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the EverP;een <br />CITY OF CONSTRUCTION everett <br />everett PERMIT <br />CHY HMI ASIMS <br />IV[NI I I. WAEHPI°I°N <br />"NI <br />"'°' 01C0PPVM1IY <br />°tv[IPFNtNI BUILDING, MECHANICAL PLUMBING �e <br />OWNER�I Ply .�yr BONE <br />� ZIP <br />}� MAIL ADDRESS <br />>•Iliiiw �! � � oM _ _ 7UaW �717 <br />am <br />0 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADORE` PHONE. LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL AUORF. S'4 1'110NE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PI1oNE LICENSE NO. 01 <br />w <br />m <br />PERMIT CLASS OF WORK D <br />z <br />VIBUILOING ❑PLUMBING ❑MECHANICAL tI�� ♦- <br />❑NEW °pJ ADDITION ❑ALTERATION —❑REPAIR <br />VALUATION OF WORK � <br />f R_IYM_M - — ❑DEMOLISH [:]FENCE ❑61GN ❑SWIMMIJG POOL a <br />DESCRIBE Wor+F: <br />Im" ad"um to s+os1114M <br />m 455 <br />PROPOSED USE MECHANICAL <br />LEGAL DESCRIPTION OfIt 1'OI`L Rl IliY ISIbJW : LOW OR ATTACH TV E Of FUEL ❑011 Q�S. G. � ELEC <br />FOUR <br />IE61 — - <br />LOT � BLOCK _DF � NO. TYPE OF EQUIPMENT n-[ <br />AIR COND. UNITE-H.P. EA. S 1 _ <br />REF RIGERMION UNITE-H.P. EA. <br />GOI L E R9 - N.P. kA. I <br />GAS FIRED A, C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. I <br />JOB A_. DOji FE.$9 WALL IIE_TER9 -B.T.U. M <br />�I�Fr( 7EY•�N�A UNIT IiEATE PS-B.T.U. M I <br />EVAPORATIVE COULEH9 <br />PLUMBING CLOTHES DRYERS 1 <br />VENTILATION FAN <br />RANGE HOOD I <br />NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br />_ WATER CLOSET ITOILETI S INCINERATOR 1 <br />BATHTU9 — <br />LAVAI'ORV (WASH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK A OISP. --{ SUB TOTAL f I <br />DISHWASHER PERMIT f <br />LAUNDRY TRAY _ TOTAL FEE $ I <br />_ CLO71•ES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST RU C <br />W ATEq NEATER TION AUTHORIZED 16 NOT COMMENCED WITHIN 120 DAYS. OR IF <br />_ URINAL CONSTRUCTION OR WORK 19 SUSPENDED OR ABANDONED FOR n <br />D RINK'NG FOUNTAIN PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I6 COMMENCED. <br />FLOUR -SINK OR GRAIN 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND CORBEL!. ALL <br />ROOF DRAINS-RAINLEADE RS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />_ Of WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />SINK LSE RVIC E-BAR ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE At1T HORITv TO VIOLATE OR CANCEL THE PROVISIONS Or <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SUBTOTAL <br />PERMIT f �_ <br />TOTAL FEE <br />SIGNATURE OF CONTRACTOR OR AV TH.AGENT DATE <br />SIDE YARD SETBACK STREET SETBACK PEAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK EE <br />FEE <br />no120 <br />-90 w <br />RECJ. <br />USE ZONE LOT AREA VACANT SITE <br />DYES ONO FEES VALUATION FEE <br />1 vPE OF CO 5T. OCCUPANCY GROUP UNI OB DWELLING 1 <br />SIZE OF BLDG. NO. OF STORIES VAX. OCC. LOAD BUILDING f 4amsm <br />_ PLUMBING I <br />2oNL I 1 NKLLKS --I-- <br />17EOUIRED <br />❑YES [:)NO MECHANICAL I <br />SPECIAL CONDITIONS: OTHER I <br />I <br />PENELTY SEC, 3001P1 I <br />TOTAL ✓•i MfP <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS 19 YOUR PERMIT <br />'v LiUEION WCCFITEO BY IUMCN[CREp BY APPPUV[U FU IS°W NCF By <br />