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0 PUCET PBEEE • Everett <br />the Evergavo CONSTRUCTION <br />CITY OF m PERMIT <br />1t <br />eveutt p <br />CITY HALL 259 0?4e <br />lll[ls..� EVERITT. WA oBaol COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />J IYNFR MAIL ADDRESS ' <br />L Le BOLw TIP I.1,DNE <br />36a/ G./et.l •r/ _ <br />[11CHrTECT OR OESIOhEl1 MAIL AOUNlSS PHONE LICE N'uC NO. <br />ANLNALCONTRACTOR MAIL AODNLSS P11UNk LICENSE NO. <br />k C Ca , r7` ca 2Y13— �t9` E tY¢ti`' AC -Ec-Oc-leas <br />PLUMtlING CONT RACTON MAIL ADDRESS <br />❑COMBINATION - <br />ABUILDINOPLUMBING OAIECHANICAL ra <br />_ ❑NEW QADD1i IDN ❑ALTEf1AT1ON laAE►AIR <br />VALUATIUNOF WUHK --' f� <br />It/ ya0 ❑DEMO( IFH Of " tNCE SIGN ❑SWIMMING POOL <br />It <br />SC RIB[ WORK <br />Far& dt7E) eAi (ti( L•({ v �L� ra 4 t <br />MECHANICAL <br />IIOALDf SCNIFTIUN OF PROPERTY (SHOW BELUWOIAAYTACH <br />I OUR COPIES) /� <br />1 OTC BLOCKoF D_V O <br />/ /� / G•C �[L <br />d PYf r / <br />TYPE Of TNEnGY <br />EIGAS QELEC. <br />NO. TYPE OF FOUIPMENT FEE <br />AIR COND. UNITS-ILP, EA. f 1 <br />_ Rk(RIG[f1ATIfiN UNITS 111'. EA.-� <br />110111 it$ II V. EA. -�•-- 1 <br />F 011 CI D AIR SV$Y`[IAy .U. T. U. MEA. <br />SPACT A WALL IILATLh .. B.T.0 �- <br />11N1t Ul A1C1U{-R T.U. <br />tVAPa n AI I Va COO tI n9 <br />UIiYCnS <br />-- VIJ. ILAT ION FAN T' <br />RANI:( nUUp 1 <br />— 1 <br />AIII IIANDLINOUNIT- C.F.M. <br />-- <br />WAlln HFATER` T <br />t <br />(AC IIUILT FIR EPL ACf R CHIMNLY <br />_ _ <br />__ GAS. SYSTEM No O OF ViLE TS T <br />rt RMIT f -T <br />---- -- -- —�--- lU (AL FEE f <br />- -- _ <br />T 1113 PI i1M1T III CLIMES NVLI ANO VOID IF WORK OR CON STRUC <br />LION AU111010.40 IS NOT COMI,If NCrO WIT1/1N 110 OAVf, OR IF <br />CONSTIIUCIION OII WORK I. : "%NDED OR ABANDONED FOR A <br />Pf n10D or IM DAYS AT ANY IIME AFTER WORK IS COMMENCED. <br />I HLRLIiv CIRTIFY MAT I HAVE nFAD AND EKAMINCO THIS AP. <br />PI ICAIIIIN AND KNOW Till SAME 71111E TRUE At10 CORRECT. ALL <br />PROVISIONS Ot tAW:➢ AND 11GOINANCES GOVERNING THIS TYPE <br />OF WORK WILLlit. COMPLILU WITtI WHETHER SPECIFIED HEREIN <br />Oil NOI, lift GRANTING Or A PEnMit DUES NOT PRESUME TO <br />GIVI AUTIIOnITY TO VIOLATE On CANCEL THE PROVISIONS OF <br />ANY 07111R 1:IATE Oil LOCAL LAW nEGULATING CONSTRUCTION <br />Oil IH[ Pt III ORMANCE OF CONS?nUCTION. <br />t�7,.,, <br />x _ /-V.!�1 C _ <br />5il:Nnlunf. tii C nACI hOq AU Tn. AGENT DATE <br />PLANCIIt CKNU TIER PLAN CIIkCK FCE <br />FCC RECEIPT NO. <br />/l0 <br />PLUMBING <br />N0. <br />- <br />_ <br />TYPE OF FI%IURE OR ITEM <br />FEE <br />OATH l <br />WV <br />L'LG 111ES N'A $//ER <br />_DISH WASHERS <br />, <br />_ <br />UfI RJKING FUUN TAWS <br />f <br />FLOOR DRAINS <br />I <br />KITCHEN SINK 6 <br />BAH SINKS <br />HOOI <br />-AA1NS - MAIN l AD I S <br />SHOBATHS <br />$EHSINKS <br />SUMSEWAGE PUMP <br />UHINALS <br />_ <br />WATER CLOSETS <br />R HEAlC 11$ - ELECTRIC <br />\VA IELtLAN <br />I <br />ASINS <br />1 <br />LAUNDRY TRAY$ <br />1 <br />SUB TOTAL <br />PERMIT s <br />TOTAL FjE_.__ <br />1:•\T[R SERVICE SIZE BLpG. SUPPLY 512E <br />'.IUEYAGUSLTUACK STRELTSLTIIACK RLARVAROSk TBACF <br />'IGL 2UNE <br />_ <br />1 VPL OF CONST, <br />LOT AREA <br />OCCUPANCY GHOUP <br />VACANT SITE <br />OYES ONO <br />NO.UF -Owl <br />UNITS <br />VALUATION <br />FEE <br />-r—• <br />.. '1. Of BLOG. <br />NO. Of fTUniES <br />MAl(. OCC. LOAD <br />BUILDING <br />f <br />(-_-- <br />1 <br />PlUM01N(: <br />M[CIIANICAI. <br />------- <br />OTHrR <br />__ <br />1 <br />I U1/. ON' <br />_ <br />OAS Mk NT <br />MINEPRINKL R <br />RENUINED <br />❑YES ONO <br />--'—� <br />I <br />'.I'LCIAL CONDITIONS' <br />PrNALIY <br />TOTAL <br />Sf C. 003 (61 <br />—�-- <br />I <br />I <br />_ <br />PrFIMIT VAI IDATION <br />W1411 N PROM N19 VAt IDAI CD TIN 71US SPAC LI Tt11S IS YOUR PERMIT <br />- <br />n• <br />