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OF VAli <br /> FSI. EYE,prCF,l CONSTRUCTION <br /> PITY OF everel� PERMIT <br /> everett <br /> CITY HALL ZSB 0745 <br /> EVERETT, WA BB701 COMBINATION BUILDING • MECHANICAL • PLUMBING <br /> OWNER (�/1 MAIL AUGHC" Lu• nIUNE <br /> . Yyy• I1 .,�- • s . ._i.<- LJL.. � ,Iii �.. _� .' r : 1.".�, ti :' 1"rI <br /> J. <br /> ARCHITECT OR DESIGNER MAIL AODRkS$ PIIONF LIC NS NO. <br /> GENERAL CONTRACTOR MAIL AOOHESS PHONE LICENSE NO. <br /> MLCHANICAL CONTRACTOR MAIL AOORESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PIIONE LICENSE NO, <br /> PERMIT CLASS OF WORK <br /> .l <br /> ❑COMBINATION <br /> t BUILDING QJLUMIIINO (3MECHANICAL <br /> ❑NEW ❑AnOITIOFF 0Al7E IIATION ❑REIAIR <br /> VALUATION OF WORK <br /> t '? jy � /` <) ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMM WO POOL <br /> DEscRIBi wont <br /> I �1 <br /> wPosio vi A MECHANICAL <br /> LLGAL DESCRIPTION OF PRO ERT Y (SHOW BELOW OR ATTACH TYPE OF ENERGY <br /> TOUR P L51 UCAS ❑ELEC. <br /> I iFtl / NO _ _ TYPE OF FOUIPIAENT FEE <br /> LOT - B .LOCK—OF -- -- -- <br /> CEJ, !-J(2("- y /.J/W.( !. yLC-OIL_ AIR CONO. UNITS-II.P. EA. S I <br /> nEinlctnnrinN ON T1 <br /> 7 'y P 11 / f« , �, LFI OOILF ns_ICP EA 1 <br /> POnCLD AIR SYSTEMS-U.I.V. MEA. <br /> ( 4.49110- df- lc.;, ,n Fv- /NQtH t/1,TT5. 3P� r / 1 <br /> JOB ADDRESS SPnC'. b WALL TIE ATE Rs - p.T <br /> _UNIT HEATE AS.ITT U 1 <br /> LVAPOAATIVE COOLF AS <br /> PLUMBING -cl.uIrm nnY'ERS iO0 <br /> _I VrN 11 LATION FAN f�J <br /> nANIIE 11000 IOD <br /> NO. TYPE OF FIXTURE OR ITEM FEE AHI IIANUI INr, UNIT 7 C F M. <br /> BATH TUBSIs 9O 1111 <br /> CLOTHES WASHER C) --- WA TCA HEATE �— <br /> UISHII RS (7b R 1 " '- AI <br /> TAC AUILT FIRFII.ACE A CHIMNEY <br /> UIIINKING FUUNTAI NS 1 <br /> ,1 FLOOR DRAINS I __ OA5 SYSTEM NO OF OUTLETS <br /> I1 KITCHEN SINKS h OISP. TUFO _ `+UU TOTAL 4 /5100 <br /> _ BAR SINKS PFnMIT E T <br /> ROOF OHAINS - HAIN L CAOCIIS — — —TOTAL FEE S (sl OD <br /> SHOWER BATHS DO TNIS PI IIKIIT IILr.1)ME5 NU_LL ANn VOIn IF WORK OR CONSTHUC <br /> SERVICE SINKS 11011 AUIHO11111 D IS NOT CUMIAENCLD WITHIN 170 DAYS. OR IF <br /> SUMPS - SEWAGE PUMP CONSTnuri'oN 011 WOAX I-. ;U-,Pk NDFn OR ABANDONED FOR ;, <br /> PEnlnn OF 1.'0 DAYS AT ANY TIME AFTER WOfIK ISCOMMENCED. <br /> IIHINALS <br /> 3• WATER CLOSETS I IIEnE11Y CCnTIFY THAT I HAVE READ ANT) EXAMINED THIS At <br /> PI ICATR'N AI KNOW TIIE "•LIF Tn TIE TRUE AND CORRECT ALL <br /> WATER HEATERS - ELECTRIC O PROVISIONS Or tAWS ANI) O'IOINANCFS GOVERNING THIS TY:E <br /> j' WASH BASINS n OF WO-IX WILL TIE COMPI.'In WITH WHETHER SPECIF IEO HEREIN <br /> LAUNDRY TRAYS OH NOT, 111E GIIANTINO Or A PERMIT UULS NOT In E:UMC TO <br /> r.IVF AUTIICAITY 10 VIOLATE OR CANCEL THE PROVISIONS O: <br /> ANY OTIIFII GIATE On IUCAL I_AW nEOULATING CONSTRUCTION <br /> I 011 THE PEAT UIIMANCE Of CONSIOUCTIn N. <br /> 1 <br /> SUO TOTAL <br /> PERMIT f A <br /> ' AATER SERVICE SIZE BLOG SUPPLY SIZE SIGNAIUnf OI CUNrn ACIOROIIAUTII AGENT °ATE <br /> I :.IUI YAnOSLTUACK S1Rk LTSETOACK REARYARDS117BACF PLAN CIIECK NUMIIEn PLAN CHL CK F L E <br /> 60v=T 20FT 2Ov1- / FEE !L, RECEIPT NO. <br /> ,1'L <br /> ZONE LOT AREA VACANT SITE <br /> K - I OYES ONO FEES VALUATION FEE <br /> I TPL OF CONST. OCCUPANCY GROUP NO OF OWLLLING <br /> UNITS I 1 <br /> .ILL OF BLDG. NO. OF IORIES MAX. UCC. LOAO RUILOIN.i E/7� �_ IL�1 <br /> 3¢1I P <br /> IIIIC G11-E IIA5 MEN I E PHINXL R IUMOINU <br /> 3 REQUIRED ��---I <br /> \(F�1 <br /> OYES ['LEO Mf CIIANIr AI <br /> ' Ik CIAL CONfli TIONS nTllrn <br /> Pr NALTV -- Sr C. 70111 .1 <br /> TOTAL <br /> 8 2!on <br /> PERMIT VAI IOAT TUN <br /> —�— A11 N P111)l I III Y V ALIDM Ln TIN TIIIS LPACEI f "S IS YOUR PE PLAT <br />