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MMEIV� <br />u FUGET PRLEE • Everett <br />the Everyrcon <br />CITY OF <br />everett <br />CITY HALL 25911745 <br />® nAeverett <br />6%Aw <br />EVEIIETT,WA w201 COMBINATION • BUILDING • MECHANICAL • PLUMBiNG <br />CONSTRUCTION <br />PERMIT <br />MAIL AVUMLtiS 2n, - - III <br />II OR DESIGNER MAIL ADDRESS PHONE U <br />AL CONTRACTOR %� MAIL AUDHESS PHONE LI <br />� <br />130 1p, 91I.)ett /7AI/O/9 Y4,�n(s/.0 C% 9o�h8ysa�i <br />NICAL CONT gnCTOR MAIL RESS PHONE LI <br />PLAMIT <br />19 CO MAIN ATION <br />❑ BUILDING ❑ PLUMBING ❑MECHANICAL <br />CLASS OF 1YOHK <br />1I�9t� <br />Py,ryEW ❑ADDITION ❑ALTEITATIOH ❑NEPAIR <br />V ALUATIO N�fOF WOflK <br />It v�-Jr0/00c) <br />❑DEVICE ISH ❑ILNCE ❑SIGN ❑SWIMMING POOL <br />DESCRIB WORK -- <br />tX jj {�U 11�lgJC� l�s ll�i fC�lf�1G (-/Wlf �J'E'I sCT� 11�{'vlov <br />PROPOSED USE <br />GU� <br />MECHANICAL <br />TYPE <br />_ <br />Nam• <br />(. LGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />1 OUR COPIES) <br />LOT BLOCK —OF <br />�gpTly�l 1�) INN sN� N�.r-riL / <br />"1 •`^`t Imo"- U �1�'l �■ <br />OF ENERGY <br />UGAS ❑ELEC. <br />_____ _ TYPE OF FOUIPM_EN7 <br />AIR CONO. UNITS-H.P. EA_. <br />REFRIGERATION RIGE RAT HIN UN ITS ILP. En. <br />BOILERS 11.P. EA. <br />_FEE _ <br />S j <br />�— <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />_._ <br />—.-_--- —AT <br />SPACE 6 WALL I 1iS - B T.0 <br />I <br />JOB ADDRESS <br />9Tij Aa6 �e <br />_ <br />UNIT IIEATE RS--R.T.U. <br />.T.U. <br />I <br />PLUMBING <br />EVAPp RATIVE COOLERS <br />CLOTHESORYERS <br />I �— <br />�. <br />VENTILAT 1014 FAN <br />RANGE 11(J OO <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />_ <br />AIf11 NtNOLIN(: UNIT- C.F.M. <br />BATH TUBS <br />S <br />— <br />__ <br />_- _ <br />--------- <br />WATER HEATER _ <br />�/(C. BUILT fIREP1.ACE A CHIMNEY <br />GAS. SYSTEM; N_O_OP_O_U_T_LE TS <br />SUB T7EEIS <br />- <br />CLOTHES WASHER <br />DISH WASHERS <br />I <br />URINKING FOUNTAINS <br />—��� <br />I <br />FLOOR DRAINS <br />KITCHEN SINKS A DISP. <br />Lip CKD_ <br />,y <br />BAR SINKSPERMROOF <br />Of <br />DRAINS - PLAIN L'AUE11S <br />SHOWER BATHS <br />}OC <br />_— TO PA"i(8 <br />•THIS N.Ii A+iT II I: CLIMES NULL AND VOID IF WORK OF' CONSTHUC. <br />110N AUIIIORI1[D IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION DII W(111K IS !SUSPENDED OR ABANDONED FOR A <br />PERIOD Of 1.10 DAYS AT ANY TIME AFTER WOIIK IS COMMENCED. <br />I HERL(IY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP. <br />AND KNOW Tiff 1 SAME T(l BE TRUE AND COHREC7. ALL <br />PROVISIONS <br />POVISIONS Of LAWS AND DIIOINANCF.S GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WIER WHETHER SPECIFIED HEREIN <br />OH NOT, ILE GRANTING Of A PERMIT DOES NOT PRESUME TO <br />GIVE AUTIIOIIITY 10 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY 0111EI1 !:TATE O11 LOCAL LAW REGULATING CONSTRUCTION <br />OR 714C PERFORMANCE DF CONSTRUCTION. <br />TvdE cii NTf1ACTOf1 Oft T11. AGLNT DATE <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />�Q �d <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />ZIOb <br />S <br />WASH BASINS <br />. 00 <br />LAUNDRY TRAYS <br />T-- <br />- <br />L_— <br />I <br />1 <br />SUB TOTAL <br />PERMIT S <br />LFE3-7 <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIDE YARD SETBACK <br />I Y-jer <br />STREET SETBACK <br />REAR YARD SETBAC <br />PLAN CHECK UMBERV;L <br />(y" <br />/��// <br />PLAN CHECK <br />FEE �Y / ✓ <br />��V //� <br />FEE <br />RECEIPT NO. <br />3�,7� <br />I1SE ZONE <br />F+� <br />`F YY►P�E OF CONST. <br />LOT AREA <br />OCCUPANCY CROUP <br />_Z <br />VACANT SITE <br />OTIES ONO <br />NO.OF DWELLING <br />UNITS <br />FEES <br />VALUAiT ION <br />FEE <br />A-t! <br />S121: OF BLDG, <br />NO. OF STORIES <br />MAX. pCyYC'�,�—LOAD <br />BUILDING <br />$UM• <br />PLU MOING <br />-TC I ku <br />—�— <br />`31 <br />1111E 2p NE <br />3 <br />BASEMENT <br />FIRE PRINKL RRS— <br />REOYES <br />❑VES [j�<O <br />MECHANICAL <br />--_------ <br />!.I•LCIAL CONDITIONS: <br />OT11F (1 <br />PENALTY <br />SEC. 303 Ie) <br />1 <br />I� <br />Z I-11N <br />— <br />TOTAL <br />._. <br />PERMIT VALIDATION <br />WHEN PDOPT. RE VAL IDAT LD (IN IRIS SPACE TI/IS IS YOUR PERMIT <br />nir nrAlroN ALL11,11B MY <br />vLAN:UnL6lunY <br />N.w.M <br />nrNmvlB Il1111'_Vnrn'1 m <br />� I <br />