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the Everu,ren <br />CITY OF <br />everett <br />CITY HALL 2!.08745 <br />EVERETT. WA 00201 <br />U lSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL <br />N <br />PLUMBING <br />everell <br />UWNLII MAIL AUURL55 LIP PnUNL <br />r / <br />G!%<T Z.A/Ier Sao - . e� 3c7 -7uJS <br />.D <br />Bill <br />ARCHI/TLCT Oft UE51 - E/R MAIL ADDRESS PHONE LICENSE NO. <br />�' �/ -.TAG,/)Sa.v // - '-A ,le �na3' 1321 <br />.:.{ <br />GENERALC NTRACTOR MAILL ADDRESS <br />n PHONE LICENSE NO. <br />CIOA) �- o0 /� /a r (�, SI+ ♦lr17-aoo o <br />Z <br />c <br />MECH ICAL CONTRACTOR MAIL DORE55 PHONE LICENSE NO. <br />// �y /J <br />a , 6L, 17(� 3 / /Ybl. CI - �M <br />m <br />PLUMBINGCONTRACTOR/ MAIL ADORE S PHONE LICENSE NO. <br />,i'v ,CJ' a rl`�c C' //OG• 3 J 7G3A-C'D•ig M-7:.?4 .T <br />PERMIT <br />❑COMBINATION <br />❑BUILDING PLUMBING ❑MECHANICAL <br />CLASS OF INORK <br />❑NEW tWADDITION [I ALTERATION ❑REPAIR <br />VALUATION OF WORK. <br />s 7J0, J o <br />❑DEMOLISH ❑FENCE ❑SIGN []SWIMMING POOL <br />DESCRIBE WOR <br />i 1 <br />A) Is 11 l q`/aN) 0� Jln C <br />PROPO ED USE <br />omme,-or /V_ <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />i LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR CORD. UNIlS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-M.P. EA, <br />BOILERS-H.P. EA. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JO_B ADDRESS y <br />a! 3(a 2. IT♦o F <br />1 SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS B.T.U. <br />I <br />PLUMBING <br />LVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />_ <br />I <br />CLOTHES WASHER <br />1 <br />WATER IIEA7ER <br />DISH IVASHE RS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />1 <br />DRINKING FOUNTAINS <br />I <br />OAS. SYSTEM: NO OP OUTLETS <br />--- -- <br />FLOOR DRAINS <br />1 <br />KITCHEN SINKS & OISP. <br />I <br />SUB 7OTAL S <br />I <br />OAR SINKS <br />I <br />PERMIT S <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 WIT/TIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AF7Ln WORK IS COMMENCED. <br />I HEREBY CERTIFY THAI 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW TILE SAME TO CC TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITII WHETHER SPECIFIED HEREIN <br />OR NOT, THL GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OI IIER STAI E OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TUE PEIIFORMANCE OICONSTRUCTION. <br />xi L� _ l.v •5/3� <br />SERVICE" SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />I <br />_ <br />WATER CLOSETS <br />1 <br />HEATERS - ELECTRIC <br />1 <br />_WATER <br />WASH BASINS <br />r <br />-- <br />LAUNDRY TRAYS <br />1 <br />I <br />1 <br />SUB TOTAI, <br />ry <br />PERMIT <br />S <br />TOTAL FEE <br />_ <br />7ATER <br />SERVICE SI7_E_ BLDG. SUPPLY <br />SIZE <br />SIGNATUIIEDF RncTORORAUTii. AGENT DATE <br />TIDE YARD SEI' BACK <br />STHLLISETBACK HEARYAROSLIBACK <br />PLAN CIIECK NUMBER <br />PLAN CHECK FEE <br />FEE RrCLIPT NO. <br />JSE ZONE <br />LOT AREA <br />VACANT SITE <br />❑VES ❑NO <br />FEES <br />VALUATION <br />FEE <br />PV PE ♦ r CONST. <br />OCCUPANCY GROUT' NO. <br />UNI75 <br />OF DWELLING <br />T <br />1 <br />BUILDING <br />S <br />I <br />.1ZE OF E)LOG. <br />NO. OF STORIES MAX. <br />OCC. LOAD <br />PLUMBING <br />1 <br />1 <br />I_— <br />-IRE ZONE <br />BASEMENT FIRI <br />RLOUIHEO <br />SP1t1NKLFRS <br />❑YES ❑NO <br />MECHANICAL <br />I <br />1 <br />1 <br />PCCIAL CONDITIONS: <br />OTHER <br />1 <br />I <br />— <br />PE N A LIY <br />SEC. 000 Iu1 <br />1 <br />-- <br />TOTAL <br />I <br />I'CHMIT VAI.IDA11ON <br />Will N I'l1Ul'I fit V VAI IBM E U ON 11115 SPACE TIRS IS YOUR I'L 11 <br />1'l l��lll�II �IIII'lll�ll♦ II.11'.IIIII IIIIIIf� AH'1111VI Il Il1111 :'ll�+nl PY <br />