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�„� �F evere <br /> everett PERMIT � <br /> CITV HAIL 259�87�6 <br /> EVEXETT, WA ceaai COMBINATION • BUILDING • MECHANICAL • PWMBING �; <br /> UWNkH MAILAODNE55 21P PMONE <br /> II Pc R Associates 1624 Broadrray, Everett 98201 252-1160 <br /> APCNITECT OR DESIGNER MAIL AODRE55 PIIONE UCENSE NO. <br /> GENERAL CONTRACTOP MAIL AODRESS PIIUNE LICFNSE NO. <br /> J & D Builders 1621+ Broadtiiay, Lverett 252-1166 223-01 - -I <br /> MECHANICAL CONTqACTOR _ h1AIL ADDflESS PIIONE LICENSE NO. <br /> PLVMBING CONTqqCTOfl MAIL AODRE55 PHONE LICLNSE NO. <br /> Py�yRMIT C1A55 OF WORK � <br /> (y`COMBINATION <br /> ❑BUILDING �PLUMBING �MECHANICAL I <br /> �.NEW ❑A(]DITION ❑AI.TEHATION ❑REPAIR <br /> VALUATION OF WORI(// <br /> s �'�C� pQ ❑DEMOLISH ❑FENCE ❑SICN ❑SWIA' : POOL <br /> DESCRIBE WORK ' <br /> hew Pour-Plex <br /> YNOPOSED USE <br /> Aiulti-?�'amily Residence MECHANICAL <br /> LEGA� DESCRIPTION OF PROPERTV ISMOW PE�OW OR ATTACII TYPE OF ENERG V <br /> IOUR�OPIE5�)p ❑GAS ❑ELEC. <br /> LO7�'BCOCK?�1R_OF NO. TYPE OF EOUIPMENT - FEE <br /> AIR COND.UNITS-N.P. EA. S � <br /> n v � REfAIGEf1ATION UNITS-//.Y. EA. <br /> Division 0 — _ <br /> noiiens-�i.r,ea � <br /> � _ I��^�� FO(iCED AIN SVSTF.MS-tl.T.U. MEA. <br /> � I <br /> JOB ADORE55 SPACE R WALL NEAT[RS - B.T.U. <br /> ��I� � G D � � UNITIIEATERS-fl.T.U. � <br /> E V APOf1AT1 V E COULE RS <br /> PLUMBING e�or��es onvens ��b <br /> � V@NTIL/�TIUNFAN <br /> finNGE HOOD �(,7'b <br /> NO. TYPE OF FIXTURE OR ITEM FEE A111 IIANDLING UNIT�- C.F.M. <br /> BATH TUBS S � <br /> CLOTI/ES YJASHER Wn7EH NEATEH <br /> DISH WASHERS — <br /> fAC. OUILT FIREPLACE A CMIMNEY <br /> URINKING FOUNTAINS � � � <br /> FLOOR DRAINS � GnS. .SvSTEM: NO OP oUTLETS <br /> KITCHEN SINKS 6 DIS . _ SUO TOTA� S '� <br /> BAR SINKS rEltMli S <br /> ROOF nFiA1N5 - RAIN LEADERS TOiAL FEE S '�j <br /> SHOWER BATM$ THIS 1'f.NM�T OECOMES NULL ANU VOIO IF WURK OR CONSTRUG <br /> SERVICE SINKS TION AUT110RIZF.O IS NOT COMMCNCFD WITMIN 170 DAYS, Ofl IF <br /> SUMPS -SEWAGE PUMP CONSTItUCTI()N Ofi wO11K IS :U51'ENDED OR ABANOONED FOR A <br /> URINALS PE(iIOD OF 170 OAYS !�T ANV TIME AFTER WORK IS COMMENCED. <br /> WATER CLOSETS I IIENFIIV CERTIFY THAT I IIAVE REAO AND E%AMINEO THIS AP� <br /> WATEfI HEATERS - ELECTRIC P�.ICniION nND KNOW THB SnME TO DE TRVE AND CORRECT. ALL <br /> PRUVISIONS OF Ll�W: ANU UIIOINANGCS (:OVERNING THIS TVP[ <br /> WASH UASINS � OF WOIIK WILL I)G COMPUED W1T1/ WIIETHER SPECIFIED NEREIN <br /> LAUNOHV TRAVS OP NOT, TME GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GN[ AUTIIORITV 10 VIOIAfE Ofl UNCEL THC PROVISIONS OF <br /> — ANV U7RE11 STATE O17 LOCAL lAW qEGVLATING CONSTfiUCTION <br /> � OH TNE PLIIFONMANCE OF CONSTfiVCT10N. <br /> 1 <br /> SUB TOTAL , � i <br /> PEHMIT S / <br /> F x /1�-��:� ��-�c��� �-a y- �r <br /> WATERS[RVICESIZE OLDG. SUPPLY512E SIGNMUR[OPCONTMCfOROf1AUTM.AGENT DATE <br /> SI�G \VAHD SCTUACK STREET SETOACK REAR VARUSETOACk YLAN CHCCK NUMOEP PLAN CHECK FLE <br /> S N) • Id1 S �-drT L(9 �'�' ��J / F[E GC RECEIPT NO. <br /> U.^.EZONE LOTAR/LJA �1 VACANTSITE / (j�J�o / 7 J? �, U�^ � <br /> e' - � 7Sp�Q.�l'O ES ❑No FEES VALUATION � FEE <br /> 1 YP��ON�T. OCCUPANCV GROUP NO.OF DWE(.LING ' <br /> �V UNITS / � <br /> �- � T <br /> SIZEOfOLDG. NO.OFSTOfilES MA%.00C. LOA� OUILDING =���,� . �'7 /_ I�O <br /> 3�` x 52 Z �'"' <br /> PLUMDING c I fw <br /> IIIiEZONE DASEMENT FIfiESPRINKLERS ✓ �Jb <br /> R[OUIREU ��/ <br /> Z /l.� � Oves L.yryp MECIIANICAI. 'O ��U6 <br /> -� <br /> tiPLCIAL CONDITIONS: QT���� I <br /> I <br /> _ ._'__——�_— _—� <br /> - PENALTV SGC. JO71o1 1 <br /> TOTAL �SI vi � <br /> PERMIT VALIDATION <br /> '-' WIICN PNOPLIII.V VALIDM CP(IN TI11551'l�CE) Tlllti IS YOUR I'ERMIT <br /> +rrur.nnnr�ecctriluur PlLN4U11LRIUUY nvriwvinrwuawnre'.1 uv <br /> V� �� <br />