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the ERYUNtl9, <br />CITY OF <br />everett <br />CITY HALL 2908T45 <br />EVER ETI. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAIL ADDRESS ZIP I'IfONI. <br />James A. Wagle 2106 63rd 98203 353-3093 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PIIONI LCENSL ND. <br />GENERALCONTRACTOR MAIL ADDRESS PHONI LICENSE NO. <br />MECHANICAL CONTRACTOR - NIAII ADDRESS PHONI LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE. 1 ICENSE NO. <br />Same <br />PERMIT CLASS OF WORK <br />❑COMBINATION <br />013UILDING ❑PLUMBING ❑MECHANICAL ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />v <br />-I <br />z <br />C <br />Do <br />33 <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />_ <br />DESCRIBE WORK <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY <br />❑OAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR AT TACT/ <br />FOUR COPIESI <br />LOT BLOCK —OF <br />_. <br />JOB ADDRESS <br />2106 63rd Street <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS H.P. EA. <br />BOILERS H.P. EA. <br />I <br />FORCED AIR SYSTEMS-A.T.U. MEA. <br />I <br />SPACE B WALL HEATERS - B.T.U. <br />UNIT HEATERS B.T.V. <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />-- <br />AIR HANDLING UNIT C.F.M. <br />__ <br />WA TL IF 1IL ATE _ <br />LAC If U 11.1 1II11 PL ACE 14 CHIMNEY <br />Gns S)1;11 M No OP OUTLETS <br />- SUB TOTAL S <br />------ ---- -- <br />PERMIT S <br />BATH TUBS <br />I <br />CLOTHES WASHER <br />DISH WASHERS <br />) <br />I <br />DRINKING FOUNTAINS <br />FLOOR DRAINS <br />I <br />KITCHEN SINKS 6 DISP. <br />BAR SINKS <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE $ <br />I _ <br />SHOWER BATHS <br />THIS PERMIT tlECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR 11 <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED <br />1 HEREBY CERTIFY THAT 1 I4AVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALI <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPI <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LIVE AUTHORITY TO VIOLATE OR CANCEL T/IE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X 4/14/78 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />WASH BASINS <br />I <br />LAUIJURV TRAYS <br />I <br />SUB TOTAL <br />PERMIT <br />S <br />I TOTAL FEE <br />5 <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGN TURF FGO NT RAC TO o TR A NiT DATF <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHEC NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE _ <br />TYPE OF CO HST. <br />OCCUPANCY GROUP NO. <br />UNITS <br />OF DWELLING <br />BUILDING <br />S <br />I <br />SIZE OF BLDG. <br />N( OF STORIES <br />MA K.00C. LOAD <br />PLUMBING <br />5 00 <br />FIRE ZONE <br />BASEMENT FIRLSPAINKLERS <br />REQUIRED <br />OYESONO <br />YES <br />MECHANICAL <br />SPECIAL CONDITIONS'. <br />— <br />OTHER <br />I <br />PENALTY <br />SEC. 303 U1) <br />TOTAL <br />5 100 <br />-------- <br />PERMITVALIDATION <br />Y VAl I0A111)III94*30ACE 3 Ri{iYh11 .1 <br />-YOUR RECEIPT ' <br />• THANK YOU ) <br />1 <br />a 19.1w76 <br />711-1 1 1111,Li11I.11 U 11 <br />TA 1ti 1,1111. K 111N/—7K.C.eb <br />IIIIINIS[IInIMA M <br />