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IlIVCW,givYI CONSTRUCTION <br /> n/� <br /> Q evrrclll <br /> CITY of' 0 PERMIT <br /> everett <br /> CITY HALL ,70F00 . <br /> Even Eiy,T,WAwn 9112011 •COMBINATION BUILDING MECHANICAL PLU' ING <br /> UWNL II MAIL AUURLSS LII' PHONE <br /> kQre (jri �, orl X107 (rl Si 9X�o 3 >> ',5c.�5 z <br /> ARCHITECT Off UI.SIGNER MAIL ADDRESS PHONE LICENSE NO. 9 773 <br /> GENERAL CONI RACTOR MAIL ADDRESS PHONE LICENSE NO. C <br /> MECHANICALCONTRACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> ITT <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO, <br /> PERMIT CLASS OF WORK <br /> ❑COMBINATION <br /> BUILDING ❑PLUMOING ❑MECRANICAL <br /> [I NEW ❑ADDIi ION ❑AI.TE RATION ❑gEPAIn , <br /> VALUATION OF WORK <br /> S aoo 017 ❑DEMOLISH/ JNFENCE ❑SIGN ❑SWIMMING POOL <br /> DESCnIOC WORK <br /> PROPOSED USE MECHANICAL <br /> CAL ofsEmPI ION OF PROPERTY (SHOW BELOW OR ATTACH/ TYPE OF ENERGY <br /> VOUR COPIESI ❑GAB ❑ELEC. <br /> LOT UL— BLOCK—OF • NO. _ TYPE OF EQUIPMENT FEE <br /> _ Ain COND.UNITS-H.P. EA. 5 I <br /> t) n REFIIOE gA110NUNITS H.P. EA. �- <br /> x OOILEns H.P. EA. If <br /> j FORCED AIR SYSTEMS-O.T.U. MEA. <br /> I <br /> JOB ADDRESS _ SPACE A WALL HEATERS - B.T.U. <br /> UNIT HEATERS R.T.U. <br /> EVAPORATIVE COOLERS <br /> PLUMBING — CLOTHES DRYERS 1 <br /> VENTILATION FAN <br /> RANGE HOOD <br /> NO. TYPE OF FIXTURE OR ITEM FEE Ain HANDLING UNIT C.F.M. <br /> BATH TUBS 51 <br /> CLOTHES WASHER 1 WATFR HEATER <br /> DISH WASHERS 1 FAC. BUILT FIREPLACE d CHIMNEY I <br /> DRINKING FOUNTAINS OAS. SYSTEM. NO OP OUTLETS <br /> FLOOR DRAINS <br /> KITCHEN SINKS f. DISP. SUBTOTAL S I <br /> DAR SINKS PERMIT S <br /> ROOF GRAINS - INN LEADERS TOTAL FEE S 1 <br /> SHOWER BATHS THIS PERMIT UECOMES NULL AND VOID IF YORK OR CONSTRUC 11 <br /> SINKS TION AU)HOIIZED IS NOT COMMENCED W.TMN 120 DAYS.OR IF <br /> SERVICE <br /> SUMPS SEWAGE PUMP CONSTRUCTION On WOnK IS SUSPENDED On ABANDONED Fan A <br /> PERIOD OF 120 DAYS AT ANY TIME AITEnwonK IS COMMENCED. <br /> URINALS <br /> WATER CLOSETS 1 /ICATIO CERTIFY W T I HAVE READ AND EXAMINED THIS AP. <br /> PLICATION AND KNOW N ORO(TOOT. S CIO AND CORRECT. ALL <br /> WA HIR HEATE IIS - ELECTRIC 1 PROVISIONS Of LAWS AND OIWITH NOES OOl PECIFI THIS TYPE <br /> WASH BASINS 1 OF wD11K WILL BE COh1PLll0 WITH WHE TIIf II SPECIFIED HEREIN <br /> LAUNDRY TRAYS On NO7, 111E GRANTING OF A PERMIT DOCS NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE On CANCEL THE PROVISIONS OF <br /> ANY Ol IICn STATE On LOCAL LAW REGULATING CONSTRUCTION <br /> 1 OR THE PEHPOnMANCE of CONSTRUCTION. <br /> suD TOTAL , <br /> PERMIT S _ ' <br /> TOTAL FEE SI x- LL " / , rLr/ e 7 <br /> WATER SERVICE SIZE BLDG SUPPLY SIZE SIGN 11URE Of CUNT OA IOROR AU71/.AGENT DMC <br /> SIDE YARD SET BACK Si"LLISLIUACK IEARYARUSL IUACK PLAN HECK NUMI1E11 PLAN CHECK ILL <br /> FEE RECEIPT NO. <br /> I <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vrs ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GHOU' NO. UWL LLINU <br /> UNITS <br /> SIZE OF IILOG. NO.OF SIURIGS AX.UCC. LOAO BUILDING S <br /> I <br /> PLUMBING 1 <br /> FARE ZONE OAITM NT 14FRILS'11INKLI.HS _ �— <br /> RLOUIFLU MECHANICAL <br /> ❑YLS ❑NO M[C <br /> 1 <br /> SPECIAL CONUITIONS. OTIIEn <br /> T <br /> PENALLY SEC.7021x1 1 <br /> TOTAL I <br /> 1-1 LIMIT VAI IDAI ION <br /> Will N I'M u, 111 Y VAI IIAT 11)IIN TMC 0PAC1.1 711111 IS YOUR PI:II <br /> nn�bl1r44N11 r'IIOOr IIJf.l llllllbllt ��- A,+PUVl l,lull i}Ilnrnl In <br />