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the Evergmen <br />CITY OP <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA DR201 <br />CONSTRUCTION everett <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAIL ADDNLSS CU' PHONE. <br />i <br />Ted Sc!imelzcr ,027 u%h Ave. N.E. 'marysvillo 327U �^-767� <br />c <br />m <br />ARCHITECT OR DESIGNES MAIL ADDRESS P110Nb I. ICENSE No <br />GENERAL CONTRACTOR MAIL ADOPESS PHONE LICENSE NU. <br />K.T. Company <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE I.ICLNSE NO. <br />D7 <br />m <br />21 <br />PLUMBING CONTRACTOR MAIL, ADORESS PHONE LICENSE NO. <br />P,EELRMIT <br />CLASS OF WORK <br />COM13INATI((O.�N <br />gu�..y1( <br />L10UILOING r§PLUMBING bMECHANICAL <br />L]T�� <br />NEW [I ADDITION ❑ALTERATION ❑REPAIN <br />VALUATION OF WORK <br />40,370 00 <br />❑DEMOLISH ❑FENCE ❑SIGN []SWIMMING POOL <br />s <br />UESCRIBE WORK <br />Construct Dllpler. <br />PROPOSED USE <br />MECHANICAL <br />i%,o 1•amily Apartment <br />TYPE OF ENERGY <br />jr, ,� ; ❑ ELEC. <br />LEGAL DESC RIPTIJN OF PROPERTY ISHUW BGLOW OR ATTACH <br />FOUR <br />9OP1ES1 ",climelS.er Add <br />_ __ _ <br />LOT BLOCK —OF— <br />NQ _ TYPE OF EQUIPMENT FEE <br />Al it L'ONU. UNI15 ILP LA. S <br />_ <br />n EFRIGLRAI ION UN11S H.P. EA. <br />-- OOILERS ILP. EA. I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB A SS <br />SPACE A WALL HEATERS - B.T.U. <br />both Place S.E. <br />UNIT HEATE nS-A.T.U. <br />1 <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />PLUMBING <br />T <br />VENI _ATIONFAN <br />1- <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT C.F.M. <br />BATH TUBS <br />_ <br />I/EATER <br />1 <br />1) <br />CLOTHES WASHER <br />1 22WATER <br />DISH WASHERS <br />1 <br />— <br />- <br />_ _ <br />--- — — ----- <br />FAC. BUILT FIREPLACE A CHIMNEY <br />GAS. SYSTEM_NOO_P_ OUTLETS__ <br />SUB TOTAL S <br />I <br />DRINKING FOUNTAINS <br />FLOOR DRAINS <br />A <br />_ - 1 00 <br />KITCHEN SI KS A DIS . <br />BAR SINKS <br />PERMIT S <br />ROOF DRAINS - HAIN LEADERS <br />7OTAL FEE 91 <br />191 on <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />71ON AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCI ION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HEREBY CEnTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL. BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TI/ RFORMANCE OF CONSTRUCTION. <br />SERVICE SINKS <br />SUMPS - SE WAG PUMP <br />URINALS <br />WATER CLOSETS <br />13 <br />9 <br />WATER HEATE HS - ELECTRIC <br />I <br />1 Lou <br />—~ <br />WASH BASINS <br />I <br />_ <br />LAUNDRY TRAYS <br />_ <br />• <br />SUB TOTAL <br />PERMIT <br />S <br />1i14/78 <br />E <br />x <br />11 SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SI'NA RLO CTO4—OR—AAGENTGATE <br />u <br />vAnDSETBACK <br />STREETSETBACK REAR <br />YARDSETRACX <br />PLAN Cl/ECK IijUMRFn <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />I <br />/ // !� <br />IIas is <br />LOF AREA <br />VACANT SITE <br />I•" <br />'CbYES <br />ONO <br />FEES <br />VALUATION <br />FEE <br />I OF CONST. <br />OCCUPANCY GROUP <br />OOWEI LINU <br />1 <br />PRD <br />UNITSNO <br />I <br />BUILDING <br />S 1I0F370•00 <br />too i00 <br />_V-N <br />•. IF BLDG. <br />NO.(; .DRIES MAX. <br />Dec. LOAD <br />PLUMBING <br />35 1 00 <br />/ONE <br />_ <br />R PHI KL RS <br />_ <br />MECHANICAL <br />OTHER <br />1') 100 <br />3 <br />IHASLMLNT <br />none HEOUIREO')' <br />❑YE. "'b NO <br />i. IAL CONDITIONS <br />1 <br />1 <br />1•ENALTY <br />6F. C. 000141 <br />1 <br />0 <br />..v !Iil <br />TOTAL <br />`C 4A <br />-� <br />Q-- <br />I'RUI•EI YI 1{����;1'AC�`r�,� IµyyLlMl� <br />- -- <br />WHUI LIDATlp <br />L RECEIPT. .' <br />YOUR RECEIPT <br />p m <br />Nx YOU. <br />,I•I-I,,,,II,,,,,,I•,,, <br />THANK YOU <br />.y-- L,I•.II,IL.IIII•. wI I,. <br />5 <br />dart 79 <br />`7 <br />., P In <br />,I <br />mat C � VAIT /O <br />