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floc fyc1g11'c1) <br />CITY OF <br />everett <br />CITY HALL 2500/4 <br />5 <br />EVERETT. WA 0U201 <br />r INSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everelt <br />C., <br />OWNL 11 MAIL AUU111-59 <br />LIY VRUNL <br />( �/7 Li C-Nf2 NO. <br />ARCHITE1CTIQB ULSI NkR MAIL AUDIIESS <br />PHONELICENSE <br />3 <br />b)h, 0lley--� "11Y-3''Aue <br />Caa? 033/ <br />-I <br />nc�bseN <br />GENERAL CONT ACTOR MAIL AUGHESS <br />LICENSE NJ <br />PHONE . <br />Z <br />C <br />1 <br />MECHA ICAL CONTRACTOR MAIL AU RL55 <br />PHONE LICENSE NO. <br />co <br />/ <br />NO. <br />T7 m <br />P/yU� KINnG CON7 R/ACTOR MAIL ADO RE55 <br />PHONE LICENSE <br />q <br />//I.P.L(�Nh: 6.�%•://iP (., o. /C7[ -s �. {. <br />(^ <br />1�{/O✓ �1n-O - 'm-X�✓b <br />9 <br />PERMIT CLASS OF WORK <br />1] COMBINATION <br />❑BUILDING xP LUMBING ❑MECIIANICAL ❑NEW ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />DEMOLISH <br />❑: ENCE []SIGN❑SWIMMING POOL <br />Jy, <br />It <br />DESCRIBE WORK <br />z-/ s) <br />PROPOSED USE <br />MECHANICAL <br />r:J 1'Y)Q I^•1 /� L TYPE OF ENERGY <br />[]GAS ❑ELFC. <br />LEGAL DESCRIPTION OF PROPS RTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />NO. OF EQUIPMENT I FEE <br />LOT BLOCK —OF <br />__TYPE <br />Al.-. CORD. UNITS-H.P. EA. S 1 <br />REFRIGERATION VIJITS -H.P. EA. <br />B OILI.RS-H.PP EA—L 1 <br />- <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADO RESS /O4// f-� <br />$PACE b WALL HE AlERS - B, T. U. <br />1 <br />UNIT HEATERS B.T.U. <br />off/ .3C "'' T'�' �' <br />EVAPORATIVE COOLERS <br />, <br />'PLUMBING <br />CLOTHES DRYERS <br />_T <br />VENTILATION FAN <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM — <br />FEE <br />T <br />AIR HANDLING UNIT- C.F.M. <br />1 <br />RATH TUBS <br />S <br />---- <br />CLQTHEj c:ASHER <br />WATER <br />HEATER <br />DISH l'JA$HE RS <br />_ <br />I <br />FAC. BUILT FIREPLACE b CHIMNEY <br />1 <br />DRINKING FN OUTAINS <br />I <br />GAS. Sy STEM: NO O, OUTLETS__ <br />FLOOR DRAINS <br />I <br />SUO TOTAL 5 <br />I <br />KITCHEN SINKS b UISP. <br />I <br />PERMIT S <br />TOTAL FEE S I <br />BAR SINKS <br />ROOF DRAINS - RAIN LEADERS' <br />TH15 PERMIT BECOMES NULL AND VOID IF WORK OR CO NSTRUG <br />_ <br />SHOI'dFR BATHS <br />--i <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR AHANDONEO FOR A <br />PERIOD OF 120 DAYS AT ANY 7BAC AFTER WORK IS COMMENCED. <br />1 HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS AP <br />_ <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />y <br />URINALS <br />CLOSETS <br />I <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />ORDINANCES GOVERNING THIS TYPE <br />_ <br />_WAT_EH <br />WATER HEATER$ -ELECTRIC <br />I <br />1 <br />PROVISIONS OF LAWS AND <br />OF WORK WILL BE COMPLIED WITII WHETHER $PE CIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />ANY 01 HER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR T11E PERFORMANCE Of CONSTRUCTION. <br />I <br />I <br />' <br />SUB TOTAL <br />< I11 <br />-- <br />X ° / <br />T� <br />PERMIT SI <br />AL FE `2 <br />TOTE <br />BLDG. SUPPLY SIZE <br />. <br />SIGNATURE OF RACTOROR AVTHAGENT DATE <br />VATER SERVICE SIZE_ <br />STI{LET SETBACK NEAR YARD $k TRACK <br />PLAN CHECK NU1dBE11 PLAN CHECK FEE <br />iIOE YARDSETBACK <br />FEE RECEIPT NO. <br />USE ZONE LOT AREA VACANT SITE <br />❑yE5 []NO <br />._ <br />FEES <br />- VALUATION <br />FEE <br />EYPE OF CONST. OCCUPANCY GROUP UNITSNO OF DWELLING <br />_— <br />BUILDING <br />5 <br />AZE OF BLDG. NO. OF STORIES MA%. OCC. LOAD <br />I <br />--- r-- <br />— <br />— <br />I <br />PLUMBING <br />I <br />-_—I <br />Ilik ZONE BASEMENT FAIL SPIHNKLLIIS <br />R <br />-- <br />❑YLISED []NO <br />MECHANICAL <br />- <br />I <br />IPECIAL CONDITIONS' _ <br />OTHER — <br />I <br />PFN A LIY <br />SEC. 3030) <br />TOTAL <br />PE IHAIT VAI_IDAI ION <br />_ ............. <br />WIII N,'IIUI•I In Y VAI HlA1111'- • II'll "' "-" • ^•^ ••• . <br />c <br />��-•-iN\I. III �\ `I fr/.I IIII\I\..Y'^ <br />u'I'InrvillHnl l;'.IInV 1 P( <br />