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u PUGLT PAYE • i+rnll <br />TRIP Evergreen <br />CONSTRUCTION <br />CITY OF <br />® <br />PERMIT <br />everett <br />CITY HALL 2L90740 <br />EVERETT, WA 98201 <br />COMBINATION • BUILDING • MECHANICAL <br />• PLUMBING <br />JWNED <br />MAIL ADDRESS <br />_ 1 ZIP PHONE <br />Y IWITECT On DESIONEII <br />MAIL ADDHLS — n�14NE <br />LIC E <br />CLASS OF WORK - <br />BINATION <br />❑BUILDING ❑PLUMBING ❑MECHANICAL <br />� ❑NEW ❑AOUI TION ❑ALTENATION ❑REPAIq <br />VALUATION OF WO11K <br />• ������� ❑DEMOLISH ❑ILNCE ❑SIGN ❑LWIMMINO POOL <br />LLUAL DESCRIPTION OF <br />T pUHG IE51 <br />LOT BLOCK <br />JOB ADDRESS _ <br />3 Z// f <br />PLUMBING <br />SUB 1 <br />PERM <br />TO Tg <br />WATER SEn VICE 512E <br />LIOL YAHUSETUACK Sim II <br />(71 ZONL LOT ARE <br />I YI'11L))UF CGNST. OCCUPA <br />v.- 1 <br />v <br />�t— <br />BLDG. SUPPLY SIZE_ <br />TACK REAR YARD <br />OYES ONO <br />MECHANICAL <br />TYPE OF ENERGY <br />GGAS ❑ELEC. <br />NO. TYPE OF EQUIPMENT FEE <br />Ain COND, UNITS- H.P. EA. j 1 <br />— RkF DIGE nAT10N UNITS JLP. EA. ��_ <br />- L—__ <br />BOILE nSII,P. EA. I <br />FU BCCD AIN SYSTEMS-n. I. U. MEA.— <br />SPACE A WALL THEATERS - B.T.V. <br />UNIT HEATERS-n,T.U. <br />EVAI'OIIAIIVE COOLERS —T <br />C1.07111 S DnVEnS <br />I VCNIIL ATIDF FAN — I <br />RAN(IF nrrOU _ <br />A11( IANUI ING UNIT- C.F.M. --.- <br />WA7E1111F.ATER <br />FAC IIUII T FIRFPI ACF A f.N IMNEY <br />',AS. SY!:T(M NO UP UUTLEIS --1 <br />------_--_.__..-------SUO TOiAL s j <br />TU TAL FEE S I <br />TIIIS PI IIMII III�C(IMIS NULI ANT) VDIn IF WORK OR CON:TIIUC <br />SION AUTHUH111U IS NOT COMMENCED WITHIN 120 DAYS. Un IF <br />CONSTnUCt1UN Ott WOHY. 1% SUSI'LNOED OR ABANDONED FOH A <br />PERIOD Of f?0 DAYS AT ANY TIME AFTkR WOnK IS COMMENCED. <br />I HEALDY CEnTIFY THAT 1 HAVE READ AND EXAMINED T1415 AP. <br />PLICATION AND KNOW t11f SAME TO TIE TRUE AND CORRECT. ALL <br />PROVIMUNS OT I AW.r, AND OHDINANCES GOVERNING THIS TYPE <br />OF WORK WILL III. COMPL Ifn WITH WNETHER SPECIFIED HEREIN <br />011 NOT, TIIF OIIANTIN(i UC A PEnMIT DUI-S NOT PRESUME TO <br />GIVE AUTII )PITY TO VIOLATE OR CANCEL TIIE PROVISIONq OF <br />ANY OTIIFI STATC OIjj LOCAL 1.qqW nEGE�L/y�INO CW4s rnu ION <br />On THE PC rODMAIGE OF CONSYRUCTIPRI// // <br />M <br />:K NUMBER • PLANICNyCKEE <br />FEE RECtIPT Na. <br />FEES VALUATION FEE <br />C111. OF BLUG. I140. OF STORIES MAX. OCC. LOAD B' 'LOINO -- s -_ --- <br />1 IHC ZONE OASLTICN�� 1 RI K — PLUMPING -- — <br />REOUIRED <br />OYES ONO MECIIANICAI. <br />SPLCIAL CONDITIONS: OTHEII -- -- - - -_- <br />-- PENALTY --'_-- Sf C, 007 1&1 <br />TOTAL <br />Y VALIDAT CO TIN TIIE SPACEI THIS IS YOU" PEnMII <br />