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the EvergnaeR CONSTRUCTION <br />CITY OF <br />everett <br />PERMIT everett <br />CITY HALL 2598745 <br />EVERETT, WA 95201 COMBINATION BUILDING <br />MECHANICAL PLUMBING <br />]WNER <br />MAIL ADDRESS <br />ORRP E AkDERSON 2126 [�41I 1RCHITECT OR DESIGNER "HONE259-6304 v <br />- MAIL ADDRESS PHONE 'p <br />PEgMIi SAM LICENSE NO. <br />❑ COMBINATION CLASS OF WOgK <br />CCJ <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />/ALUgTION OF WORK ❑NEW ❑ADDITION ❑ALTERATION <br />❑REPAIR <br />S ❑DEMOLISH ❑PENCE <br />)ESCRIBE WORK ❑SIGN ❑SWIMMING POOL <br />NEId BLW SUPPLY <br />MECHANICAL <br />LEGAL DES —op, RIPTION OF PROPERTY (SHOW BELOW OR ATTACH TYPE OF ENERGY <br />FOUR COPIES) -� <br />LOT BLOCK —OF Nn _.__. ❑GAS ❑ELEC. <br />FORCED AIR SYSTEMS-B. <br />JOB ADDRESS ---- _ <br />2126 I1LUgL?' SPACE 8, WALL HEATERS - <br />PLUMBING UNInonT 11eEATERS-....B.T.U. <br />VLUUH DRAINS <br />KITCHEN SINKS & DISP. <br />I <br />--- -"" • .'LA':t & CHIMNEY 1 <br />GAS. SYSTEM: NO OP OUTLETS �I--- <br />BAR SINKS <br />1 <br />SUBTOTAL S <br />ROOF DRAINS - RAIN LEADERS <br />1 <br />PERMIT S <br />SHOWER BATHS <br />I <br />SERVICE SINKS <br />SUMPS -SEWAGE PUMP <br />TOTAL FEE <br />THIS PERMIT BECOMES NULL VOID IF WORK OR CONSI-RUC <br />TION AUTHORIZED NOT <br />URINALS <br />M <br />COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR <br />PERIOD OF 120 DAYS <br />WATER CLOSET S <br />A <br />AT ANY TIME AFTER WORK IS COMMENCED. <br />WATER HEATER„ - ELECTRIC <br />WASH BASINS <br />I <br />I <br />I HEREBY C;--ITIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME <br />LAUNDRY TRAYS <br />I <br />TO BE TRUE AND CORRECT. ALL <br />PROVISIONS CF LAWS AND ORDINANCES GOVERNING TI41S TYPE <br />OF WORK WILL BE COMPLIED <br />WITI4 WHET14ER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT <br />DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS <br />ANY OTHER STATE <br />OF <br />OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TILE PERFORMANCE OF CONSTRUCTION. <br />SUB TOTAL <br />1 <br />PERMIT <br />T TAL FEE <br />WATER SERVICE 512E1011, <br />BLDG. <br />S .d0O <br />SUPPLY <br />%� [�-i ��f 6-12-7 <br />SIDE YARD SETBACK STREET SETBACK <br />SIZESI .N TUR�O�pplTF p pipUTH. AGENT DATE <br />REAR YAROSETOACK PL <br />_ _ <br />CHECK NUMBER PLAN CHECK FEE <br />USE ZONE LOT AREA <br />VACANT SITE <br />FEE RECEIPT NO. <br />TYPE OF CONST. OCCUPANCY GROUP <br />YES NO <br />NO OWELL❑ING <br />FEES <br />FEES VALUATION FEE <br />UNITS <br />SIZE OF BLDG. NO, OF STORIES <br />MAX. OCC. LOAD <br />1 <br />BUILDING <br />$ <br />RE ZONE BASE ENT <br />FIRE1.ERS <br />! <br />PLUMBING -1 <br />REQUIRED <br />IgED <br />G 1 <br />❑YES ONO <br />MECHANICAL ---•L <br />SPECIAL CONDITIONS: <br />1 <br />OTHER 1 <br />PENALTY SEC. 3031p1 <br />_ 1 <br />TOTAL 1 <br />.!00 <br />PERMIT VALIDATION <br />------ <br />WIIINI'Ho^PRI\VAI I1)AI11)IIIV IIII';;:PACII1111515 YOUR PERMIT <br />1pP[IGl10N pCC[p)IUtlY' <br />pt pN5l11ECXlB tlY <br />1 ' TriANK YOU <br />pPPpOVf D [ON IC{{IIpNC( OY <br />I� <br />co <br />is <br />ADDRiP <br />