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CITY OF <br />eves_ ett <br />❑TL HALL 2"EUS <br />EVERETT, WMHINGTDN <br />91NI <br />DER, DE COMMA" <br />BUILDING <br />DEVELDPMENi <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />evere" <br />PLUMBING �e�� <br />OWNER MA!L ADDRESS ZIP PHONL <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />CT.4?g I3 M Ps ''. 'Z 526 FiEFr"V RQ!P OM 2r�ILG2 <br />MECHANI�CNEA�L CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />al <br />PLUMBING CONTRACTOR MAILADDRESS PHONE LICENSE NO. <br />LU <br />ED <br />PERMIT <br />=I BUILDING m PLUMBING =MECHANICAL <br />CLASS OF WORK <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />� <br />Z <br />F <br />� <br />VALUATION OF WORK <br />S ire oxk_M <br />❑DEMOLISH [:]FENCE []SIGN []SWIMMING POOL <br />lX <br />d <br />DESCRIBE WORK <br />1884 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAS ❑LPG. ❑ELEC <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK 14OF Tr; _ <br />ft lots 19 <br />- <br />NO. <br />TYPES- <br />FEE <br />.P.EQUIPMENT <br />AIR COND. UNITS-A.P. EA. <br />S I <br />REFRIGER, "ON UNITS-H.P. EA. <br />BOILERS-H... EA. <br />1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOR ADDRL'JS <br />I 16 <br />WALL HEATERS-B.T.V. M <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBOX3 <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />F <br />VEIVTELATION FAN <br />_RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />1 <br />_jj. TYPE OF FIXTURE OR ITEM <br />I WATER CLCSET (TOILET) <br />FEE <br />INCINERATOR <br />I <br />g T <br />BATHTUB <br />�_ <br />I <br />LAVATORY (WASH BASIN) <br />SHOWER <br />K ITCIIEN SINK & DISP, <br />_ <br />SUB TOTAL <br />DISHWASHERPERMIT <br />----EEC� <br />LAUNDRY TRAY <br />TRAY <br />TOTAL FEE $ <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTPVC- <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 SANE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WIfH 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 LOCnL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />—� <br />FLOOR -SINK OH DRAIN <br />VACUUM BREAKERS <br />ROOF GRAINS-RAINLEADE RS <br />SINK (SERVICE -BAR, ETC.) <br />--� <br />_ <br />SUB TOT,!, <br />PERMIT <br />S <br />TOTAL FEE <br />S � <br />SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br />SIDE YAR7JETBACK <br />yy <br />STREET&BACK <br />REAR Y,6j3j1 SETBACK <br />aw <br />PLAN CHECK NUMBER <br />PLAN CI4ECK FEE <br />FEE IM)2 9ECIL". <br />USE ZONlij.3 <br />LOT AREA <br />Vt ANT SITE <br />LJYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DIyELLING <br />UNITS (� <br />I <br />BUILDING <br />EEyye� <br />S <br />SIZE OF BLDG. <br />NO. OF SkDRIES <br />MAX. OCC. LOAD <br />PLUMBING <br />�N�� <br />W <br />FIRE ZOI <br />`j <br />BASEMENT <br />FIRESPRINKLER5 <br />ED 8NO <br />R OYES <br />MECHANICAL <br />��1 00 <br />SPECIAL CONDITIONS: <br />OTHER <br />PENEL fY <br />SEC. 30319) <br />T— <br />II <br />TOTAL <br />'ERMIT VALIDATION <br />VHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />