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Il <br />!I <br />rho Everyfi it <br />CITY OF <br />everett <br />CITY HALL 7.9 1114B <br />EVERETT• WA 90201 <br />CONSTRUCTION <br />PERMIT 0 <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />evercltt <br />c'/7 <br />UWNLH MAIL AUUIILSS LIP PHUNL <br />CITY Or- 5V617,1= 1 C �oz w�'6moP.� q?wt 2" nfel <br />m <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />)F �713 <br />349 �6 Z <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NU. <br />CirY of FI��7T 3ooz w�TnLoQG 2s� SIC)( <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />ir,/�7 j <br />g/03 <br />rn <br />PLUMBING CONTRACTOR MAIL ADDRESS ("HONE LICENSE NO. <br />PERMIT <br />❑COMBINATION <br />BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />�/ <br />❑NEW ❑ADDITION OO ALTE RATION ❑REPAIR <br />�1 <br />VALUATION OF WORK <br />S l/1nO <br />DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE Y/ORK <br />mmoLISH MIGCA7F'A-r4 RcoAL $L(I(.O A Ce)Wr=L RWM ON 25i FLo©f:�_ <br />PROPOSED use <br />MECHANICAL <br />Lf:GAL DESCRIPTION OF PROP--RTY ISHOW BELOW OR ATTACH <br />F OUR COPIES) ++LL'� <br />LOT-27— 3z BLOCKJ(&21F IN: MACT <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />NO, <br />TYPE OF EGUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION U ITS -H.P. EA. <br />- <br />BOILERS-H.P. EA. <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />1 <br />JOB ADDRESS �V u <br />qO2 T �� I A v� • ,&'I 'I <br />IO <br />Z I H F�o f <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS A.T.U. <br />1 <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />1 <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 />BATH TU: S <br />5 _ <br />CLOTHES WASHER <br />I <br />WATER NEATER <br />_ <br />DISH WASHERS <br />I <br />DRINKING FOUNTAINS <br />1 <br />FAG. BUILT FIREPLACE b CHIMNEY <br />1 <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS L DISP. <br />I <br />SUBTOTAL S <br />1 <br />BAR SINKS <br />PERneIT S <br />ROOF DRAINS- RAIN LEADERS <br />TOTAL FEE S <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUE. <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />CONSTRUCTION Oft WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEAEOY CERTIFY TI4AT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORnECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF W014K WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />DIVE AUTHORITY TO VIOLATE OR CANCEL TY.E PROVISIONS OF <br />ANY 0114ER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SI�:,r..{1L 5 ^? <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />f <br />—_ - <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDfiY TRAYS <br />1 <br />SUR TOTAL <br />PERMIT S <br />FEE <br />WATCH <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIC NATUIi OF CO NT RACTOA OH AVTH.AGENT OAl'E <br />SIOL YARD SETBACK <br />STIiLLT SETBACK <br />HEAR YAROSETOACk <br />PLAN CIIL K NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE IONS <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />1 <br />SIZE OF BLDG. <br />I <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />PLUMBING <br />-1 <br />Filth ZONE <br />BASLMLNT <br />P IFIL <br />RLOUIHED <br />❑YES <br />SP14INKLL145 <br />ONO <br />MECHANICAL <br />'j-- <br />�u <br />SPLCIAL CONDITIONS: <br />OTHER <br />1 <br />1 <br />I'CNALIY <br />SEC. 0001.0 <br />I <br />TOTAL <br />O j <br />/II'l I�f 111r11/.1111'111111Y 1.141M1IIIII II II IIY /.1 \'mIVI lllllll li'A11111r111\' <br />PLOMII VAI IIIAI ION <br />Wllt N I•I I.A-1 It[ Y VAI IDAI1 D ON 111115 SPACL) THIS IS YOUI11'1'.11 <br />