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the Everg�een <br />CITY OF <br />everett <br />CITV HALL 259�8"!45 <br />EVERC-TT. WA 98201 <br />CONSTRUCTkOfV <br />PERlVIIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />J <br />OWNER MAIL AUDf:E55 ZIP P40NE <br />'D <br />HII,LIS IiO: S5 m <br />AflCHITECT OR DESIGNER MAIL ADDflE55 PHONE LICENSE NO. � <br />� <br />J <br />GENENALCONTRACTOR MAILADDRE55 PHONE LICENSENO. L <br />C <br />MECHANICAL CONTRACTOR MAII ADDRESS PHONE LICENSF NO. � <br />i'GRTiI PA�.Y. Hi'ATIP:G 36;-y�� �„y � <br />PLUMOING CONTFACTOR MAIL ADORESS PHONE LICENSE NO. (JQ <br />6i <br />PERMIT CLASS OF WpqK � �.I <br />❑ COMBINATION <br />❑ OUILDING � PLUMBING �MECHANICAL <br />[�IVEW ❑P�DITION ❑I�LTERATION ❑REPAIR <br />VALUATION Of WORK <br />5 ❑�EMOLISM ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCflIBE WOflK <br />PROPOSED USE <br />MECHANICAL <br />LEGAL �ESCRIPTION OF PROPERTV ISHOW BELOW OR ATTACH T��E OF ENEFG V <br />FOURCOPIES) ❑GAS ❑ELEC. <br />1.07 BLOCK—oF NO. TYVE OF EDUIPMENT FEE <br />Alfl CONO. UNITS-H.P. EA. 5 I <br />REFFIGERATION UNITS-H.P. EA. <br />— �OILERS-H.P. EA. � <br />_ <br />FORCED AIR SVSTEMS-O.T.U. MEA. 9�_ <br />JOB A�DRESS SPACE !L WqLL HEATERS - B.T.U. <br />�ea `p_�./S�'Lv'F9�+'�=� UNITHEATERS-6.T.U. ],QI(� <br />EVAPORATNE COOLEF:S -T�— <br />PLUMBING CLOTFIES DRVERS i <br />VENTILATION FAN —T— <br />— l <br />RANGEHOOO I <br />NO. TYPE OF FI%TURE OF ITEM FEE nIR HANDUNG UNIT- aF.M. - <br />BATH TUBS $ � <br />CLO�HES WASHER � WATER HEATER <br />DISH WASHEFlS � --- <br />DRINKIP:G FOUNTAWS � _ FAC. BUILT FIREPLACE R CIIIMNEV � <br />FLOOR DRAINS � �Z GAS. SYSTEM: NO OP OUTI_ETS_ <br />KITCHEN SINKS & DISP. i SUO TOTAL 5 I <br />OAR SWKS � PERMIT S �O <br />ROOF DFAINS - RAIN LEADERS i TOTnL FEE 5 'z� ��Q <br />SHOVdER BATHS THIS PERMIT �ECOMES NVLL AND VOID IF WOIiK OR CONSTRUC- <br />SERVICE SINKS TION l;UTIiOR12EO IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br />SUMPS -� SEWAGE PUMP CONSTRVCTION OR WORK IS SUSPENDED OR AOAN�ONEO FOR A <br />URINALS � PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. <br />� I HERE6V CERTIFY THAT I HAVE READ ANO EXAMWED THIS AP- <br />WATER CLOSETS � PLIC.TION AND KNOW THE SAME TO UE TRUE AND CORRECL ALL <br />WATER HEATERS - ELECTRIC � PROVISIONS OF Ll�WS 11ND ORDINANCES GOVERNING fHIS TVP� <br />WASH BASINS � O� WORK WILL �E COMPLIED WITH WHETIiER SPLCIFIEn IiERi:1:J <br />LAUNDRV TRAVS �T— OR NOT, THF Gfil1NTING OF A PERMIT DOES NOT PRESUME TO <br />j GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OP <br />ANY OTHEfi ST0.TE OR IOCAL LAW REGULATING CONSTRUCTION <br />� OR THE PEF:FORMANCE UF CONSTFlL'CTION. <br />� <br />SUB TOTAL i /1 <br />PERMIT S � � <br />TOl'AL FEE ]. ZG l3 _ <br />WATERSERVICESIZE BLDG.SUPPLV512: 51 nTUREOFCONTRACTOROflAUTH.AGENT DATE <br />SIDEVARDSET6ACK STREETSET�ACK REAHYARDSETBACKPLl1NCHECKNUMBEFi PLANCHECKFEE <br />FEE RECEIPT NO. <br />USE 20NE LOT AFEA VACANT SITE <br />❑VES ❑No FEES VALUATION FEE <br />TYPE OF CONST. OCCUPqNCY GROVP NO.OF DN'ELLING � <br />UNITS I <br />SIZE OF �LDG. NO. OF STOFIES MI�X. OCC. LOAD DUILDING S � <br />I <br />_ _r—_ <br />PLUMBING � <br />f-IqEZONE Ul�SEMENT FIRESYFINKI.EflS I <br />RE(]UIRE� � <br />❑VES ❑NO MECHANICAL .�2 <br />SPECIAL CONOITIONS: OTIiER � <br />PENALTV SEC.30�(a) I <br />I <br />� TOTAL ?_ Z I OO <br />PERMITVALIDATION � S��q An - <br />WH[NPftOPERLVVl�LIDATEDIINS�I�S�ACE1� SL.ryn��r[tt�tir! <br />— � ' . r <br />_ T i� <br />- _ .:. '>xoc�a ��a�p�� <br />nvi-ucnnnunccu•iu�ur�. rinns�:�ncntu�rc nrrn<rvrnrm�isunr�cuiv.� t�• f'fW�NK� YOI�.� <br />, . <br />n � ' <br />� tn� i 0 <br />1. i? v.,, p u <br />