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the Everq. een <br />CITY OF <br />everett <br />CITY HALL 2598895 <br />EVERETT. WASHINGTON <br />98901 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />,e PLUMBING <br />OWNER MAIL ADDRESS ZIP PHONE <br />9 ST? Ws MT. 31436 'r-F:AL <br />891r76 <br />APCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PROr N_E' LICENSE NO. <br />•w a 7jM 40a ?6t.h §p w* 9W3 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cc <br />LU <br />0] <br />PERMIT <br />MUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR <br />Z <br />r <br />VALUATION OF WORK <br />5 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />a <br />DESCRIBE WORK �yy�» jyyyry �{4 * CH�P�- �p�y atl}}�,��.,.,� <br />IM:T:+.A{T )CIM)s MAV 7-A'r PAfi4 R i1Fv t1Yr1V14♦dW- <br />7QC <br />! V V <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACK <br />FOUR COPIES) <br />LOT LOCK F ,i? !'•'.'.jam (j <br />TYPE OF FUEL ❑OIL ❑GAAS, [I LPG. ❑ ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />GAS FIRED A.C. UNITS --TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS / <br />so Ili <br />i'S .li <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYFRS <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M. <br />WATER CLOSET (TOILET) <br />$ <br />INCINERATOR <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />I <br />CLOTHES WASHER <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID W RINK OR DAYS, <br />RUIF <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 />X <br />URINAL <br />DRINKING FOUNTAIN <br />I <br />FLOOR -SINK OR DRAIN <br />VACUUMBREAKERS <br />ROOF DRAINS-RAI N LEADERS <br />SINK (SERVICE BAR. ETC.) <br />SUBTOTAL <br />PERMIT <br />5 <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT D TE I <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF COAST. <br />OCCUPANCY GROUP <br />UNITS <br />NO. OF DWELLING <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />S 2MOD <br />2h1 0 <br />API W <br />PLUMBING <br />I ,1 <br />FIRE ZONE <br />BASEMENT FIRESPRINKLERS <br />REOUIRED <br />❑YES ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL <br />1 <br />%N Qy <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />13 <br />