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uru9crlBcfsr:..nu ., <br />the Evergreen V CONSTRUCTION everett <br />CITY OF PERMIT <br />everett <br />CITY HALL 90 <br />Eventrr,wA9u01 COMBINATION • BUILDING • MECHANICAL • PLUMBING ` <br />o1 <br />UWNL/1�1 MAIL AUDHLSS 111' PIIONL <br />/S/rof_r Qryczc�'n yr fo i0, oo,Bex ?aa� 91FAC13 35f-1706 <br />T <br />eew <br />l <br />AHC111TECT On DESIGNER MAIL AODHLSS PHONE LICENSE NO. <br />'s4r-reyin zq(�9>rnvr wedwer 3s�y !rne fte"'dJcan 37Y-?L9� <br />GENL RAL CONTRACTOR MAIL ADO FILM PIIUNE LICENSE NO. <br />BRDYr �ayt2ol'��A— �Oi�r .i4ur 2112 3SS'-/ono BA'-vS-n-/sasl <br />MECHANICAL CONTRACTOR /I MAIL ADDRESS PHONE 72 L�IAENSE NO. <br />��etaYL< CUrAlker e,ter " 2220 -/03337^50S3 C-sr- T/ 2 <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />R0,&AlSde/ 9�vAFB/,trG A/�. 24 So.4'" '356-7/ <br />PERMIT <br />COMBINATION <br />❑OUILOING ❑PLUMBING []MECHANICAL <br />CLASS Of WORK <br />21, EW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />f p(j (j <br />❑DEMOLISH []FENCE SIGN ❑SWIMMING POOL <br />00E <br />DESCRIBE WO K ' <br />PHOPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY <br />❑OAS E]ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIESI <br />LOT BLOCK —OF OR'/FO'V i(M✓ i <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />f I <br />RIGEn ATION UNITS-H.P. EA. <br />BOILERS. H.P. EA. <br />I <br />_ p _ <br />/ <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS .rR <br />70 $ 5 %, j, E . <br />SPACE A WALL HEATERS - B.T.U. <br />UNIT IIE ATERS-D.T.U. <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />b <br />VENTILATION FAN <br />RANGE HOOD _ <br />�O <br />NO. <br />TYPE OF FIXTURE OR <br />I FEE <br />AIII IIANDLING UNIT- C.F.M. <br />BATH 'UP$ <br />S <br />L'LO TIIFS WASHER <br />__ <br />WATER NEATER <br />4 <br />DISH WASHERS <br />FAC BUILT _FIREPLACE A CHIMNEY <br />GAS. SYSTEM: NO OP OUTLETS <br />I <br />UHINKING FOUNTAItJS <br />1 <br />T— <br />FLOOR DRAINS <br />5UOTOTAL f <br />KI?CHEN SINK M1 DI$ <br />/� <br />PERMIT f <br />TU TAL FEE f <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTIIOn12ED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WOnK 15 SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 1?O DAYS AT ANY TIME AFTER WOnK IS COMMENCED. <br />I HEREBY CEnTIFV THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE T RUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND On DINANCES GOVERNING THIS TYPE <br />OF WORK Wit L BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />On NOT. THE GRANTING OF A PEPMIT DOES NOT PRESUME TO <br />611F AUTIIORITY TO VIOLATE On CANCEL THE PROVISIONS OF <br />' Ui11En STATE OR LOCAL LAW REGUL ING CONSTRUCTION <br />It nFOnMANCE Of CONSTRUCTI <br />'i(--- <br />BAR SINKS <br />ROOF ORAINS - HAIN LEADERS <br />SHOWER BATHS <br />CE SINKS <br />SERVICE <br />SUMPS - SEWAGE PUMP <br />URINALS <br />ViAl ER CLOSETS <br />WATER HEATERS - ELECTRIC <br />WASH BASINS <br />LAUNDRY T AY$ <br />1 <br />1 <br />1 <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE S <br />WATER <br />SERVICE SIZE BLDG SUPPLY <br />512E <br />SIGN uv Uf CUNT nA tOR OnA TH. AG ENT DATE <br />SIUL YAIID'+L7UACK <br />a f <br />SIHLL'f SLTOACK <br />�) �`� <br />nEARYAHUSLTUAC <br />/LQ` <br />VL CHECK NUMIlEn <br />7/ /�4r <br />PLANCIICCK <br />FEE <br />, �. �/ <br />FEE <br />RECEIPT NO. <br />% /-71 <br />USL i L <br />I <br />LOT AREA <br />��� <br />VACANT SITE <br />YES ❑NO <br />f FEES <br />VALUATION <br />FEE <br />U IYP NST. <br />�/ _ <br />i= <br />UCCVPANCY GROUP <br />r - <br />NO.OF UWtlu G <br />UNI78 <br />( <br />BUILDING <br />S12L Of ULM <br />2lr'/ 4C. <br />NO. OF CTOnIE <br />Z <br />MAX. UCC. LOAD <br />PLUMBING <br />'L7.Iou <br />Hil. ZONL <br />UA.. N <br />U <br />F141t SPRINKLERS <br />RE❑YESLD ONO <br />MECHANICAL <br />0 0 <br />:J'LCIAL CUNUITIONS: <br />OTHTn <br />j <br />_ <br />PENALTY <br />St C. 0071d <br />I <br />TOTAL ~. <br />-- <br />,2 'Li OJ <br />Primly VALIDATION <br />Will N 1'IIUPI IILY VALIDATI U ON T1415 SPACEI 7HIS IS YOUR PERMIT <br />