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B P V W T IKI{I • Irrrrll <br />' <br />- FileEverpreCM -- <br />- - - - <br />CONSTRUCTION <br />- - - <br />CITY OF <br />PERMIT <br />everett <br />everett <br />CITY HALL 25{{745 <br />LY EPETT. WA 99201 <br />COMBINATION <br />r BUILDING IF MECHANICAL r <br />PLUMBING <br />UIYLER <br />MAIL A�u LSS ; M• <br />P11UNE <br />IIP <br />AIICFIITECT OR DESIGNER MAIL AUOnLSS <br />GLNLHAL CONTIIACIOR MAIL ADDHLSS <br />❑COMBINATION <br />❑ BUILDING ❑ PLUMBING KLIECIIANICAL <br />(ILSCRIBE WORK <br />HOW <br />LOT BLOCK <br />MAIL ADDH <br />LICENSE NO, <br />❑NEW ❑AIIUITION ❑ALTEIIATION ❑REPAIR <br />❑DEMOLISH ❑ICtJCE ❑SIGN ❑SWIMMING POOL <br />i <br />MECHANICAL <br />M TYPE )r fNF RGY <br />---- _ LIGAS <br />N_O. _ TY _PE OF EOUIPMF <br />J_ JAIn CONE). UNITS- II.P. EA.) <br />111fItIGEIIATInNUNITS ILP <br />-- _- ❑UILIIIS-II:P.EA.---- __ <br />A. <br />YB AOOHLSf <br />C>%& <br />SPACE. A WALL HEATERS - B T.0 <br />11N1I IICATE ITS-11. T.U. <br />IVAiU11AT�VFGOsIF�15— ---T— <br />CI.m oil- <br />VI NTII.ATI ON r AN-�--- --T-- <br />IIAN(iF 110_UO _ __ I <br />Alit NOUNIIIANDLIT- C.F.M. —�— <br />- WATER IIEATEII —�— <br />FAC. IIUILT Fin EPt.ACE A CHIMNEY I <br />GAS SYSTEM. NO OP OUTLLIS <br />SUIT TO'.AL f <br />i - -� PERMIT S <br />-- ---_ --_— TOTAL FEE f <br />TIII:; I•I IIMIT III. COMES NULL AND VOID IF WURK )R CONSTRUC - <br />IUHJ AUIHVIIIJIt) IS NOT COMMENCt-O WITHIN 120 OAYS.On IF <br />CONSTIIIIf IION ()II WOIIK. IS SUSPENDED OR ABANDONED FOR A <br />PTTIIOD OF 170 DAYS AT ANY TIME AF TER WO11K IS COMMENCFO. <br />AP. <br />111E11E IO fAn KNOW <br />W 11I HAVE READ AND EXAMINCO CORRECT. THIS <br />Pt IrAlBOVI' MIN AND KNOW AN SAME TO ICE T GU LII CORRECT. ALL <br />OF WRIK N:1 tll IL C Ftl HIIUINANCL'; GUV SPUCI I THIS TYPE <br />OF WORK WII L nL CO MPL IEO WITH W11E ir1kR SPC GIFTED HEREIN <br />ON NOI. 1111 (01ANTING or A PERMIT UUIS N117 PRESUME TO <br />GIVF A01HOIIITY TO VIOLATE Oft CANCLL THE PROVISIONS OF <br />ANY U111111!;IATE Oil COCA[ LAW REGULATINGCONSTRUCTION <br />OR 111E PIIITONMANCF Of CUNSrnUCTION. <br />pp� <br />SI NA7UIIL OE DONTIIA lUn HI AV .'H. AGENT TAT <br />PLUMBING <br />--_ <br />-- <br />_ <br />); O. <br />TYPE OF FIKIUnE CO If ITEM <br />_ <br />FEE <br />_— <br />UA111 IU135 <br />S___J_- <br />CL0111F5 WASHER <br />DISH WASHERS <br />URIW KING FOUNTAINS <br />I <br />FLUOR DIIAINS <br />Y.ITCHI'N $IN h UI;1'-�--- <br />~- <br />HAII SINKS <br />1 <br />_ <br />ROOTOnAINS - 11/rN LEADER! <br />T <br />EIA IHS <br />_$H_UYJFR <br />SEI/VICE SINKS <br />_ <br />SUMPS-- SFINAGE PUMP <br />URINALS <br />— <br />- <br />WATT <br />WATER CLOSCTS <br />_-_ <br />WATER fit ATE R$ -- El ECT1iIC <br />_— <br />1 <br />1 <br />_ <br />WISH FI ASINS <br />LAUNUIIY TRAYS <br />L <br />i <br />SUB TOTAL <br />f <br />PLIIMITTOTAL FIE <br />SERVICE SIZE BLDG SUPPLY <br />:.ATLIi <br />I <br />SIZE <br />;dUL YAIiUSCIUACK <br />Si FALL SETBACK <br />ItLAAYAHU SL il1ACF <br />1'LANC.IliCK NUMIILII <br />PLAN CIIECKFEE <br />F[F IIICCEIPT NO, <br />1 <br />LCIAL CONDITIONS' <br />IMY• <br />❑YEf ❑NO FEES VALUATION FEE <br />F E70BILS <br />MAX, OCC. LOAD <br />BUILDING <br />If <br />PLUMIIING <br />1 <br />MINT <br />l 111 LL SP FINK LIHr <br />n INCO <br />❑YES ONO <br />MECIIANIf,AI. <br />omen <br />I <br />I <br />) <br />PENALTY -- <br />TOTAL <br />SEC. 203 b1 I <br />I <br />1 <br />�— --- <br />PE IIMIT VA( IOATION <br />WIII N "1101 11U Y VALIOAI TO UN THIS SPACL) T IYI') IS YOUII PEnMII <br />