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thesmrgreen <br />CITY OF <br />everett <br />CITY HALL 2B8855 <br />EVERETT. WASHINGTON <br />BFNI <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />Everett <br />PLUMBING �e <br />OWNgEE R���Jy� MAIL ZIP I'IIU P:L <br />�aaADDRESS <br />:i:P.Tlii� � ><iB1�d �RPi yAs <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL �CO�N}T�RAC�T�OR MAIL ADDRESS PHONE LICENSE NO. <br />YiAFE1 1iNXtb <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />03 <br />PERMIT <br />❑ BUILDING ❑ PLUMBING [][MECHANICAL <br />CLASS OF WORK <br />0NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />z <br />1- <br />VALUATION OF WO"6 <br />S <br />❑DEMOLISH []FENCE ❑SIGN []SWIMMING POOL <br />0= <br />LU <br />DESCRIBE WORK »�wJ�j=•M i7V aye w � <br />WW <br />020 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAAS. ❑LPG. ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />41R COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />_ <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR S`/STEMS-B.T.U. M EA. <br />JOB ADDRESS �`�� <br />IWO an no <br />WALL HEATERS-B.T'.U. _M <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />_ <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />AIR HANDLING UNIT— C.F.M. <br />1,10. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET ITOILETI <br />g <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />_ <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT $ <br />OD <br />LAUNDRY TRAY <br />TOTAL FEE $ <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 CO--..IMENCED. <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 PILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. l IE 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 1 <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS AIDERS <br />SINK (SERVICE —BAR. ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTALFEE <br />$ <br />5jrNATURE OF CON TRACT <br />O RAUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />AN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL <br />FO <br />- - <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />+�.�•�, <br />w �� <br />APPLICATION ACCEPTED BY: <br />PLANSCNECKEDBY: ]A7"RDVEDFOR <br />ISSUANCE BY. <br />