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MECHANICAL PERMIT APPLICATION <br />ra Cf1Y Oft EVERETT PERMIT SERVICES ,' Coda( St"t 2nd w Intake Drop Box. <br />E 11 E R E T T 3UillITTAITRucTfof�ta: fop Hate «,�► pow++R h, _ . <br />t= <br />tyOtfTACT{N!'QRMAT1Cl1'f: (P)fST.�10 t tE mitSenn-�r4i��rntiwA Gov IW) ev�erettwa Gov/permits <br />%1 war tit M Pf PROJECT SiT2 INRORMAIIO <br />or <br />_'� <br />I PARCEL *: �O 0 I CCU /00 <br />ECT SITE ADDRESS, .rat s- � �/� Lw <br />t i %1000r°e aTAT <br />tMpT frlOOR ADDITIONAL LOCATION INFORMATION: <br />..��..w •a.awa• V .w�_•.wc•+ahhii,` ♦ i . . i 3 <br />.i . , , <br />MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) I <br />Ak Unit tatted+ pion wilts Ioca*m of outdoor unit) IG&S - List * of outlets in khriv count <br />AAr Hane 1,1 ' * * Gas * * <br />1,04060ftr* %N- :AV back tlww"etttion) ** ; 7 Gas Firlplaos, Insert, andlor Log (* for commercial Midas) <br />0: _ o0oiuts,. VRF. WV. ek JGAS - Other ): <br />L�xr- t°enliaiorf toonidors shiwe! r+� _�� ` <♦ Heat Ptrtnp (attach plan with k <br />er-4tc %.1% ;N9-!10ther <br />Hod C�►x*ss (attach p <br />otm FJtwat Hydlottic Piping <br />Lw vw atimat ortsl Unit lteahY (co�r»mer al u_ge) <br />s E%h Fan ( or conirnetaal use)W&W Water (gas or e4eci ) <br />Ein wg Hood ovtrr stove WoodANNIlet Stove or Insert <br />Exhaust Hood I *tRt! Other (List Type) <br />EMwcwt Hood ff ,RtRtR Other (Lrst Type) <br />F�'a rmidaftaM) List T ) <br />conxnercial gas pteaae attach piano and manufacturer's installatwn manual <br />With loeation of outdoor <br />LhcW DesCfObw Y kxkxle Type of EjAxnent.1 \ <br />Permit <br />�e <br />It <br />1 • ! • 1 <br />w <br />CRY of Evww Cftw ttaa <br />PERMIT # <br />i Revised Q 1#=2) <br />