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CITY OP <br />PERMIT <br />everett <br />CITY HALL 2S98141, <br />EVERETT. WA 99201 COMBINATION • BUILDING MECHANICAL PLUMBING <br />OWNE H MAIL ADONESS <br />aM� f�nF+✓`r- <br />'u I'.1VNE <br />A NCHITECT ON DESIGNER MAIL. UNESS <br />33l - -7too <br />m <br />PHONE --I. ICE NSL NO <br />9 <br />GENERAL CONTRACTOR MAIL ADDRESS <br />JwmemPHONE <br />- <br />LICENSE NO. <br />'-I <br />MECHANICAL CONT CONTRACTOR MAI <br />- - <br />C <br />AUDRP.55 <br />- - <br />PHONE LICENSE NO <br />3 <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />- W <br />m <br />m <br />PHONE LICENSE NO cFI <br />A <br />PERMIT CLASS OF WORK <br />IT OMBINATION <br />Iv <br />[J BUILDING ❑ PLUMBING ❑ %iECHANICAL <br />(/y� <br />IPNEW <br />VALUATION <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />ALV ATOF WORK <br />S iQpoo. QQ ❑DE MOLT :N <br />[FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WO , <br />7 <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY IS HOW BELOW Oq ATTACH <br />FOU/JR�CO�PIIEESI <br />TYPE OF ENERGY -- <br />L07GW `L BLOCKOF QID PO,!N, t ^,T <br />❑GAS ❑ELEC. <br />NO. TYPE OF EQUIPMENTg��_fF <br />___ <br />AIN COND. UNITS- A.P. EA.IAll <br />NP <br />_REFRIGERATIONUNITSm_=, <br />RCIL ERS-10ED <br />T.U. MLA.� <br />I.�' <br />O (` `` I <br />SPACE d B T U <br />��F-�v`�:CXZL <br />UNIT HEAI <br />PLUMBING <br />EVAPpRA <br />-- <br />-T --- <br />-- <br />CLO TIIES DRV ENS <br />-- <br />VENTILATION <br />1 <br />NO. TYPE OF FIXTURE OR ITEM -- <br />FEE <br />,{ <br />__ <br />RANGE HOOD <br />I .--- <br />BnTl1 rues <br />s <br />All HA NOL ING UNIT C.F.M.-- <br />_ <br />CLOTHES WASHER <br />--- <br />DISH WASHERS <br />1 <br />_WATER HEATER - <br />PAC. BUILT FIREPLACE b CHIMNEY <br />GAS. SYSTEM N_O_ OP OUTLETS <br />1 <br />DRINKING FOUNTAINS <br />FLOOR DRAINS <br />I <br />KITCHEN SINKS & DISP. <br />------[ <br />BAR SINKS <br />SUB TOTAL 5 <br />— -- O <br />- <br />ROOF DRAINS - RAIN LEADER$ <br />I <br />"—' - <br />PERMIT S Z.O <br />TOTAL FFE S <br />THIS PERMIT BECOMES NULL AND VOID IF WORK CR CONSTRUC <br />T <br />SHOWER BATHS <br />SERVICE SINKS <br />SUMPS -SEWAGE PUMP <br />CONSTRUCTION Oq WORKS SU'SP NC ED OIR ABANDONED FORIA <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HERLBY 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 />URINALS <br />I <br />WATER CLOSETS <br />I <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />LAUNDRY TRAYS <br />1 <br />OF WORK WILL BE COMPLIED WITH 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 OTI/ER STATE <br />-- <br />I <br />OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />- - <br />S GNA7U <br />SUB TOTAL <br />-__PERMIT S <br />TOTAL FEE/f1Q1/J% <br />WATER SERVICE 512E I nB1.DG. SUPPLY SIZE_ H <br />SIUEYARDSETBACK <br />L/OF CONT HACjOF ORAU/T M. AGENT TJ�TE ' T— <br />ST RELTb!:hACK HEAR YARD SE TRACK <br />SF <br />PLAN CI)ECK NUXIBEH PLAN CHECK FEE <br />�= Ze <br />USEZONE LOT AqE/• <br />7 L FLE (RECEIPT NO. <br />VACANT SITE <br />^-� DYES ONO <br />UP <br />TYPE OFCONST. OCCANCY GROUP NO.OLLFDWEING <br />FEES <br />-y-- <br />VALUATION I <br />FEE <br />UNITS <br />4 <br />BUILDING <br />s�o��ro.� <br />_I- <br />1 <br />SIZE OF BLDG. NO. OF STORIES <br />An,Y,-rn' <br />MAX,, OCC. I CAD <br />z <br />--- - - <br />2ZZ Q <br />- <br />