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_ _. '�reEvergrr.en �Ury„ Ku� ' tU� <br /> --� ��T�aF � everett ` <br /> �� � PERMIT <br /> everett <br /> CITV HAL1259�8]d5 <br /> EVERETT, WA �azo� COMBINATION • BUILDING • MECHANICAL • PLUMBING . <br /> OWNEti MAIL AUDHEw LIP PHONE � , <br /> ?�L°'J 1�LTP Z22C. 127J4 '_rF I24t'► �R.ti.'�2�1 3B�J3 L'Z7�7369 �'%t � <br /> NiCHITC-CT OR OESIGNER �dI�IL ADDRE55 YHONE UCENSE NO. 3 <br /> S � <br /> GENERAL CONTRACTOH MAIL ADDHESS PHONE LICENS[ NO. Z <br /> r� >rx.rt z�c. � <br /> M1IECHANICAL CONTFACTOF MAIL ADOHE55 PHONE LICENSE NO. � <br /> .A m <br /> PLVMPIYG CONTRACTOR MAI� AODNESS PMONE LICEkSE NO. W � <br /> � <br /> AEFMIT ClASS OF WORK � <br /> [�COMBINAiION , - <br /> ❑UVILDIN�3 ❑ PWMBING ❑MECMANICPL <br /> {(]NEW ❑AODITION ❑ALTERATInN ❑RtPAIR <br /> VALUATION�]F WORK ^ <br /> $ S� Q�.M ❑DEMOLISH ❑FENCE u51GN ❑SWIMN'dNG YpOL <br /> YV <br /> l)ESCRIBE WOPK ' <br /> � �g <br /> PqOPOSED USE MECHANICAL � <br /> LEGALDESCFIPTIONOF PROPERTY ISHOW AELOW OR ATT.\CH TYPE OF ENERGY <br /> FOURC PIE5) ❑+AS ❑EIEC. <br /> �OT � B�oCK—oF Plat o£ EVeiett De115 NO. TVPEOFE�UIPMENT f-EE <br /> AIP CONO. UNITS-H.P. EA. 5 I <br /> Parcel ��C° S.P. LZOZrA].. - .. �EFFIGEAATIONUNITS_M.P. EA. <br /> - OO�LERS-N.P. [A. � <br /> /D�i /iJ L-1-Z$-A � FORCED AIR S�STEMS-BS.U. MEA. <br /> i � � y+ _,� � <br /> ? JOB ADDRESS SPACE !4 WALL HEATERS - B.T.U. <br /> . {>(�'26 �' � AQ�� UNIT HEATEFS-fl.T.U. I <br /> EVAPpRATIVECOOLEHS <br /> � PLUM8ING �_ c�orHes oaveas _ i <br /> VENi1�ATION FAN <br /> RANQEHOOD 1 <br /> � NO. TVPE OF FIXTURE Ofl ITEM FEE qIq HA iDLING UNIi- C.�.M. <br /> � '� BATM TUBS S <br /> ♦ CLOTIiES WASHEfl I <br /> � - DISH WASHERS _ �y4TER NEATER - <br /> DRINKING FOUNTAINS FPC. BUIIT FIfiEPLACE & CNIMNEV � <br /> FLOOR DAAINS I �AS. SVSTEM: NO OP OUTLETS <br /> KITCHFN SINKS & DISP. � SUo TOTAL 5 � <br /> � BhH S�NKS � PERMiT 5 <br /> � ROOF DAAINS - RAtN LEADERS �_ TOTnL FEE 5 � <br /> SMOWER BATHS TMIS PERMIi BECOMES NULL AND VOID IF WORK OR CONSTRUC� <br /> SERVICE SINKS TION AUTMOH12E0 IS NOT COMMENCED WITHIN 120 DAVS,OR IF <br /> SUMP$ - $EWAGE PUMP �ONSTRUCTION OR YVOFK IS SUSPENDEO OR AOANDONED FOR 4 <br /> � PERIOD OF 120 OAVS AT ANV TIME AFTER WOPK IS COMMENCEO. <br /> � URINALS <br /> • WATER CLOSETS i. � ��EREBV CERTIFY THAT I HAVE fIENC AND E%AMINEO THIS AP� <br /> � — PLICP.TION nND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> WATER HEATERS - ELECTRIC �� PROVISIONS OF LAWS AND UHDINANC[5 GOVEfiNING TMIS TVPE <br /> WASH BASINS �F WURK 1YILL 6E COMPLI[D WITH W1'F.TNER SPECIFIEO MEREIN <br /> LAUNDRV TRAVS Ofl NOT, THE GRANTING OF !� PEPMIT DOES NOT PRESVME TO <br /> � � GIVE FUTNORITY TO VIOLATE OR CAYCE� THE PROVISIONS OF , <br /> � ANV OTHER STATE Uli LOCI�I L�1W REGULATING CONSTRUCTIbN <br /> � OR THE PEFFORM1IANCE OF CONSiRUCTION. <br /> 1 <br /> SUB TOTAL --j- . <br /> PERMIT 5 � - � <br /> 70TAL FEE x S�ZI.��IQ��-� <br /> WATERSERVICESIZE 4/�S �LDG. SUPPLVSIZE 'I SIGi�ATURFOFCONTRACTOROFAUTH.P.GENT DATE <br /> SIDE VAND SET9ACK STRIET SET9l+CK RE�1R YARDSETBACK PLAY CHECK NUMNEF PIAN CHECK FEE <br /> FEE AECEIPT NO. - � <br /> usezo����-y � �or�nrtt v�,ca�"��S r�e ��`� A3'� �f)q3'j <br /> ',�.-� �v[5 �]NO FFES VAIUATION FEE <br /> fYPE OF CONST. OCCVPANCV GROVP NO.OF OWELLING <br /> UNIT$ I <br /> S�LEOF ��DG. NO.OFSTORIFS MA%.00C. IOAO ❑UILDING � 5 S4�V1�O.QO y�S�M� <br /> ���- <br /> 3:9'Rfd� - - — L - -- r�uMnir�c ��� <br /> .�� „�� �,, .�.,,..,.�, r.n��-�:oA�niricuc I <br />