQENERAL CONTFACTOR MAIL ADDRESS PHONE LICENSE NO <br />7_Se /�' <br />_ <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT <br />❑ COMBINATION <br />_25'BUILOING COPLUMBINO ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW R(ApblilON ❑ALTER/.TION ❑REPAIR <br />yV{ LUATION OF WORK <br />S 4, 19 03 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />ESCRIBE WORK — <br />��i �lM 20!✓ i A / & A4 1, G!✓ 7+ O <br />V I+DPosEo USE <br />'G� a <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />11 OUR CU PIE51 �.� .T <br />LOT �2GLOCKV.10F A'4 !/G <br />S /pf rGCp •d /1 <br />TYPE OF ENERGY ❑OAS ❑ELEC. <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />AIR t UNO. UNITS-H.P. EA. <br />f I <br />REFRIGT. RATION UNITS- II.P. EA. <br />BOILEfIS-II,P,EA. <br />1 -_-- <br />M'{f>•' <br />p/N'!/s .D.Fow. SD rs urds of sye /I s2r..fi <br />fORCEO AIR SYSTEMS-B.T.U. MEA. <br />I _.___ <br />J013 AD R S <br />L/A14Lss ✓ <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS- R.T.U. <br />I <br />PLUMBI(JG <br />_ <br />EVAPORATIVE COOLERS <br />�— _ <br />CLOTHES DRYERS <br />j <br />I <br />VENTILATIONFAN <br />L:J <br />RANGE 14000 <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEEL_ <br />AIR IIANOLINO UNIT- C.F.M. <br />BATH TUBS <br />5 <br />-- <br />1 <br />CLOTHES WASHER <br />1 <br />WAT_FR HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE A CHIMNEY <br />GAS. SYSTEM. NO OF OUTLETS <br />j <br />DRINKING FOUNTAINS <br />1 <br />FLOOR DRAINS <br />1 <br />1 <br />KITCHEN SINKS A, DIS . <br />SU8 TOTAL f <br />'. I <br />BAR SINKS <br />PERMIT S <br />HOOF DRAINS - RAIN LEADERS <br />TOTAL FEE S <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW TIIE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL tit COMPLIED WITH WHETHFR SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY 01HER STATE OH LOCAL t AW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HE ATE HS -ELECTRIC <br />P <br />_. <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />1 <br />1 <br />SUB TOTAL <br />1 <br />PERMIT S <br />TOTAL FEE S <br />I! <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />S12E <br />aNAiV - Co HAC 1 on AUTtt AGENT DATE <br />SIDE YARDSETUACK <br />STREETSETOACK REAR <br />YARD SETBACK <br />PLANCHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE NE- <br />LOT AREA VACANTSITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />I YPL OF CONST. <br />UCCUPANCY GROUP NO. <br />UNITS <br />OF DWELLING <br />1 <br />BUILDING <br />f _ C.J <br />SIZE OF BLDG. <br />ao'>t ao <br />NO. OF STORIES MAX. <br />OCC. LOAD <br />PLUMBING <br />-. 1 <br />1 <br />1 <br />T- <br />I <br />1 <br />tIRE ONE <br />BASEMENT FIRE <br />REQUIRED <br />❑YE5 <br />PRINKLER <br />flab <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 00018 <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN TIIISSPACEI T11191S YOUR PLIM-:1 <br />AM3 PLATOON ACLIPII IT TOYYLANSCIIILµnUbY. AMIIOYIU <br />V, e, <br />full MWAMI, PY <br />