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The Evergreen CONSTRUCTION ' ) everet <br /> CITY OF PERMIT <br /> everett <br /> 2A Davol COMBINATION' <br /> CITY T HALL HALL BTR6 • BUILDING • MECHANICAL • PLUMBING Le <br /> CI <br /> OWNER MAIL AUGHkSS LII• VI1 N/ <br /> � I ' 3o . <br /> •,—E—'f .P !r 11. ��A'o Le,�Evq.y <br /> AR HI 0 O IZ1h�R MAIL ADORlS9 PHONE LIC NSE NO.p ' <br /> GENERAL CONTRACTOR MAIL AOOPE33 PHONE llCENSE NO. <br /> A,; ANICAL CONTRACTOR MAIL ADDRESS PIIONC LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PERMIT CLASS OF WORK <br /> ❑COMBINATIOr�IN <br /> 'JA BUILDING W PLUMBING Q MECHANICAL <br /> (9 NEW ❑ADDITION (0 ALTERATION ❑REPAIR <br /> VALUATION OF WORK <br /> C3 DEMOLISH ❑FENCE ❑lIGN ❑BwIMMING POOL <br /> DEB at WORK <br /> Y <br /> — 11—ill— -..... <br /> PROPOSED VSK MECHANICAL <br /> C4-IA4eZ ' TYPE OF ENERGY <br /> 1OUR OUCOPR <br /> F PROPERTYIBHOWBLOWOR ATTACH UCAS ELEC. <br /> IISI NO. _ _ _TYPE OF EOUIPMENT FEE <br /> _ BLOCK—OF — AIR CUNO.UNITS-H.P.EA. 1 I <br /> �7 F1Ef nIGEnA0N T1LIUNIT$ -U.P. EA. <br /> A U�/DI / A•L• /& f'.�AXL �W• fr-L .d1.lZL nOIiFnSiiP. EA. 1 <br /> FORCED AIR SYSTFMS-U.T.U. MEA. <br /> ADDRESS f 1./_$ (;/+'/, L �n� SPACE a WALL PIE ATE RS - B.T.U. <br /> 22)C2 • 40 Ate' UN1T HEATERS-R.T.U. I <br /> L'_APUnATIVE COOLERS <br /> PLUMBING .- /'L - Z — _T ci.onlL•:_nnYERS <br /> VrN11LAFWN FAN120 <br /> FIANCE 110013 <br /> NO. TYPE OF FIXTURE OR ITEM FEE A111_II_A_NULINOUNIT-- C.F.M. <br /> BA H TUBS <br /> C,LOT14ES WASHER 1 WAT[n 11 F.ATER _ <br /> DISH WASHERS 0FAC. ((OILY FIREPLACE A CHIMNEY I <br /> UIIINKING FOUNTAINS I iiAA 'r YSTE M' NO OF OUTLETS <br /> FLOURDRAKINS 1 -- ----'-•-•• -•�•'• - <br /> KITCHEN INA OISP. I __._•_- - SUBTOTAL S <br /> BAR SINKS -_- _PERMIT S <br /> ROOT DRAINS - HAIN L -AO@IIS TurALFEE E Igl <br /> �. HOWER BATHS C1 0 THIS RII111.CHMf6 <br /> /I BIT NULL ANA VOID IF WI)RK OR CO HST RUC <br /> SERVICES <br /> 11gN AUII10H1JLD IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br /> SUMPS - 5F WAG PV.••1P CON%vnUCI(TIN 011 WOBIK 1. !:USPENOEO OR AGANDON60 FOR A <br /> PEn10O OF 110 DAYS AT ANY IIME AFTER WORK IS COMMENCED. <br /> URINALS II <br /> 1EnEIIY CERTIFY THAT 1 HAVE READ AND EKAMINEO THIS AP. <br /> 3 WATER CLOSETS PLICATIHN ANn KNOW TIIE SAMF M UE TRUE AND CORRECT, ALL <br /> WATER HEATERS - ELECTRIC PnUVIRIUNS OF LAWS ANI) 0110INANCES GOVERNING THIS TY••E <br /> 3 WASH BASINS O OF WOBIK V41LL FIE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> LA UNDHY inwy OII NOT, 131E QIIANTIMC Or A PERMIT UUkS NOT PRESUME TO <br /> CIVF AUTIIUnity 10 VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY 0711E 11 ^1nTE On LOCAL LAW nEGULATING CONSTRUCTION <br /> I 011111C PLHT URMANCE OF CONSTnUCT10N. <br /> I <br /> SUB TOTAL <br /> PERMIT <br /> TOTA1 FEE '79 <br /> RATER SERVICE SIZE _BLDG. SUPPLY SIZE SIUNA I UnE OF CON T FIAC IDR 011 AU T H.AGENT DATE <br /> '., .E VAROSk TUACK STREETSEI'BACK REAR YAAUSkTBACK /LAN CIIECK NUMBER PLAN CHICK FEE <br /> -2-C)= Z.p F7 7a/ � / FE[ RECEIPT N0, I <br /> U:L ZONE LOT AREA VACANT SITE <br /> 12-- I ❑YES Q}N0 FEES VALUATION FEE <br /> I VOL OF CONST. OCCUPANCY CPOUP NO.OF OWL LLING T— <br /> UNITS I <br /> y- Q-A.I 3 ( - <br /> ZL C�F(BLOC. NO. OF STORIES MAX. UCC. LUAU BUILDINU S f0f=0-00 241 1 OO <br /> 15,2 / / -_ IluMFI1N6 <br /> IiHE ON 3 A 5 MN I NINRL <br /> REQUIRED R�.r <br /> 3 Y�j ❑YES e-go MECIIANICAI. /SVO`wlJ <br /> '.PLCIAL CONDITIONS OTllrn I <br /> I <br /> PTNALTY SEC. 3031H I <br /> TOTAL ILQ IOQ <br /> PrRMIT VAI.(DATION v <br /> .1 N P 1101 It I.Y VAL IUAI LD PIN THIS CPAC EI T111$ IS YOUR PERMIT <br /> ..,nom wN KUrrlu Fr nAkKNlMy•• •NUW1uNw••w+rnMrl n• <br />