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NIP £vPlpnY!R <br />CITY 01' <br />everett <br />CITY HALL 71,110145 <br />EVERETT. WA 90201 <br />CONSTRUCTION <br />PERMIT 1 <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />cverell <br />UWNLR MAIL AUUIIL55 LIT' IPIftJNL <br />�SEPN ll) I PD ��a3 l�Td �$)�� 3,3-%y�y <br />,/ _�� <br />R) <br />AFIGOIIECI Oil UESIGNLR MAIL ADUHLSS PIIONE LICLNSL NO. <br />.3ao 2 3 <br />GENERAL CONTRACTOR MAIL ADDRESS II'ONE LICENSE NO. <br />SELF <br />O Q/2!/77 Z <br />c <br />MEC14ANICAL CONIRACIOn MAIL ADDRESS PHONE LICENSL NO. <br />9 <br />tu <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONC LICENSE NO. <br />PERMIT <br />❑COMBINATION <br />❑ DUILDING ❑ PLUMBING ❑ MCCRANICAL <br />CLASS OF WORK <br />,�/- <br />❑NEW Iy AODITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WUnK <br />f �LSOQ <br />❑FE OEMOLISIf ❑NCE ❑SIGN ❑SWIMMING POOL <br />UCSCIII <br />E WORK <br />T f,c w)c-- C To Ems-rI <br />us-c <br />PROPOSLD USE <br />9wu^ SC Ch1?, <br />MECHANICAL <br />TYPE Of ENERGY <br />❑GAS ❑FLEE <br />N0. _ TYPE EOUI�MCNT FEE <br />_ <br />AIR CU_NU. UN175-1I,P. EA. S I <br />REFRICERATIONUCRTS HP. EA. _ --T <br />BOILLRS II.P EA. l I <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW O'Rf�ATTACII <br />DunCOPIES)��jj�� 1?TIvEHV12ST Ulo. <br />LOT BLOCK�21L•OF <br />FOnCEO AIR SYSTEMS-O.T.U. MEA. <br />I <br />1DO AODntss <br />a3�3 )V <br />SPACE 6 WALL 11F.ATERS - P.T.U. <br />UNITHEAT[n5 n.T.U. <br />_ I <br />PLUMBING <br />LVAPOnAIIVE COOLERS <br />CLGIIiEs onYERS_ <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR IIANDLING UNIT - C.F.M. <br />BAIH TUBS <br />S <br />-- <br />— <br />CLOTHES WASHER <br />__ <br />- <br />WATER <br />E f1 I/ATER E <br />F_AC. BUILT _FIREPLACE 6 CHIMNCY <br />GAS. SYSTEM: NO OP O_U_T_LETS <br />DISH WASHERS <br />1 <br />I <br />DRINKING FOUNTAINS <br />FLOOn DII INS <br />1 <br />KITCHLN SINKS h DISK <br />SUB TOTAL S <br />BAIT SINKS <br />PERMIT 6 <br />ROOF DRAINS RAIN LF.AUCHS <br />TOTAL FEE 6 <br />1 <br />SHOWER HAMS <br />THIS PERMIT RECOMFS NULL AND VOID IF WOnK On CONSTRUC <br />TION AU1HOIIIZ[p IS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />CONSTnuct ION on WOnK IS SUSPENDED On ABANDONF.O ron A <br />PERIOD OF 120 DAYS AT ANY TIME AI'TEn WOnK IS COMMENCED. <br />1 IICIIFIO A RTI N THAT I HAVE READ AND EXAM INEG THIS ALL <br />PLICAtION AND KNC11Y 111E SAME TO C TRUE IL" CORRECT ALL <br />1'nOVISION: OF LAW; AND Li O WITO NCI$ I'iLP LRNINO THIS TYPE <br />OF WORK WILL LE LING LO WITH WIT DOLS NO SPECIFIED LS TIE REIN <br />GIl NO], OO GRANIINIi A A PERMIT UDLS NOT O ISION TO <br />GIVE 11111011ITY TO VIOLATE OG CANCEL IN PROVISIONS OF <br />ANY IL PLII SI ATE. UR LOCAL LAW CTIO N.n REGULATING CONSTRUCTION <br />N. <br />UR TIIL PL ❑Fpq MA NCC OF CONSTRUCTION. <br />x (R`'d <br />SERVICE S114KS <br />SUMPS - SEWAGE PUMP <br />-- <br />URINALS <br />WALE 11 CLU5E TS <br />WATFR HCAIEHS - ELECTRIC <br />I <br />_ <br />WASH BASINS <br />1 <br />LAUNDRY TIIAYS <br />I <br />— <br />1 <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />S —' <br />WATER SERVICE SIZE RLOG. SUPPLY <br />S1ZE <br />-I <br />SI Tun1 OF ONTnnCTOnGR unl. nG[Nr Dn F <br />SIUL YARD SETBACK <br />STOLLI SETBACK I <br />ILARYAIIU5I. UK <br />11[CK NUMBER <br />77 / <br />/ / _> <br />PLAN CHECK I EL <br />FEE _ RECEIPT NO. <br />USE ZONE <br />LOT AI4LA VACANT <br />511E <br />OYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CUNST. <br />OCCUPANCY GROUP UNl6 <br />IIWLLLING <br />1 <br />IIDILOING <br />SIZE OF ULUG. <br />NO, OF STURILS VAX. <br />OCC. LOAD <br />PLUMUING <br />1 <br />I <br />-IRL ZONE <br />B�MLNT <br />n .•IPn INMLC115 <br />UGUOILD <br />❑YES ❑NO <br />MECHANICAL <br />SPLCIAL CONDITIONS <br />_ <br />OTIIC II <br />1 <br />I'rNAL1Y <br />SEC. 703 IA <br />1 <br />TOTAL-- <br />1-110,111 VAI IIIA I ION <br />WIII N 1•I0tl9 oil v VAI IOA111) ON 11U::!IPACI I IIII!; 11 YOUR PC II <br />J ' r <br />F. <br />