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B•. L .._ .__.. _. _. .. .. .._.P.. .i <br />O ►U09T At$$ iFFrEl7 1• <br />the Evergreen r CONSTRUCTION everett <br />CITY OF PERMIT <br />everett <br />CITY HALL 7506745 , F <br />BING <br />EVEAETT.WA 98201 COMBINATION • BUILDING • MECHANICAL PLUM <br />UW NkII MAIL AUGHLSS Clr YIIONk <br />R?arr Qsvaz.�no, -r Le /ram �o.Ber a as a iF10 3 35f -i�o 0 <br />Ali <br />AHC1117 ECT OR DE610N R MAIL kSS ►IION LICt NSE NO. <br />f IiGF'7i'�M D.PAP!-n+vr fcTT✓r<< SS/y krn*' SFo•'Iw!'wArJ 3Ty-7Ly'� <br />GENLpHAL. CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />1J2o9f �avrzcTf'n.sr Cc�lAe- o.Sur ?712 ?5S-/7Oo <br />MECHANICAL CONTRACTOR J MAIL ADB RES$ PHONE 2 La N5E NO. <br />Zt LU.rNLA-C eAjl er 2220-f0? 337�SSS3 C-fC-T/Z <br />`Qw <br />FLU/M�B114G CONTRACTOR MAIL ADDRESS PHONE LICE N5E NO. <br />/I0glAl)WAI /LVJ4S1Al_6 IjW. ;24 50. j;Wr,4,110V <br />PERMIT <br />COMBINATION <br />❑OUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />_�/� <br />IlfNEW []ADDITION ❑ALTERATION []REPAIR <br />VALUATION OF WORK <br />f 50. Oor� <br />❑DEMJLISH ❑FENCE ❑SIGN ❑SWIMMIND POOL <br />DESCRIBE WOK <br />P140POSED USE <br />MECHANICAL <br />TYPE Of ENERGY <br />❑GAS Fj ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR CO PIESI <br />LOT BLOCK --OF Cr1�TF0A' c'F ctro♦i 7 <br />�% �✓ 'Ll <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR LUND. UNITS-H.P. EA. <br />f I <br />RERnIGEnATION UNITS-H.P. EA. <br />BOILERS- It EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA• <br />JOB ADDRESS „F_� <br />70 L 4 T. E <br />SPACE A WALL IIEATERS - B.T.U. <br />UNIT HEATERS-O.T.U. <br />1 <br />LVAPOPATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />3 ID <br />VENTILATION FAN <br />�L (,IC) <br />RANGE HOOD <br />7� <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />A114 IIANDLING UNIT- C.F.M. <br />BATH TUPS <br />5 <br />0 Cd <br />CLOT14ES WASHER <br />WATER HEATER <br />DISH WASHERS <br />CJ <br />FAC. BUILT FIREPLACE A CHIMNEY <br />GAS. SYSTEM NO OP OUTLETS <br />1 <br />UHINKING FOVNTA114S <br />1 <br />FLOOR DRAINS <br />— <br />— SUB TO fAL f <br />KITCHEN SINK d IS . <br />G'� <br />BAR SINKS <br />PERMIT f <br />ll\lOF DRAINS - MAIN LEADERS <br />TU TAL FEE S <br />SHOWER BATHS <br />THIS PERMIT BFCOMES NULL AND VOID Ir VIURK UR CONSTRUC. <br />TION AUTHORIZED 15 NOT COMMENCED WITHIN 170 DAYS. OR IF <br />CONSTIIUCTION On WORK IS SUrPENOED on ABANDONED FOR A <br />PEn100 OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEHLIIY CERTIFY THAT 1 NAVE DEAD AND EXAMINED THIS AP• <br />PLICATION AND KNOW T14E SAME TO nE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OFIOINANCES GOVERNING T141S TYPE <br />OF WORK WILL nE COMPLIED WITH WHETHER SPECIFIED IIEnE1N <br />01I NOT. 711F (:RANTING OF A PEWIT DUES NOT PRESUME TO <br />GrJF AUTHORITY TO VIOLATE On CANCEL THE, PROVISIONS OF <br />m iItn STATE On LOCAL LAW HLGUL ING CONSTRUCTION <br />11/ 11FOHMANCE OF CONSTRUCTIO <br />SENVICE SINKS <br />SUMPS -SEWAGE PUMP <br />_ <br />URINALS <br />WAIER CLOSETS <br />WATER HEATERS - ELECTRIC <br />WASH BASINS <br />1 <br />LAUNDHY TRAYS <br />1 <br />_ <br />1 <br />I <br />SUBTOTAL <br />PERMIT S <br />WATER <br />SERVICE SIZE BLDG SUPPLY <br />SIZE. <br />SIG UnCUFCONTnA TUR OHA TH.AGENT DATE <br />b IUL YARCILL TUACK <br />SI MEET SETBACK <br />REAR YA14D SLTUAC <br />2Q�� <br />YE CHLCK NUMIILn <br />PLAN CIIECK FEE <br />FEE RECEIPT NO. <br />�� L •� t <br />ULLI E <br />Llzto_ _ V <br />VBYES SIT❑NO <br />FEES <br />VALUATION <br />FEE <br />Ey IYYi-C ST, <br />UCCUPA�QNC�YOINWOUP <br />UNITS DWELLI G <br />BUILDING <br />112L 01' BLDG. <br />Up')( 4 <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I IIIL ZONL <br />BA,.NT <br />/ i' <br />Fllll. <br />RL❑YECLO <br />IUNK II <br />BNO <br />._. <br />MECIIANICAI. <br />I �1 (,� 0 <br />61•LCIAL CONUITIONS' <br />OTHER <br />PENALTY <br />TOTAL — — <br />SEC. 00710 <br />-- <br />I <br />_ <br />2 2� Oct <br />_-___----_--_ -- IW141 PERMIT VALIDATIIIN <br />PER 14 I'POI'I 111 v Vn1 If1M 11T INVTII15 'PAC L 1TnI: IS vOVll PC nM <br />