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the Evergaw l CONSTRUCTION everett <br />CITY nI PERMIT <br />everett <br />CITY HALL 9BT0S <br />EV ER ET T, WAARBxoI COMBINATION . BUILDING • MECHANICAL • PLUMBING ,eOWNER MAIL A0111,1'.. ZIP <br />Ted Schmel.-.er 027 r,7t11 .Ice. ..i.. :larysville 91270 u`-v-�/'7: m <br />n <br />ARCHITECT OR DESIGNER MAIL ADDRESS iHONF. LICENSE NO <br />GENERAL CONTRACT R MAIL ADDRESS PHONE LICENSE NO. 7 <br />Sat',C c <br />LICENSE NO. <br />MECHANIL'AL CONTRACT OR MAIL ADDRESS PHONE � <br />m <br />V LUMOING CONTR ACIDR <br />MAIL ADDRESS PHON'. IInf N-A Nn <br />PERMIT CLASS OF WORK <br />COMBINATION <br />©BUILDING [$PLUMBING ©MECHANICAL ..LI NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />s $6,356.00 ❑DEMOLIL4 ❑FENCE ❑SIGN ❑SWIMMING POOL <br />_ I <br />DESCRIBE WORK I <br />Construct DoplCX <br />PROPOSED USE MEC14ANICAL _ <br />Two Family Residence TYPE OF ENERGY <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH ❑OAS ❑ELEQ <br />FOUR CO 5 <br />IESI 5ch:ncl: er 1 1dd. NO. TYPE OF EQUIPMENT _ Fit <br />LOT BLOCK_OF AIR COND. UNITS-H.P.-EA. 5 <br />REFRIGERATION UNITS H.P. EA. 1 <br />BOILERS R.P. EA. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRES SPACE A WALL HEATERS - R.T.U. <br />6JLh 1' laCC S. r- UNIT HEATEnS B.T.U. <br />EVAPORATIVE COOLERS <br />PLUMBING CLOTHES DRYERS <br />2 VENTILATION FAN 1 <br />'1 RANGE HOOD t <br />NO. TYPE OF FIXTURE OR ITEM FEE y AIR HANDLING UNIT- _ C.F.M. <br />BATH TUBS S _ I <br />-------- <br />CLOTHES WASHER ___ WATER HEATER <br />DISH WASHERS 1 PAC. BUILT FIREPLACE A CHIMNEY I <br />DRINKING FOUNTAINS GAS. SYSTEM: NO OI'__ OUTLETS __,_,.�� <br />FLOOR DRAINS - SUB TOTAL S lu I UU _ <br />KITCHEN SI A I -- - PERMIT t <br />BAR SINKS —'--'— TOTAL FEE S I <br />nn <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS THIS FERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />SERVICE SINKS TION AUTHORIZED IS NOT COMMENCEn WITHIN 120 DAYS, OR IF <br />ED OR ABANDONED FOR A <br />SUMPS - SEWAGE PUMP PERIOD OF CONSTRUCT120 DAYS AT ANYOR WORK ISSUSPENTIME AFTER WOnK 5 COMMENCED. <br />URINALS I HEREBY CERTIFY THAT I I4AVE READ AND EXAMINED THIS AP. <br />WATER CLOSETS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />WATER HEATERS - ELECTRIC I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />WASH BASINS 1 OF WORK WILL BE COMPLIED WITI4 WHETHER SPECIFIED HEREIN <br />LAUNDRY TRAYS OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OT R STATE On LOCAL LAW REGULATING CONSTRUCTION <br />1 OR TH P nFORMANCE ONSTRUCTION. <br />1 <br />SUB TOTAL <br />PERMIT S LAGENT <br />J1, 24/73TOTAL FEE <br />WATER SERVICE SIZE BLDG. SUPPLY SIZE R OF ONTRACTOnORA DATE <br />SIDE YARD SET RACK STREETSETRACK REAR YARDSETOACK PLANCHFCK UMBER PLAN CHECK FEE <br />FEE Gone RECEIPT NO. <br />USE ZONE LOT AREA VACCANT SITE <br />PItD OYES ❑Nn FEES VALUATION FEE <br />TYPE OF CONST. OCCUPANCY GROUP NO. O! OzELLING 1 <br />V-1 <br />1 l UNITS <br />SIZE OF BLDG. NO.OP STUTIIi„ MAX.00C. LOAD RUILDINO $ t-',355.D0 1751 00 <br />PLUMBING 351 QD <br />I ON 3 BA EM NT I F I KL <br />R nC IIEUUIRED ♦ MECHANICAL 191 DO <br />❑YES ONO _ <br />I <br />nPLCIAL CONDITION OTHER I <br />~ PENALTY sec. 0001•I <br />-------- TOTAL <br />InAI1 D <br />0 ----YOU RECEIPT YOUR RE fl <br />O- ----- — — T H N K YO U ' " <br />11 II II MY VI ANS 1.111111[IPNY nN'NpVl ll lllll l'.!A1nNlII Fly 1 <br />THANK YOU. <br />L.C.cb .. <br />am 18 15 jkq 18 <br />