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Ure Etotgo t? <br />C11%0I CONSTRUCTION everett <br />pl <br />everett I PERMIT <br />CITY HALL 259 BUS <br />EVERETT. WASHINGTON G,a. <br />98101 <br />DEPT. ODEVELOPMENT BUILDING MECHANICAL PLUMBING <br />�•�•_� MAIL ADDRESS ZIP PHONL <br />Tir1lSIEn. TT• li• :iY� P 902M 25%0= <br />12(y 77 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERALrtCONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO, <br />Cr <br />W <br />m <br />PERMIT <br />BUILDING ['PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />yX1 <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />` <br />VALUATIOP O{FF WORK <br />❑DEMOLISH [I FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />C(vTqcr V" <br />LU <br />a <br />1930 <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF <br />e�PROPE PROPERTY (SHOW 6ELOW OR ATTACH <br />LOTR BLOCK 735 Or =�' ids ` <br />TYPE OF FUEL ❑OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />---' <br />._. <br />BOILERS-H.P. EA. <br />1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS 3}2� ! "ITV <br />I <br />WALL HEATERS-B.T.U. M <br />ON T HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGEHOOD <br />1 <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET (TOILET) <br />$ <br />INCINERATOR <br />1 <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUB TOTAL $ <br />- <br />I� <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />TOTAL FEE $ <br />t17W— <br />WATER HEATER <br />THIS PERMIT BECOMES NULL ANT` VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZEr IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 JAYS 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 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 />. <br />x <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />- <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />_ <br />SUB TOTAL <br />$ <br />all w— <br />PERMIT <br />TOTALFEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIUE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />-V <br />PLAN CHECK FEE <br />FEE 223 0 R EE" <br />1i�M7Sa �' <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <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 />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />ryryyyP�� //�8/Y�� <br />$ 45 O Ml� <br />�, � Co <br />PLUMBING <br />23, <br />1� <br />71 <br />I <br />I <br />I <br />FIRE PONE <br />BASEMENT FIRE <br />SPRINK LERS <br />RCOUIRED <br />❑YES ❑NO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 (a) <br />TOTAL <br />. 100 <br />PERMIT VALIUATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />a _. <br />APPLICATION ACCEPTED BY: <br />PLANSCHECKED BY: APPBD <br />EDFO ISSUANCE BY. <br />IIr <br />