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thr L r vg wn <br />CITY OF <br />everett <br />CITY NALL IS$NSIS <br />FVIRf TI, WASHINGION <br />SIN) <br />"[of <br />itG"NN"NITT BUILDING <br />nlvttamINT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />evere" <br />PLUMBING ,e, <br />OWNER <br />icm "A CC.lR 4mo <br />MAIL ADDHLSS <br />ZIP FHONL <br />r�[ <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />GENERA W TRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR <br />1J1RF9tTli iII3AlSl!' ^ <br />MAIL _yD�RESS PN NE U0¢NSE ND. <br />Q"Oo tt An* W '� 004m <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />cc <br />W <br />m <br />PERMIT <br />❑ BUILDING ❑ PLUMBING V] MECHANICAL <br />CLASS OF WORK <br />tI NEW <br />❑ADDITION El ALTERATION ❑REPAIR <br />Z <br />= <br />VAL JATION OF .VORK <br />f <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />cc <br />W <br />d <br />DESCRIBE WORK aw <br />Mew �*i �l���i <br />Q p <br />0918 <br />Vti3�U <br />PROPOSED USE <br />MECHANICAL <br />FEGAL OUR 06SCRIPTION OF PROPERLY ISHOW BELOW OR ATTACH <br />L07 BLOCK —CIF <br />- <br />TYPEOFFUEL ❑OIL ONAT. LPG. ELEC. <br />GAS <br />NO. <br />TYPE OF EQUIPMENT <br />FE_E <br />AIR COND. UNITS-H.P. EA. <br />S <br />REFRIGERATION UNITS-H.P, EA. <br />1 <br />_.__ <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />r— <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />JOB ADDRESS <br />7L- N��P <br />M a PH <br />PLUMBING <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-A.T.U. M <br />EVAPORATIVE COOLERS <br />I <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET ITOILET) <br />BATHTUB <br />f <br />INCINERATOR <br />1 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />CLOT HESWASHER <br />TOTALFEE $ <br />WATER NEATER <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 />I HERERY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICA I ION 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 lU <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 />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK ON DRAIN <br />VACUUM BREAKF RS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAP ETC.) <br />SUBTOTAL <br />PERMIT f <br />TOTAL FEE fW,v[ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDEYAROSETBACK <br />STREETSETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />f <br />I <br />1 <br />PLUMBING <br />I <br />FI E ONE <br />OAS NT <br />I S INKL S <br />RFOUIRED <br />OYES ONO <br />MECHANICAL <br />T <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />--------------- <br />PENELTY <br />SEC. 00010 <br />1 <br />-_ <br />T07AL <br />T Im <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN TI/IS SPACE) THIS IS YOUR PERMIT <br />0 <br />-'— <br />AWLKJITIONACCTPTFOOV <br />PLAN5OITCKEONY <br />APPROVt Oi; I`AWE NV <br />