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evereft <br />everett PERMIT <br />CITY HALL 2S99OES <br />EVERETT. WASHINGTON <br />9I1291 <br />°`PT °"°""°"TY BUILDING MECHANICAL PLUMBING ,e <br />B[VCIOPMCNi <br />i <br />OWNER MAIL ADDRESS ZIP PHONE <br />! Ya Y• <br />id,}i7 <br />ARCHITECT'ES OR DIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENE RAL CONTRACTOR MAILADDRESS rP HHOONN.NEry� LICENSE NO. <br />2. <br />% <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />D: <br />W <br />m <br />PERMIT <br />E� BUILDING QPLUMBING MMECHANICAL <br />I3 <br />CLASS OF WORK <br />Y L�E�� EW ❑ADDITION ❑ALTERATIO. F]REPAIR <br />z <br />F <br />� <br />LU <br />VALUATION OF WORK <br />$ `%0sVNINE oo <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING I'UOL <br />DESCRIBE WORK E.ENpa �IN��N NyN -N���E9 <br />s 11 W N11F/.A� <br />''77 ppS <br />288 <br />p <br />PROPOSED USE <br />MECHANICAL <br />N. <br />TYPE OF FUEL (j011 ❑GAS ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR CO,P_IIEyE�S�) <br />LOT V BLOCK F3' F <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />_ <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR S'(STEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS �yy <br />wy <br />a�QD t7"tA <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 />VENTILATION FAN <br />RANGEHOOD <br />I <br />N <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET (TOILET) <br />S <br />INCINERATOR <br />I <br />BATHTUB <br />---T <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />_ <br />SUBTOTAL $ <br />( W <br />DISHWASHER <br />1 <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTALFEE S <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 .20 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I 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 <br />OR NOT, K THE ICOMPLIEDLL BE WHETHER <br />GRANTIINGOF A ERM TDOES NOT (PRESUME TFIED O <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 />ry�� p. <br />X 1/4 ff <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />I <br />—+ <br />HOOF DRAINS-RAINLEADE RS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />S <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />L��//O�N <br />STREETSETBACK <br />{AREA <br />REAR YAROSTBAC <br />PLAN CHECK NUMBER <br />77 <br />rAW <br />PLAN CHECK FEE <br />FEE r ry RECEIPT. <br />`� <br />USE ZONE <br />C-4 <br />LOT AREA <br />VACANT SITE <br />EXES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TVPE. E CSir <br />OCCUPr-e 911pu UNITS <br />bSTORIES j� <br />DWELLING <br />I <br />BUILDING <br />S '�, • <br />.7� 00 <br />S1ZEj0%_ _F BLDGj G.. <br />NO. OF <br />2 <br />MAX. OCC. LOAD <br />PLUMBING') <br />0 <br />0 <br />FIRE ZONE <br />2 <br />BASEMENT FIRE5PRINKLERS <br />RrQUIREO <br />rA <br />{{11//�1 <br />[DYESpNO <br />MECHANICAL <br />20100 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />1 <br />PENELTY <br />SEC. ]091a) <br />I <br />I <br />- <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED ECR ISSUANCE BY <br />Q <br />