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n,eEYegrmn '-- CONSTRUCTION <br />CITY OF PERMIT <br />everett <br />CITY HALL 250 B745 <br />EVER ETT; WA 98201 COMBINATION • BUILDING e MECHANICAL a PLUMBING <br />everett <br />�e <br />OWNER MAIL ADDRESS .. PHONE <br />Gerald Rau 11705 2nd Drive SE 353-5982 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE _ LICENSE NO. <br />Same <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />same <br />MECHANICALCONTnACTOR MAIL ADDRESS PHONE LICENSE NO. <br />m <br />Z <br />z <br />9 <br />DI <br />(J7 m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT <br />❑COMBINATION <br />❑ 13UIIDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIfl <br />I-3 <br />VALUATION OF WORK <br />S $]DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Tear down garage <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENEPC Y <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />COND. UNITS-H.P. EA. <br />SREFRIGERATION <br />UNITS-M.P. EA. <br />BOILERS-H.P. EA.FORCED <br />AIR SYSTEMS-B.T.U. MCA. <br />jFEEAIR <br />WetmoreSPACE <br />& WALL HEATERS - B.T.U. <br />VNIT NEATERS-A.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />5 <br />CLOTHES WASHER <br />1 <br />WATER HEATER <br />"'- <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />DRINKING FOUNTAINS <br />E <br />FLOOR DRAINS <br />1 <br />GAS. SYSTEM: NO OP OUTLETS <br />�- <br />KITCHEN SINKS & DISP. <br />1 <br />SUB TOTAL S <br />I <br />BAR SINKS <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <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 WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WIT14 WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER TATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PE ORMANCE OF CONSTRUCTION. <br />"ll <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />UR114ALS <br />WATER CLOSETS <br />1 <br />WATER HEATERS -ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />SUB TOTAL <br />PERMIT <br />S <br />TO AL. FEE <br />S1 <br />WATER <br />SERVICE SIZE BLDG, SUP PLY <br />SIZE <br />`51G nTURE FC ry n TOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLO CHECK FEE <br />FEE RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />[]YES []NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS <br />NO. OF DWELLING <br />I <br />BUILDING <br />$ <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT FIRE <br />REQUIRED <br />SPRINKLERS <br />OYES ONO <br />MECHANICAL <br />I <br />SPEI.IAL CONDITIONS: <br />OTHER <br />I <br />PENALTY <br />SEC. ?071e1 <br />I <br />TOTAL <br />I <br />PERMIT VALIDATION <br />WHEN PROPE FLY VALIDATED IIN THIS SPACE) T141S IS YOUR PERMIT <br />cn <br />B <br />-- <br />AMLICATIONACCLPIEOIIY. 1PLANS01ICKLURY <br />APPROVE <br />O FOR MWAIKA RY <br />ADDRESS FILE <br />