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„• f.',,,.,.'.,I <br />CONSTRUCTION <br />c �I� rtltt <br />PERMIT <br />everett <br />CITY HALL gS <br />EVERETr,wA n870alDi COMBINATION <br />y MECHANICAL BUILDING <br />PLUMBING <br />OWNER <br />MAIL ADDRESS ZIP <br />rlu'4� <br />Ted Sch,lcl-::cE 'Lli AVe. <br />N.r. Ifir; -villc ?8270 <br />m <br />- <br />--- <br />ARCHITECT OR OE::—IGNLfi <br />MAIL ADDRESS I'ni".I <br />LICENSE 01 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS 1'IIUN1: <br />iICCNSE NO <br />z <br />K.T. COMPANY <br />5!-1.:7; <br />c <br />5 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS PHONE <br />LICENSE NO. <br />M <br />G.; m <br />PI HURING CONTRACTOR <br />MAIL ADDRESS PHONE <br />LICENSE NO <br />(X1 <br />j;=MBINATION <br />L7Wy�y <br />UILDING p'PLUMRING 4MEC14ANICAL <br />ANEW ❑ADDITION [T'.LTERATION ❑REPAIR <br />VALUATION OF WORK <br />"0•000.UU <br />6 <br />❑DEMOLIS14 ❑FENCE []SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />CunSLrucE Duplex <br />PROPOSED USE <br />TTa' Unit Apartment <br />MECHANICAL <br />TYPE OF ENERGY <br />❑OAS ❑ELEC. <br />LEGAI. DESCRIPTION pF PROPERTY [SHOW BELOW OR ATTACH <br />FOUR COPIE6) <br />LOT ' BLOCK OF Schmelzer Add _ <br />JOB ADDRESS <br />827 01 Place J.I.. <br />-- <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />AIR CONO. UNITS-H.P. EA. <br />S 1 <br />n Ef RIOERATION UNITS-M.P. EA. <br />IIOILERS H.P. EA. <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />SPACE b WAL.. HEATERS - B.T.U. <br />UNH'l1EATERS B.T.U. <br />I <br />L VAI'ORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENT ILA-V114 FAN <br />RANGE HOOD <br />4 <br />10 <br />O. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />5 <br />_ �__- <br />AIR HANDLING UNIT_- C.F.M. <br />__ <br />WATER HEATER <br />FAC. BUILT FIREPLACE 8 CHIMNEY <br />r.AS. SYSTEM: NO_ OP OUTLETS <br />BATH TUBS <br />I <br />CLOTHES WASHER <br />DISH WASHERS <br />I <br />DRINKING FOUNTAINS <br />T <br />FLOOR URAINS <br />SUBTOTAL 6 <br />I UU <br />KITCHEN SI K h IS . <br />1 <br />PERMIT 6 <br />3 <br />BAR SINKS <br />ROOF DRAINS- RAIN LEADERS <br />_ I <br />1 <br />f <br />I <br />i <br />TOTAL FEE SI <br />ly I vu <br />_I <br />SHOWER BATHS <br />PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />'+ AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />'.'•T RUCTION OR WORK 15 SUSPENDED OR ABANDONED FOR A <br />��100 OF 120 DAYS AT ANY TIME AFTER WORK ISCOMMENCEO. <br />�i FIERY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />[ATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />VISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />I'IORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />VITHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />i11 Ti STATE OR AOL LAW REGULATING CONSTRUCTION <br />-VIFORMAN OF NSTRUCTION. <br />1; 24/73 <br />X <br />',I <br />SERSER'.ICE SINKS <br />_ <br />- SLNKS PUMP <br />URINALS <br />_ <br />WATER CLOSETS <br />WATER HEATERS -- ELECTRIC <br />-I <br />WASH BASINS <br />I 1 00 _ <br />LAUNDRY TRAYS <br />-- <br />_ <br />�. <br />I <br />1 <br />SUB TOTAL <br />6 <br />9PERMIT <br />- IER SEPVICE 512E BLDG. SUPPLY SIZE <br />RE OF ACTOROfl AUT AGENT DATE <br />IUL YARDSETBACK <br />STREET SETBACK <br />REARYAROSETRACK <br />f PLANCHECK FEE <br />FEE RECEIPT NO. <br />Basic <br />USEZONE <br />PRD <br />LOT AREA <br />VACANTS\E <br />�j� <br />�"�'ES "ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V -N <br />OCCUPANCY GROUP <br />T <br />UWONITE DWELLING <br />— <br />BUILDING <br />I <br />$ 0'000.00 <br />13R 00 <br />iJC OF BLDG. <br />NO.OF ST .E$ <br />1 _ <br />MAX. OCC. LOAD <br />PLUMBING <br />35 1 GG <br />I THE ZONE <br />11nSCML N7 FIR-SPRINK]LyE�R�S <br />REQUIRED <br />tNO <br />_ <br />MECHANICAL <br />OTHER <br />19 I DG <br />SPECIAL CONDITIONS. <br />�_ -.-- <br />- -- __.—.— <br />y' -- <br />1 <br />PENALTY <br />S[C. 00](y) <br />1 <br />.. <br />TOTAL __-- <br />^41 100 <br />INIIiN PRn PF RRIY A I 1 D A i L D U N TIU S S PA C I _ ''TII <br />R RECEIPT YO;U� dE'�EI�T, <br />cif' You THANK YOU <br />You <br />�,18 r 2 5 .IAN 7 8 <br />I*.1N`.:. _ x <br />� 4 <br />b m - - --_- ----- <br />lay/..-.11•IIIIx <br />v. nM'.I rII:.nI Oxr <br />MY'nnvl,\px PKJInMFNY <br />r�r��sS <br />1 � <br />