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G <br />L <br />O ►UCET PRESS • Er Frets <br />the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2596745 <br />EV ER ETT, WA 99201 <br />CONSTRUCTION <br />PERMIT <br />®6 <br />f <br />erett NAW <br />COMBINATION a BUILDING a MECHANICAL a PLUMBING <br />OWNERS MAIL AUDRCSS ZIP PHONE <br />A NI 'E TO DESIGNER MAIL ADDfILSS PHONE LICENSE NO. <br />gyj<1EM <br />GENERAL CONTRACTOR MAIL ADDRESS PIIONE LICENSE NO. <br />31 AI <br />MECHANICAL CONTRACTOR MAIL A3PERESh PIIONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS 1•IIONL LICENSE NO. <br />PERMIT <br />COMBINATION <br />❑ BUILDING []PLUMBING ❑ MECHANICAL <br />CLASS OF WOI1K - <br />14fJEW ❑ADDITION ❑ALTEIIATI OIf ❑REPAIR <br />V ALUATIION OF WORK <br />❑DEMOC 1.911 01 CNCE ❑SIGN ❑SWIMMING POOL <br />DESCRIB WORK <br />NeuJ SUIt-PIMG WLRi �INCC-LOTS C fPfA-G srZ Iwrov <br />I•NOPOSEO USE <br />Gl{UiCE� <br />MECHANICAL <br />TYPE <br />_ <br />LLGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />•yI I� .I �io e Nln✓rl1 <br />1V U `''1`•'1 LF <br />Of ENERGY <br />LJGAS ❑ELEC. <br />NE <br />_ <br />___ _ TYPE_ OF _EQUIP_MENT <br />AIR COND. UNITS_-N.P, EA. <br />REf RIGS RATION VNITS-ILP. EA. <br />BOILS HS ILP, EA. <br />FEE <br />S I <br />`V�i <br />�"4GC- • L�1 11A t •7v 11--L <br />�T ``//MM�RE G Il'1 �f <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />�Q <br />SPACE b WALL 14EATFIIS - B.T.V. <br />1 <br />JOB ADDRESS A ! <br />95a �9?%j AE.E 5 �F <br />— <br />UNIT IIEATERS-B.T.U. <br />EVAPORATIVE COOLS 115 <br />_CLOTHES "DRYERS <br />I <br />PLUMBING <br />I <br />_ <br />�. <br />VT.N7ILAT— FAN <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIII HANDLING UNIT- C. F.M <br />--------- <br />TUBS <br />CLOTHES <br />S <br />I <br />---'--"-- <br />Wn7[R HF.A_TER__ <br />F AC BUILT FIREPLACE b CHIMNEY <br />- <br />[:AS. f VST E_M_: NO _OUTLETS <br />"- SUB TOTAL S <br />WASHER <br />-- <br />- <br />__ <br />--T— <br />DISH WASHERS <br />I <br />DRINKING FOUNTAINS <br />IE)O <br />I <br />FLOOR DRAINS <br />CI <br />---� Iisim. <br />KITCHEN SINKS & DISP. <br />41 <br />BAR SINKS <br />PERMIT S <br />------------- TO rAL FEE S �Bp <br />THIS PI. IIM1IIT IIECUMES NULL AND VOID IF WORK UR CONSTHUC <br />11ON AUEIIUHI: I.D 15 NOT COMMENCED WIT)/IN 120 DAYS, OR IF <br />CONSTnUCTION (JII WORK IS :;USPENOED OR ABANDONED FOR A <br />PERIOD Of 1:0 DAYS AT ANY TIME AFTER WORK ISCOMMENCED. <br />1 IIE RLIIY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />CATALL <br />PROVI'IIONS OF tAW'.! AND Of UAND TIIIEEINANCESTo BE TI UE GOVEFrRNIGR TE6T TYPE <br />OF WOIIK WILL III. COMPLIED WITH WHETHER SPECIFIED HEREIN <br />O11 NOT. 111E GIIANTING (IF A PERMIT ODES NOT PRESUME TO <br />GIVE AUTIIOIIITY 70 VIOLATE. OR CANCEL THE PROVISIONS OF <br />ANY U111EI1 S1ATE 011 LOCAL LAW RCG VLA TING CONSTRUCTION <br />OR 711E PCIIF DIIMANCE OI CONSTRUCTION. <br />�J✓f/ 3 <br />TVR[i)r NTRAC 10110H TII. AGENTr DATE —� <br />ROOF DRAINS - RAIN L-ADERS <br />SHOWER BATHS <br />�Q <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />--`O OO <br />_ <br />_ <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />—_�_100 <br />WASH BASINS <br />Z'LG Io <br />LAUNDRY TRAYS <br />--T�-- <br />L <br />1 <br />1 <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FE,� <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIDE YARD SE TRACK <br />' 7'%Z <br />STR/E�ETSETBACK HEAR <br />CiS� <br />YAROSETBAC <br />[•.^j� <br />PLANCIIECK UMIIER <br />p <br />FEES <br />PLAN CHECK FEE <br />FEE i RECEIPT NO. <br />3�,� �t <br />VALUATION FEE <br />USE �ZONE <br />G� <br />K•" J <br />iT AREA <br />VACANT CITE <br />(JPES ONO <br />I YPL OF CONST. <br />OCCUPANCY GROUP NO. <br />_Z UNITS <br />OF DWELLING <br />]DO <br />ZB <br />512E OF BLDG. <br />NO. OF STORIES MAX. <br />OCC. LOAD <br />/l DD <br />BUILDING <br />- <br />SJ_.�p_eiIPY <br />T TTiBL�J o�OfEJJ <br />--ZI <br />1 <br />ll <br />►LUMBING <br />I <br />tss <br />I IHC ONE <br />3 <br />BASEMENT FIRE <br />RE <br />REQUIRED <br />PRINK LE �- <br />❑YES 2f4O <br />_ <br />MECIIANICAI. — <br />IJ'LCIAL CONDITIONS: <br />OTtirn <br />_ <br />I <br />I <br />PENALTY <br />SEC. 7031.) <br />I <br />1-7 CC) <br />TOTAL <br />PERMIT VAI. IDATION <br />INPN P 1OI LIM )VAI.IOATEO (IN 1111SSPACE) THIS IS YOUR PERMIT <br />