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the Evetywen <br />CITY of: <br />everett <br />CITY HALL 7511 0`15 <br />LVERETT, WA UU201 <br />COINISTRUCTiON <br />PERMIT <br />COM13INATION - BUILDING - MECHANICAL - PLUMBING <br />cvcrclll <br />OWN I MAIL AUURLSS ZIP f•IIONL,�,, <br />r q <br />Af CHITL T Oft UE5IGNL.4 MAIL AUDIIESS PHONE LICLNSL NU. <br />L IT! <br />GENE HAL CONTRACTOR MAIL ADDRESS w PHONE LICENSE NO. <br />Sol gt,,/ ss , /, dA 2i2o e,/� Zo o-19y?u 50-HN�OKRog <br />Z <br />oz C <br />MECHANICAL CONTBACTC� MAIL AD LSS <br />W <br />rn <br />PLUMBING CONTRACTOR MAIL ADDRLSS PHONE LICENSE NO. <br />PERMIT <br />❑COMBINATION <br />�j BUILDING ❑ PLUMBING [:]MECHANICAL <br />�`� <br />CLASS or WORK <br />4,.� <br />❑NEW []ADDITION ❑ALTERATION IRfiEPAlfI <br />VALUATION OF WORK,/ <br />S V 5 <br />r P� <br />[I DE MOLISI/ ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />C� �% <br />�Da � nar JPc'% �I,ol l��:.. <br />rllovoseD use <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERW OR ATTACH FIT (SHOW BE <br />POUR <br />Sj COPIES I I A� <br />LOT(J_[_40LOCY. 3% OF -'4, n - ' / �/ /G i <br />NO. <br />TYPE OF EDUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />REFRR IGEAT IUN U14ITS -M.P. EA. <br />BOILERS-H.P. EA.-�— <br />5 I <br />'T <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />I <br />JOB ADDRESS <br />SPACE & WALL 14EATERS - B.T.V. <br />UNIT HEATERS A.T.U. <br />L V APORAT I V L COOLERS <br />PLUMUING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />1 <br />--' <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />S <br />j <br />AIR HANDLING UNIT- <br />RATIO T'URS <br />CLOTHES WASHER <br />WATER_ I/EATER <br />I <br />_ <br />OISH WA$IIE RS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />NG FOUNTAINS <br />DRINKING <br />� <br />GAS. SYSTEM: NO OP OUTLETS <br />DRAINS <br />1 <br />SUB TOTATA L S <br />Y.ITCIOEN SINKS & DI$P. <br />1 <br />_ <br />UAR SINK$ <br />1 <br />PERMIT S <br />_ <br />ROOF DRAINS - RAIN LEADERS <br />1 <br />TOTAL FEE S1 <br />I <br />SHOWER 0AT'HS <br />1 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUE <br />TION AUTMORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />PECONSTRUCTION RIOD OF1ISSUSPENDEDORK IS 0 DAYS ANY TIME AFTER WORK SCOMMENCED. <br />I HEREBY G THAT 1 HAVE READ AND EXAMINER THIS AP - <br />AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TII IS TYPE <br />DP 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 0114ER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TIIE PERFORMANCE OF CONSTRUCTION. <br />1 <br />X <br />SIGN URFOF O Tf1ACl OIIOR AUTII. AGENT GATE <br />SERVICE SINKS <br />SUMPS -SEWAGE PUMP <br />, <br />URINALS <br />_. <br />i <br />_ <br />_ <br />WATER CI OEETS <br />WATER <br />1 <br />WATER - ELECTRIC <br />1 <br />_ <br />SINSHEATERS <br />WASH BASINS <br />_ <br />LAUNDRY TRAYS <br />T <br />1 <br />I <br />I <br />SUB TOTAL <br />, <br />_ <br />PERMIT S <br />TOTAL FEE <br />4YATER <br />SERVICE $IZE BLDG. SUPPLY <br />SIZE <br />SIUL YARD SETBACK. <br />STRLLT SETBACK <br />HLAH YARD SL T BACK <br />P1 AN CHECK NUMBLR <br />PLAN CHECK FEL <br />FEE RECEIPT NO. <br />1 <br />_ <br />VSE ZONE <br />LOT AREA - <br />VACANTSITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />T YPL OF CONST. <br />OCCUPANCY GROUP <br />NO.OI' DWELLING <br />UNITS <br />1 <br />BUILDING <br />S 0 7,4- <br />14,6 <br />SIZE OF BLDG. <br />NO. OF STORMS <br />MAX. OCC. LOAD <br />PLUMBING <br />1:111L ZONE <br />0 4SLMLNT <br />FAIL SPRI NKLf. I IO <br />RLOUIRED <br />❑YES ONO <br />MECHANICAL <br />I <br />SPECIAL CONUITIGIJ:: <br />(I TIIE IT <br />I <br />I <br />-- <br />PC A 1.1Y <br />SLC. 7071..) <br />TOTAL <br />-' <br />III LIMIT VALIDAI ION <br />WI11 N 1'IIUI.1 IR Y VA IUAII U (IN THISSI•ACI:1 i1110 IS YOUR I•ial <br />.___------ <br />�Il'1l�/.II��II All ll'111111Y INI'.11111111111\ /.N'lllll'111111111'i AII.11�1111' 1 _ <br />