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the ELclynrn <br />CITY OF <br />everett <br />CITY HIAL 1S11/1f <br />EYE ME I I, WISHINGION <br />MINE <br />DEPT. OF COMMWIIY BUILDING <br />Olm"M[HT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everetl <br />PLUMBING <br />OWNER NIAI� ADDRESS ZIP PHONL <br />Tin oomm chi: u-'m ! icm, 3521 HWt 9020L 859 W46 <br />ARCHITECT OR DESIGNLRiADDRESSPHONE LICENSL NO. <br />til MAIL <br />1'y4ataTNt �,l DUUMM <br />% <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />1r4ft Olyetl morl►un P.O. am !m "awdl3s 9;km <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />LU <br />m <br />PERMIT <br />15 BUILDING O PLUMBING [MECHANICAL <br />CLASS OF WORK <br />19NEW []ADDITION []ALTERATION ❑REPnIH <br />= <br />VALUATION O�(F1/WORF�KP�cc <br />S 1730 R.y�om <br />— -- <br />[I DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />Q. <br />DESCRIBE WORK <br />c <br />2157 <br />PROPOSLD USE <br />0N mw <br />MECHANICAL <br />TYPEOFFUEL [-]OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />L' GAL DESCRIPTION OF PROPERTY (SHOW RELOL 01, ATTI CH <br />FOU Rf�P1 ES) W <br />LOT /_- BLOCK —OF— <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />§ 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB 4f BJ-:I __ , <br />UAW <br />WALL HEATERS-B.T.U. Al <br />UNIT UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET (TOILET) <br />§ <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL § <br />1 <br />DISHWASHER <br />- -- <br />PERMIT S <br />LAUNDRY TRAY <br />TOTAL FEE $1 <br />Aw ivw <br />CLOTHES WASHER <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-R AINLEADE R_S <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />§ <br />$ <br />TOTALFEE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REAR YARDSETBAC <br />PLAN CHECK NUMBER <br />y1 <br />iI�LK7 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />A�701l17fv�, <br />USE ZONE <br />LOT AI?EA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE WNST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />. <br />III <br />BUILDI!.G <br />�ey� �y� <br />5 2Iy*�00 <br />,3. T!O <br />SIZE OF BLDG. <br />NO. OF ST fHES <br />MAX. OCC. LOAD <br />PLUMOING <br />�� bO <br />FIRE ZyE <br />BASEMENT FIRE <br />SP'IINKLERS <br />REQUIRED a <br />❑YES SNO <br />MECHANICAL <br />�l� <br />,W po <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL. <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED FIN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />aPPLULGN MGt♦BONY <br />PI WS DIFCa[p av aIPPOY[O <br />FO iSSUANC[aY <br />