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i <br /> ����� ��,.,�,�����,� CONSTRJCTION e��crett <br /> "'`" °` ��� PERMI� <br /> everett <br /> cnv ��n�� ss�a�ac, . BUILDING • MECHANICAL • PLUMBING <br /> ev�aisrr. wn oezui COMBINATION <br /> owNen ninu. nnm,�ss ziv NiioNe v <br /> Ken Ven Eman 1010 Walnut St. , Everett � <br /> 11RCNIiEC1' OR DESIGNER MAIL AD[�RE55 PHON[ LICLNS[ NO. � <br /> � <br /> GENERAL CONTRACTOR MNL AODFiESS PI�IONE LIGENSL NO. Z <br /> C <br /> AIECHANICAL CONTFACTOH MAIL ADOfiE55 PNONE UCENSE N�). W <br /> Natural Gas EcLuipment Co. 1611 E. Grand Ave. , Everett 258-2441 '-% � <br /> PLUMfiING CONTRACTOR MAII /1DD�E55 �I10N[ LICENSE NO. (•_1 <br /> � 1 <br /> Pf.RM1T CLASS O��WOfiK ' � � <br /> . ❑COMBINATION <br /> � [][)UIIDING ❑�LUMLiING �MECHl�NICl�L �NCW ❑AOUITION ❑AITEfiAT10N ❑fYEPA1H <br /> VALUATION OF WOFK <br /> ❑�[MOIJSH ❑F[NCE ❑SIGN ❑SWIh1MING ^OOL <br /> $ _�_— _ " <br /> OESCRIBE WORK <br /> PROPOSEO USE MECHANICAL <br /> TVPE Of- ENERGV <br /> LEGAL DESCfi�PTION Of- VIiOPERTY ISHOW �ELOW OR ATTACH []�Gl�S ❑ELEC. <br /> FOVft COPIE51 NO. TYPE OF E�UIPMENT_ FEE <br /> LOT_— OLOCK_OF � 41R COND.UNITS-H.P EF. 5 I <br /> REF(i1GGRl�TION UNR$ -H.P. EA. �— <br /> —-OUI�E(iS-II.P. EA. —— � . <br /> FORCED AIR SVSTEIdS-F3.T.U. MEA. <br /> __ � <br /> JOO ADDRE55 � SPAC[ K WALI. MEATER$ - B.T.U. _ <br /> 1010 Walnut St. � EV0T2tt 1 vrmT ��enTens �;.T.� 5�0 BTU S . � OU <br /> . �vnaorsnrive coo�er�s <br /> PLUMBING c�oTnis unvens i <br /> ' VGNTILALION PAN <br /> Rl�N(3E HO00 � <br /> NO. TVPE OF FI%TURE OR ITEM FEE nua ��nNnLwG UNit- C.F.M. ' <br /> BATH TUBS S � _ � � <br /> CLOTHESWASHER � � wnTEa HEATER - <br /> 4- <br /> GSH WASHERS � f-AC. UUILT FIREPLACE R CHIMNEV I � <br /> DRINKING FOUNTAINS � - ����,��,� <br /> FLOOR DflAINS � __ GAS. SVSTEM: NO OP OVTLETS <br /> SUO TOTAL 5 - 4 �UU <br /> KITCHEN SINKS & DISP. �_ -- — ret�nur 5 3 ,OO <br /> BAR SINKS _ � ---- <br /> ROOF U�7�+�N5 - RAIN LEAUEHS i TOTnL FE@ 5 I <br /> �HOWER BATHS TIIIS P[R�+I� R@COMES NULL AND VOIn IP WOfiK OF, CONSTRUC- <br /> SERVICE SINKS TION nUTHOR�2EU �5 NOT COtv'�MENC@D WITHIN 12� 74VS. OR IF <br /> CONSTIiUCTION OH WOHK I$ SUSPENUED Of1 A6ANDO��ED FOfl A <br /> SUMPS - SEWAGE PUMP _� P[RIOD OF 120 DAYS AT ANV 1'IM[ AFTEA WORK IS COMMENCED. <br /> URINALS - I IIGFEItV CFfiTIfV t11AT 1 HAVE RGAD AND E%l�MWLD THI$ AP <br /> WATER CLOSETS � PLICATION ANO KNOW IH[5/�ME TO Il[ l RUE AND CORR[C'L ALL <br /> WATER HEA7'ERS - ELECTRIC � PnoVlsioNs Ur LnwS ANo orvolNnNCES coVenNING THIs Tvr� <br /> W(15H AHSIfJS i OP WOf1Y. WILI U[ COMPULD WITII WHETIIER SP[CIPIED HEfiEIN <br /> LAUNDflV TRl1YS OR NUI, THE GI1l�NTING OI' A PLRMIT OOES NOT PRESUME TO <br /> i GIVE l�UTIIORITV TO VIOLl�T[ OFi CANC@L TME i'ROVISIONS UF <br /> ANY O��IIEIi STAT& OR LOCAL Ll�W fiEGVLATING CONSTRUCTION <br /> � OR THE PERFORMP':C: OF CONSTRUCTION. <br /> — ' <br /> SUB TOTAL � <br /> PERMIT S <br /> TOTAL FEE -� )C �J. . . i ��j.� G�/�,-r�.c� J �///,, I. <br /> WATEfiSENVICESIZE BLDG. SUPPLVSIZE__ SIGNnTUl9[oFCONI'(inCTORORnUT1i.nG[NT DnTe <br /> SIDEYAFiDSETDACK STRE@T5[iBACK RLARVARDSETI3ACKPLANCHBCKfJUA111E11 PLANCHECKFEE <br /> PG[ RECEIPT ND. <br /> USEZONE I.OTAREA VACl�NTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST, nCCUPAACY GROVP UO.IOS UW[LLING � <br /> __.} <br /> — I <br /> $12[OF EILOG. NO. OF STORIES h1Ar. OCC. I.OAU BUILDING 5 I _ <br /> PLUMRING � <br /> FIREZONE 13ASEMEIJT FINESPNINKLEHS __ I <br /> NEOUIfiED � <br /> ❑Y65 ❑NO M[CHANICAL 7 � OO <br /> � I <br /> SPEC�AL CONDITIONS: OiHEH I <br /> � — PENAITV 5[C.JO:II:d � <br /> I <br /> TOTAl. � I OO <br /> -- PERMITVALIDATION 111�'��{ <br /> — WIILNPIlOPCRI.YVl111DM[OIINwRI. SPACGI �1 � ��a� � ,f����M�T4 <br /> - 1'C U R REGFiP'T ; <br /> - - 'tHANK YOt} <br /> M`PtICN111ryACC11`1LUIIY YLl�Ntil]IICNIUOY AI'I`IIUVIIIIUNISfII/.Nit ll�- � � <br /> � � 15 � 17. �� <br />