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C I I Y 01- <br />ewerett <br />CITY HALL 2598885 <br />EVERETT. WASHINGTON <br />""I <br />ORE. OF COMMBN ITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e <br />OWNER MAIL ADDRESS ZIP PHONL <br />D & n PVC73C fit_ 3IrroftlV41 31.;3 6rh <br />5Q�r?tl <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />am <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />sm <br />W <br />00 <br />PERMIT <br />�E <br />Lg BUILDING []MECHANICAL MECHANICAL <br />CLASS OF WORK <br />,y/ <br />T1NEW []ADDITIONALTERATION ❑REPAIR <br />0 <br />Z <br />I_-' <br />VALUATION OF WORK <br />rp7 �rL ry! <br />$ f �FK1V <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL - <br />W <br />__ a <br />DESCRIBE WORK .7yy,E <br />�JJIA/VESS <br />406 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL []GNAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />_ <br />BOILERS-H.P. EA. <br />1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />_ <br />JOB ADDRESS <br />31 S, vxmmja <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />_ <br />I <br />T <br />WATER CLOSET (TOILET) <br />S <br />BATHTUB <br />I. — <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />T <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />TOTALFEE $ <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINIEADE RS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />S <br />TOTALFEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SEI BACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />OYES (--INO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UWO—OP <br />NITS DWELLING <br />UNITS <br />BUILDING <br />�1f <br />S , yy <br />AI <br />aim <br />-I ZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />>I <br />-II- cc -- <br />1 <br />I <br />i IRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />RCOUIRED <br />❑YES []NO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 la) <br />I <br />30I 0 <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE( THIS IS YOUR PERMIT <br />Q <br />a <br />APPL I CATIP'IACCIPTIDBY. <br />PLANSCHECKE D BY: <br />APPNDVEDFOR ISSUANCE BY. <br />