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� T <br /> , <br /> tlr,^ Eveigreen CO�1..STRUCTION . everett <br /> "TYo� r'ERMIT <br /> everett <br /> CITv HALL2S98]AS <br /> eveaerT. wn oezoi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER MAIL ADDfiESS ZIM PHONE { <br /> '9 I <br /> Dr. George Drumheller 1515 Pacific Avenue 98201 259-2291 m <br /> AFCHITECT OR DESIGNER MAIL. AODliE55 Pf10NE LICENSE NO. y <br /> "'� <br /> GENERAL CONTRAGTOR MAIL AD�IiE55 PIIONE LICEIVSE NO. Z <br /> Sanford Wright P.O. Box 809 98206 259-9138 WR ZG HS *37 0" C <br /> MECHANiCAL CONTRl1CTOR MAIL AODqE55 PHONE LICENSE ND. 3 <br /> W <br /> U7 m <br /> PIUM�ING CONTRACTOR MAIL ADDRESS PHONE LICGNSE ND. (,� '� <br /> �Jl� <br /> PEFMIT CLA55 Of-WORK (� <br /> ❑�ryCOfdBINATION � <br /> uOUILDING � PLUMOING ❑MECHANICAL <br /> ❑NEW ❑ADDITION �ALTERATION ❑REPAIfi <br /> VALUAT!ONOF WORK <br /> $ Z�BOO.00 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br /> DESGR:�E WO�iK <br /> remove partitions and install partitions in other areas <br /> vnoroseo vse MECHANICAL <br /> Allergy Department <br /> LEGAL UESCRIPT�ON OF PROPERTY ISHOW BELOW UA ATTACN TYPE OF ENERG V <br /> FOURCQ P1 E5) ❑GAS ❑ELEC. <br /> 1/ 718 Everett NO. TVPE OF E�UIPMENT FEE <br /> LOT L'LOCK_OF <br /> AIR COND. UNITS-H.P. EA. $ � <br /> REFRIGERATIOYUNITS--H.P. EA. - 1 <br /> �OILEfiS� H.R EA. � <br /> .>��O /� � FORCED AIR SYS7EhiS-B.T.U. MEA. <br /> % � � ____ ' <br /> JOB ADD9ESS SPACE & WALL HEATEFS - B.T.V. <br /> �3��M�� A�n UNIT HEATERS� Fl.T.0 I <br /> EVAPO(iATIVE COOLEfiS <br /> PLUMBING - <br /> LLOTHES DRVEfiS � <br /> VENTILATIUN FAN T <br /> finNGE HOOO I <br /> NO. TYPE OF FI%TURE OH ITEM FEE AIR HANDLING UNIT- C.f.M. <br /> BA7H TUBS S <br /> CLOTHES WASHER � � <br /> DISH WASIiER$ � _ WATER IiEATER <br /> DflINKING FOUNTAINS � FAC. �UILT FIFEPLACE !4 CHIMNEV � <br /> FLOOR DRAINS GAS. SVSTEM_NO OP OUTLETS <br /> KITCHEN SINKS & DISP. � _ SUO TOTAL 5 � <br /> BAR SIIVKS � P[RMIT 5 <br /> ROOf DRAINS - HAIN LEADERS � 7pTAL FE[ 5 � <br /> SHOWER 9ATH5 THIS P[RMIT fIECOMES NUIL ANO VOID If- WORK OR CONSTHVG <br /> SEflVICE SINKS TIUN AVTHORIZ[O IS YOT COMMENC[O WITHIN 120 �AVS, OR If- <br /> SUMPS - SEWAGE PUMP CONST�UCTION Uft WofiK IS SUSPENDEO oR n13nNDONB� FOR l� <br /> �J- PERIOD OF 170 OAYS AT 4NV 71M[ AFTEfi WORK IS COMMENCE�. <br /> URINALS <br /> WATEF CLOSETS I I HER@L1V CtpiIFV THAT I HAVE RLAp AN� E%AMWED THIS AP- <br /> WATER HEATERS - ELECTRIC � ��.ICATION ANO KNUW TI1E SM�E TO 6G TRU[ AND CORAECT. ALl <br /> WASH AASINS ��OVISIONS Of LAWS AND OROINANCES GOVERNING TNIS TVP[ <br /> I OF WORK WILL UE COMPLIEO WITH WNETHER SPGCIFIED HLPF!"; <br /> LAUNORV TRAVS OH NOT, THE GHANTING Of A PEPMIT VO[5 NOT PHESUSIE TO <br /> GIVE AUTIIONITY TO VIOLATE Of1 CANCEL TfiE PROVISIOhS OF <br /> ANY OTHER STAiE OR LOCAL LAW REGULATINGCONSTRUCTION <br /> , � OH THE PEIiFOPMANCE OI° CONSTRUCTION. <br /> 1 <br /> SUB TOTAL <br /> PERMIT § f �i,�_�� ` . <br /> TOTAL FEE ac �c<'-' / <br /> X � 'C �._S.Gr C<�'� • ;;2 ? 70 <br /> WATERSERVICESIZE BLDG. SUPPLY512E SIGNATUREOFCONTRACTORORAUTM.AGENT o T�./r <br /> S�DE YARD SETOACK STREET SETf7ACK REAR YARDSET[3ACK PLAN CHECK NUMO[R PLAN CHECK FEE <br /> FEE PECEIPi NO. <br /> USE20NE L."1TAREA VACANTSRE <br /> ❑rEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GFOUP NO.Of-�WELLING <br /> UNItS � <br /> SIZEOF �LDG. NO.OF GTpR1E5 �1A%.00F LOAO DUILCING $ 2�800.00 l�} I OG <br /> 1 <br /> PLUMBING � <br /> FIREZONE (iASEMENT FIRESPIiINKLEfiS <br /> HE�UIRE� <br /> ❑VLS ❑NO MECHANICAL � <br /> -1 <br /> SPECIAL CONDITIONS: OTIi[H � <br /> I <br /> — PFNALTV 'SEC.30�In) � <br /> 1 <br /> TOTAL 24 �OC� <br /> PERMITVALIDATIDN — � , <br /> WH[N 1'fiOP[RlY VALIDATBD(IN THIS SPACE T 11 I �VO p PERMIT ' <br /> IYC�UR RFC�IP'�" <br /> � , THANK Yt�U w <br /> PIPIIL/�110NALClP1LUNY�. 1'LRN51:11ECKLObY'. AVPNOVlf110045UANq HV. � <br /> t <br /> � 13 � .1a <br /> ADDRESS FILF •• <br /> -- —c -- - <br />