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the c'vergrecn <br /> CITV OF C011iSTRUCTION everett <br /> everett PERMIT <br /> CItY IIqLL 1598885 <br /> EVEflEii.NASNINLi�N <br /> 9fi101 <br /> °"` °"°M"°"'�" BUILDING MECHANICAL PLUMBING <br /> oEVE�avn�Enr <br /> OWNER MAIL ADDRESS 21P PHONE <br /> I 1 <br /> t:��/\1�"�� C{Q� � c . <br /> �`�`'�' �n.fG�� <br /> ARCHITECTOflDE51GNER � MAILADDRESS PHONE LICENSENO. �G� -`(� <br /> GENERALCONTRACTOR MAILADDflE55 PHONE LICENSENO. <br /> �.o,c.�cJ <br /> MECHANICAL CONTRACTOR MAII AODRE55 PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL AODRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PEFMIT C�ASS OF'NORK � <br /> z <br /> [L]'BUILDING [a}PLUMBING �'MGCHANICAL �� I"' <br /> LJNEW ❑ADDITION ❑ALTEFATION ❑REPAIR � <br /> VALUATION OF WORK K <br /> 5 ���, S'� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCRIBE WORK <br /> it/E�-� ,C�'4�vc�- 216 4 <br /> PROPOSED USE <br /> MECHANICAL <br /> TVPEOFFUEL �OII_ �NAT. �LPG. �ELEC. <br /> LEGAL nESCFIPTION OF PROPEFTV fSHOW BELOW OR ATTACH GAS <br /> FOUR WPIE51 /�7s�i <br /> LO7 � BLOCK 5 oF �• /--�'R-' NO. TVPE OF EQUIPMENT PEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> flEFRIGEFATION UNITS-H.P. EA. <br /> F301LER5-H.P. EA. I <br /> GAS FIREU A.C. VNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS--B.T.U. M EA. I <br /> JOB AO�FESS WALL HEATERS-B.T.U. M <br /> � �/ �G��^)� �� UNIT HEATERS-B.T.U. M I <br /> EVAPO(iATIVE COOLEFS <br /> PLUMBING / CLOTHESDRVERS i <br /> VENTILATION FAN <br /> / RANGENOOD I <br /> NO. TVPE OF FIX7URE OR ITEM FEE AIR HAN�LING UNIT- C.F.M. <br /> WATER CLOSET(TOILETI 5 �NpNEFATOR I <br /> � BATHTUB � l GC� <br /> LAVATORY (WASH BASINI � <br /> SHOWER <br /> / KITCHENSINK& DISP. SUHTOTAL S � <br /> j DISHWASHER PERMIT 5 <br /> LAUNDRY TRAV TOTAL FEE 5 I <br /> / CLOTHES WASHER THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC- <br /> WATER HEATER TION AUTHORIZEO IS NOT COMMENCEO WITHIN 120 OAVS, OR IF <br /> URINAL CONSTflUCiION OR WORK IS SUSPENDED OR ABAN�ONED FOR A <br /> DRINKING FOUNTAIN PERIO� OF 120 DAYS 11T ANV TIME AFTER WORK IS COMMENCED. . <br /> FLOOR-SINK OR DRAIN � HEREBV CERTIFY THAT I 11AVE READ AND EXAMINED THIS AP� <br /> VACUUM BREAKEqS PLICATION AND KNOW THE SAME TO BE TftUE ANO COFFECT. ALL <br /> PROVISIONS OP LAWS AND ORDIPIANCES GOVERNING THIS TVPE <br /> ftOOF DRAINS-RAINLEAOERS OF WORK WILL BE COMPLIED WITH WHeTHEfi SPECIFIED HEREIN <br /> SINK (SERVICE-BAR, ETC.) OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> I�NY OTHER STI�TE OR LOCAL lAW REGULATING CONSTRUCTIGN <br /> OR THE PERFORMA^.ICE OF CONSTRUCTION. <br /> SUB TOTAL - . <br /> PEfiMIT 5 3 �' <br /> TOTAI. FEE 5 Zi —' <br /> X <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT OATE <br /> SIDE YAR�SET6ACK STREET SETOACK REAft VAfiOSET�ACK PLAN CHECK NVMBER PLAN CHECK FEE <br /> � � /�� � 2c�� (� FE.E/ RECEIPT NO. <br /> USEZ�O7NE �OTAREA VACANTSITE •�7//J � /�Q�G �(� <br /> /G -I �vEs ONo FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING ' <br /> UNITS I � <br /> SI2E OF 6LOG. NO.OF STORIES MAX.00C. LOAD BUIL�ING 5 2�� �U r-- <br /> PLUMBING 23 � — <br /> =1REZONE BASE�M/ENT FIRESPRINKLERS <br /> 3 /�/u RQUESEO [�}1Q0 MECHANICAL �(D I' <br /> SPECIAL CONOITIONS: OTHEfl � <br /> I <br /> _ PENELTV SEC. 9091a1 1 <br /> ---- TOTAL � <br /> �[� I_ <br /> PERMIT VALIDATION <br /> — WHEN PROPERLV VALIDATED (W THIS SPACE)THIS IS VOUR PERMIT <br /> PPI'LIL�t10NACCEPTEppY' PLANSLNECKEDBY: APPOOVEOPONISSU�NC[DY. <br /> � <br /> ��i• <br />