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thc Evergicen <br />CITY OF <br />everett <br />cnv�au }y9B025 <br />EVEPEri,1�q5NIxGiON <br />9fl101 <br />OEPL OF C061M1IOYItY <br />DEV[LOiAIENi <br />BUILDING <br />COIVSTRUCTION <br />PERMIT <br />MECHANICAL PLUMBING <br />everett <br />OWNEft ` r� MAIL A[tOFiESS 21P PIiONE ^ <br />. _ '�ai�. W/�-� . �f� ��T��.+�..1^ . •t a/1��r� <br />ARCHITECTOROESIGNEfi MAILADOHESS PHONE LICENSENO. • <br />GENERALCONTFACTOfl MAIL ADDRESS PMONE LICENSENO. <br />T..t•.- -.p� cr � a(.: f f�n • <br />MECHANICALCONTRACTOR MAI� ADDRESS �HONE LICENSENO. <br />PLUMBING CONTFACTOR MAIL ADDRESS PHONE LICENSE NO. � <br />W <br />m <br />� <br />PERMIT CLASS OF WORK � <br />z <br />QBUILDING ❑PLUM6ING �MECHANICAL F- <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR � <br />VALUATION OF WOFK n � <br />5 9t1f1�� ❑DEMOLIShI ❑FENCE CFSIGN ❑SWIMMING POOL a <br />� nr <br />DESCFIBG WORK p S ry <br />�p.,..r:i �''Gi' i�ai:".-i's"'� ii:'Ci� �01G <br />PROPOSED USE MECHANICAL <br />TYPEOFFUEL �OIL �NAT. �LPG. �ELF.. <br />LEGAL DGSCRIPTION OP F'ROPERTV (SHOW BELOiN OR ATTACH GAS <br />FOUR COPIE5) <br />LOT �LOCK—OF NO. TYPE OF E�UIPMENT FEE <br />AIR COND. UNITS-H.P. EA. 5 I <br />REF-RIGERATION UNITS-H.P. EA. �— <br />601LEft5-H.P. EA. I <br />GAS FIFED A.C. UNITS-TONNAGE EA. <br />FORCE� AIR SVSTEMS-�.T.U. M EA. I <br />JOB ADDRESS y..�tr WALL HEATERS-B.T.U. M <br />�� ��,� `�'� SV �;�"= UNIT HEATERS-�.T.LI. M I <br />EVAPOFATIVECOOLEFS � <br />PLUMBING CLOTHES DFVERS I— <br />VENTILATION FAN �— <br />RANGEHOOD I <br />MO. TYPE OF PIXTURE OR ITEM FEE �+�R HANDLING UNIT- 0.F.M. <br />WATER CLOSET(TOILET) 5 INCINERATOR I <br />UATHTUB <br />LAVATOfi1' IWASH BPSIN) � <br />-- SHOVJER <br />KITCHEN SINK & DISP. SU� TOTAL 5 � <br />OISHWASHER PERMIT 5 �— <br />LAUNOqY TRAY TOTl�L FEE 5 <br />— —� I <br />CLOTHGS WASHER _ THIS PERMIT BECOh1ES NULL AND VOID IF WORK OR CONSTRVG <br />WATER HEATEfi TION nUTHOftIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />URINAL CONSTRUCTION OH WORK IS SUSPENDED OR ABANDONED FOA A <br />DRINKING FOUNTAIN PE(iIOD OF 120 DAYS /1T /�NV TIME AFTEft WORK IS CnMA1ENCED. <br />FLOOR-SINK OR DRAIN I HEHEBY CERTIFV THAT I HAVE READ AiJD E%AMINED THIS AR <br />VACUUM OREAKERS PL�CATION AND KNOW THE SAME TO BE TRUE AND COftRECT. ALL <br />FOOF DRAINS-RAINLEAOErlS PAO`✓ISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br />OF WORK WILL 6E COM1IPLIED WITH WHETHEfi SPECIFIED HEREIN <br />SINK (SERVICE-BAR, ETC.) O(i NOT, THE GRANTING OF A PERMIT DOES NOT PRESUAtE TO <br />� GIVE AUTHORITV TO VIOLATF. OR CANCEL THE PROVISIONS OF <br />ANV OTHEF STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />+_ OR THE PEFFOF.MANCE OF CONSTRUCTION. <br />S'JB TOTAL I <br />PERMIT 5 <br />'�OTAL FEE 5 � <br />x 1? i <br />SIGNATUFEOFCONTfiACTOFOflAUTH.AGENT DATE <br />SI�E VARC� SPT6ACK STREET SSTBACK REAR YAFOSET�l�CK PLAN CHECK NU�10Efi PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE L0T/1REA VACANTSITE <br />❑YES ❑No FEES VALUATION FEE <br />TVPE OF CONST. OCCUPANCY GQOUP NO.OF OWELLING <br />UN�T$ � <br />SI2EOFBLDG. NO.OFSTORIES MAX.00C.LOAD BUILDING S ��� <br />PLUM6ING � <br />FIRE20NE �ASEME�;T RCaUIREIpNKLEFS i <br />❑VES ❑NO MECHA�JICAL I <br />SPECIAL CONDITIONS: OTHER � <br />I <br />PENELTV SEC.3031a1 � <br />TOTAL � j t�iY <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATE� (IN TNIS SPACEI THIS IS VOUR PEFMIT <br />�PI'LICATIONACCFPT[D8V'. PlAfl5U1CLKE00Y. APVIiOVEpD05155UANCE�Y. <br />1.� Cif <br />7 <br />