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� C ev ITY H' r:94 1116 <br />EVERETT, WA 08201 COMBINATION <br />CONSTRUCTION <br />PERMIT � <br />• BUILDING • MECHANICAL PLUMBING <br />retf ' <br />.- iw.� s.vvntas ZIP _ PHONE N . <br />att an n��5;g _ 'cp <br />ARCHITECT OR DESIGNER MAIL ADDRESS 'H N lIC ' NO. <br />G ENERAL CONTRACTOR MAIL ADDRESS PHONE ICENSE'NO. <br />_re_rCAL CORRt <br />.. - -m <br />m <br />� <br />z <br />c <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUM DING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />9 <br />ED <br />m <br />(� <br />PERMIT <br />❑ COMBINATION <br />❑(BUILDING ❑ PLUMBING [:]MECHANICAL <br />CLASS OFWORK <br />IJ NEW El ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 2, 733,000. QQ <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WOFK <br />Generel Caro Pier <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />TYPE OF ENERG V <br />❑GAS ❑ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P EEA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />i <br />JOB ADDRESS <br />_ <br />SPACE & WALL HEATERS -B.T.U. <br />UNIT HEATERS-B.T.U. <br />1 <br />PLUMBING <br />_ <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />_ <br />VENTILATION FAN <br />RANGEHOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH "TUBS <br />S <br />CLOTHES WASHER <br />I <br />DISH WASHERS <br />I <br />WATER HEATER <br />DRINKING FOUNTAINS <br />I <br />FA C. BUILT FIREPLACE & CHIMNEY <br />j <br />FLOOR DRAINS <br />KITCHEN SINKS & DISP. <br />1 <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />SUBTOTAL S <br />1 <br />BAR SINKS <br />I <br />PERMIT $ <br />ROOF DRAINS- RAIN LEADERS <br />I <br />TOTAL FEE s <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUT14ORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X N� <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS -ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATUREOF CON TR C O ORAU .AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />78/478 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />2626.00 35411 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OP CONST. <br />OCCUPANCY GROUP NO. <br />UNITS <br />OF DWELLING <br />_ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />$ <br />2,711,nnn <br />1 <br />on I on <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT FIRE <br />REQUIRED <br />LERS <br />OYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENALTY <br />SEC. 3031a1 <br />I <br />- <br />TOTAL <br />` <br />1 <br />312 00 <br />' - 46 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIt�Tx1)rSPACE ffoll Y,10R PERMIT <br />Yau.k RECf:1W <br />THANK YOU W <br />B <br />.. <br />aisl, <br />�LIUIIONAMEP HY1 <br />i.• <br />504ECKIB BY: APPROVEDFONI=AKEBY. <br />ADDRESS FILE <br />?IPlY79 <br />00, <br />