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Urr F1".1 vicen <br />CI IN JI <br />everett <br />CITY HALL 1S988t9 <br />EVERETT. WASHINGTON <br />9RA1 <br />OEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING .e <br />OWN�S I1,,ee,,�� MAIL ADDRESS �Nf ZZ��IyPE� PHONE <br />iil wua VA" AZ a* QQ 5*2M <br />ARCHITECT OR DESIGNER MAILADDRESS PHONE LICENSE NO. <br />- U35f) <br />MMJJ-��ff �� <br />1f� GENERAL CONTRACTOR MAIL ADDDR�ESS .y�P'HP'ONEC��.i���NFN LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Ul <br />EO <br />PERMIT <br />TnBUILOING ❑ PLUMBING ❑ MECHANICAL <br />-- <br />CLASS OF WORK <br />NEW ❑gDDiTION ❑ALTERATION ❑REPAIR <br />z <br />L.. <br />VALUATION OF WORK <br />❑DEMOLISH []FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK � <br />.F m"n my oa amnia roe.--_-.___ <br />LU <br />a. <br />1261 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <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 />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 ADDRESS <br />WALL HEATERS—B.T.U. M <br />UNIT IIEATERS—B.T.U. M <br />I <br />PLUMBING <br />EVAPO RATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M. <br />WATER CLOSET (TOILET) <br />g <br />INCINERATOR <br />1 <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />I <br />SHOWER <br />1 <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />1 <br />DISHWASHER <br />PERMIT $ <br />[-- <br />LAUNDRY TRAY <br />TOTALFEE $ <br />i <br />CLOTHES WASHER <br />NE <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 />1 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 />x <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />_VACUUMBREAKERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUB TOTAL <br />$ <br />_ PERMIT <br />TOTAL FEE <br />$ <br />SIG NAT U R E OF CONT RACTO R O R AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES [:]NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS <br />1PPyya <br />BUILDING <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />DYES [:]NO <br />MECHANICAL <br />1 <br />SPECIAL CONDITIONS' <br />OTHER <br />i <br />1 <br />PENELTY <br />SEC. 000 (BI <br />I <br />TOTAL <br />j— <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />p <br />APPLICATION ACCEPTED BY. <br />&Ci <br />PLANS CHECKED BY: APPROVED <br />FOR ISSUANCE BY. <br />xxT <br />i <br />