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I the Fvr.rr�reen <br /> CITY OF CONSTR UGTION everett <br /> eve�ett PERMIT <br /> Cliv HBII ]59�8g65 <br /> EVEPCiT,1YASNINGION <br /> 98101 <br /> °`°' °"°°,M°""" BUILDING MECHANICA!_ PLUMBING <br /> ucvc�avmcxr <br /> OWNER MAIL ADDRESS ZIP PHONE <br /> $=:xl?�., J!'d:{':i �?� <br /> ARCNITECT OR OESIGNER MAIL AOORESS PHONE LICENSE NO. <br /> GENEyFnAL COPlTql�CTOR MAIL ADDRESS PHONE LICENSE ND. <br /> �T'F. <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. <br /> �f':�..Yj ,�A' C� :lii\"Y+�T� <br /> PLUMBING CONTRACTOR MAIL ADORESS PHONE LICENcE �JO. � <br /> W <br /> m <br /> PEqMIT CLA55OF WORK � <br /> � <br /> Z <br /> ❑BUILDING � PLUMBING �MECHANICAL y, � <br /> QJNEW ❑ADDITION ❑ALTERAI'ION ❑flEPAIft <br /> VALUATION OF WORK � <br /> 5 ❑DEMOLISIi ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIBE WORK a <br /> a•'```' �'' '`�='^�r' 688 � <br /> PROPOSED USE —� <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PqOPEFTY ISHOW BELOW OR ATTqCH TVPE OF FUEI QpIL �Gqns. �LPG. �ELEC. <br /> FOUR COPIESI <br /> LO7 BLOCK_pF NO• TYPE OF EQUIPMENT FEE <br /> AIR COND. UIJITS-H.P. EA. g � <br /> fiEFfiIGERAI'ION UNITS-H.P. EA. <br /> --' �OILERS-'l^ Fq. � <br /> GAS FIflED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-e.T.U. M EA. <br /> JOB ADDRE55 <br /> W;/� M� r„vf��;-5:'� u WALL HEATERS-B.T.U. M � <br /> 'lfif�7a VS . � � UNIT HEATEFS-F3.T.U. M � <br /> PLUMBING EVAPORATIVECOOLEflS <br /> CLOTHESORYERS � <br /> VENTILATION FAN <br /> RANGE FI00� � <br /> P19• TYPE OF FIXTURE OR ITEM FEE �+IR HANOLING UNIT- C.F.M. <br /> WA7ER CLOSET�TOILETI S INGINERATOF � <br /> BATHTUB <br /> LAVATORVIWASHBASINI <br /> SHOWER � <br /> KITCHEN SINK& DISP. <br /> OISHWASH�R SUBTOInL 5 <br /> LAUNDRV TFiqV PERMIT 5 <br /> CLOTHE�WASHER TOTAI.FEE 5 <br /> WATER HEATER TIi15 PERMIT BECOMES NULL ANO VOID IF WORK OR COhSTPUC- <br /> VRINAL --f— TION AUfHORIZED IS NOT COMMENCEO WITHIN 120 OAVS, OR IF <br /> CONSTflUCTION Oft WORK IS SUSPENOED OR AfIANO(1NE0 FOR A <br /> DRINKING FOUNTAIN � PERIOD OF 120 �AVS AT ANY TIME AFTER WORK IS GObiMENCE�. <br /> FLUOq-SINK OR �RqIN I HEREBY CERTIFV THAT I HAVE READ AND EY.AMWLD THIS AP- <br /> VACUUM BREAKERS PUCATION AND KNOW THE SAME TO BE TRUE AND CGflRECT. AI.L <br /> Li00F ORAINS-RAIrlLEADERS PR�VISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE <br /> SINK ISEflVICE-BAR, ETC.1 nF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN <br /> 0Ii NOT, THE GRANTING pF A PEFMIT DOES NOT PRESVME TO <br /> GIVE AUTHOPITY TO VIOLATE OR CANCEL TliE PROVISIONS OF <br /> ANV OTHER STATE OFl LOCAL LAW REGULATING CONSTRUCTION <br /> SUB TOTAL OFi THE PEFFORMANCE OF CONSTRUCTION. <br /> PERMI- 5 --f <br /> TOTA�FEE _� <br /> x � .� SV <br /> SIGNATUREOFCONTFiACTOftORAUTH.AGENT DATE <br /> SIDE YARD SET�ACK STREET SETBACK qEAR YARDSETBACK ALAN CHECK NVMBER PLAN CHECK FEE <br /> FEE RECE�PT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TYP[OF CONST. OCCUPANCV GROUP NO.OF DWELLING — <br /> UNITS <br /> I <br /> I <br /> SIZE OF BLDG. NO.OF STOR.IES MAX. OCC. LOAO BUIL�ING $ I <br /> I <br /> FIRE EONE BASEMENT PLUMOING � <br /> fliiESPRINKLERS <br /> Rf�UIRED <br /> ❑YES ❑NO MECHAHICAL � <br /> SPECIAL CON�ITIONS: OTHER I <br /> I <br /> —T <br /> — PENELTY SEC.3031a) � <br /> TOTAL � fy� <br /> W <br /> PERMIT VALIDATION <br /> WliEN VFOPERLY VALIDATGD(IN THIS SPACE) TI115 15 VOUN PEFMIT <br /> APPLICAiION�CC[PIEDOV' PL�I.SCHf.CKE�BY: pPPpOVEpFyOp1iSUPNC[9Y. <br /> �V L'• <br /> n, <br /> �� - <br />