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the Evergreen <br />CITY OF <br />everett <br />CITY N91 AN OR <br />FVFRI TT, WASIIINGtON <br />RRhll <br />Dirt °' CRV4ONITY BUILDING <br />oIVitolm NI <br />CONSTRUCTION <br />PERMIT <br />WCHANICAL <br />everett <br />PLUMBING .e <br />OWNER MAII ZIP PHONE <br />Danard co,troln Trn­_-3 1332 .v rl;r .:. '.lay 98294 259-•1001 <br />ARCHITECT OR DESIG.: n MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Slime <br />MECHAN ICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR - MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT CL 4::5 OF WORK <br />� ( <br />BUILDING ❑PLUMBING7ffMECHANICAL �1FF..,,C,J NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />t00-i7 <br />� <br />W <br />m <br />D <br />Z <br />F <br />VALUATION OF WORK <br />E 24T70.00 <br />❑DEMOLISH ❑FENCE []SIGN ❑SWIMMING POOL <br />W <br />DESCR3BInvrq�a rSinily Powunce <br />2 b 9 2 <br />PgLagla" rt a11y n8iidgACC <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑NAT. LPG. ELEC. <br />GAS <br />LEGAL DESC RIPTION OF PROPERTY ISHOW OELOW CR ATTACK <br />FOUR COPIES) <br />LOT BLOCK --OF _. <br />��y7� <br />M6, SSTs A 'PKP 20H IIISL SP 1202-29 "A" <br />NO. <br />TYPEEQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-S.T.U. FA EA. <br />1 <br />JOB A <br />73rd Street S.i.. <br />t <br />WALL HEATERS-B.T.U. M <br />_ <br />UNIT HEATERS-B.T.U. M <br />I <br />— <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />__ <br />AIR HANCILING UNIT- C.F.M. <br />TYPE OF FIXTURE OR ITEM <br />E <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />E <br />BATHTUB <br />17 <br />LAVATORY (WASH BASIN) <br />_ <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />2 <br />10 <br />SUR TOIAL S <br />DISHWASHER <br />PERMIT E <br />LAUNDRY TRAY <br />TOTAL FEE E <br />I <br />CLOTHES VIASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORP17CT. 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 1'HE PERFORMANCE OF CONSTRUCTION. <br />6/13/77 <br />x <br />WATER HEATER <br />I <br />URINAL <br />DINAL FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />BREAK <br />VACUUM BREAKERS <br />ROOF DR AINLEADERS <br />_ <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />_ <br />_ <br />PERMIT <br />E <br />_ <br />TOTALI!.E <br />E <br />SIGNATURE OFCONTRACTOROR AUTH, DATE <br />SIDE YARQ �ET BACK <br />b <br />STREET SEY* fK <br />iCF <br />REAR YAFj$FFTBAC <br />lV <br />PLAN C11 fl- YNFIER <br />i�l <br />IA,AG[E.�NT <br />FEE 56: QU CH ^CE Fk�E�yyp <br />S�t7M <br />USE ZONE <br />LOT AREA <br />VOA pgNT SITE <br />LJGYes ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPyF)fONST. <br />Y <br />OCCUPANCY GROUP <br />1 <br />UNIT�OW�LLING <br />I <br />BUILDING <br />1 <br />f <br />SIZE I <br />NO. OF STcVES <br />MAX. OCC. LL AD <br />PLUMBING <br />FIRE 20N <br />BAS 1O <br />RrQUIRED SPRINKLXFIS <br />OYES []NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS'. <br />OTHER <br />I <br />PENELTY <br />SEC, 3031.1 <br />I <br />TOTAL <br />I <br />— <br />-- <br />PERMIT VALIDATION <br />W14EN PROPERLY VALIDATED (IN THIS SPACE) T141S IS YOUR PERMIT <br />AW'IIC.ATI(1NACCP7IONY PLANSCHECK{YRT,N JAPPROVEJ:0111SWAMEBY <br />• • <br />