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1nr CEclyrcrn <br />CITY OF <br />CONSTRUCTION cvcrcti <br />everett <br />PERMIT ' <br />nxM11BRc <br />[Vl RE RFIT NRSNIN OION <br />SE10I <br />Ofll Of ExNOZBUILDING <br />MECHANICAL <br />PLUMBING <br />OI V[IOUNf II <br />.e <br />OWNER ��,.� MAIL <br />� <br />ADDRESS <br />ZIP PHONL <br />gBI <br />ARC OR DESIGNER NEF� MA DR <br />NONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />sm <br />LU <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />W <br />an <br />m <br />PERMIT <br />CLASS OF WORK <br />� <br />z <br />[]BUILDING 4PLUMBING OMECHANICAL <br />❑NEW <br />IMADDITION ❑ALTERATION ❑REPAIR <br />~ <br />VALUATION OF WORK <br />5 ❑DEMOLISH <br />[)FENCE ❑SIGN []SWIMMING POOL <br />6 <br />DESCRIBF WORK <br />�s cm na G '"rtr t7 TEL{t i.mtWo m0 � %aye !t pit fmtt <br />3A�� <br />n1 n ,^.I <br />MECHANICAL <br />TY EO _FUEL dun GAS. LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIE31 <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />LOT BLOCK --OF <br />AIR COND. UNITS-H.P. EA. <br />111 1 <br />REFRIGERATION UNITS-H.P. EA. <br />_ <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M Eq. <br />I <br />JODRESS <br />WALL HEATERS-O.T.U. M <br />UNIT HEATERS-B.T.U, M <br />I <br />�IMQ <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />—T <br />VENTILATION FAN _ <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />5 <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUB TOTAL t <br />DISHWASHER <br />PERMIT III <br />LAUNDRY TRAY <br />TOTAL FEE B <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />WATER HEATER <br />TION AUTHORIZED 15 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 />URINAL <br />_ <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />WREAKERS <br />VACUUM BREAKERS <br />'}— <br />ROOF DRAINS EA DE R_S <br />_ _ _. <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />—" <br />DIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SUBTOTAL <br />PERMIT <br />f <br />_ TOTAL FEE <br />$ <br />SIGNATURE OF CONT FACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <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 />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. OCCUPANCY GROUP NOOF DWELLING <br />UNITS <br />SIZE OF SLOG. NO. OF STORIES <br />VAX, OCC. LOAD <br />BUILDING S I _ <br />PLUMBING I� <br />IRE N BASEMENT RFOUIRED IN R <br />❑YES []NO <br />M — <br />MECHANICAL T INB <br />SPECIAL CONDITIONS'. <br />OTHER I <br />PENELTY SEC. 303 (N) <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PE RMII <br />•WL"A11ON.CCITTEB BY PLANSINECREOBY. sPPPOVf0 FOA ISSUANR BY <br />goes loco <br />0 <br />