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I <br /> the Een <br /> CITY everett <br /> CITY OF CONSTRUCTION <br /> elverett PERMIT <br /> CITY HELL AECG! <br /> EVIE[R.WESHNGTON PLUMBING <br /> BUILDING MECHA <br /> ""I NICAL <br /> OTPI GE COMM UNIII <br /> DEVII OVNINt PHONE ftAo <br /> WEE�NLL��NWyW ��))�� MAIL AEU�D�RESS ZIP <br /> PHONE LI NSE NO. <br /> ARCHITECT OR DESIGNER MAIL ADDRESS <br /> MAIL ADDRESS <br /> PHONE LICENSE NO. <br /> GENERAL CONTRACTOR <br /> MAIL AUDREES <br /> PHONE LICENSE NO. <br /> MECHANICAL CONTRACTOR IY <br /> MAIL ADDRESS ONE LICENSE NO. W <br /> P UM IN CpNTRACTOR m <br /> CLASS OF WORK F- <br /> PERMIT <br /> ❑BUILDING VOPLUM13ING [)MECHANICAL ❑NEW ❑ADDITION ❑ALTERATION REPAIR <br /> Q <br /> LU <br /> VALUATION OF WORK <br /> DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL 1 <br /> DESCRIBE WORK <br /> 521 <br /> PROPOSED USE MECHANICAL <br /> TYPE GF FUEL GAS LPG. ELEC, <br /> LEGAL DESCRIPTION OF PROPERTY(SNOW BELOW OR ATTACHNO TYPE OF EQUIPMENT FEE <br /> FOUR COPIES) S I <br /> LOT BLOCK—OFA--- AIR COND.UNITS-H.P.EA. <br /> REFRIGERATION UNITS-H.P. EA. I <br /> BOILERS-H.P.EA. <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. MEA. <br /> WALL HEATERS-B.T.U. M I <br /> JOB ADDRESSUNIT HEATERS-B.T.U. M Tft "w No to <br /> E,L <br /> N EVAPORATIVE COOLERS <br /> CLOTHES DRYERS <br /> PLUMBING VENTILATION FAN <br /> 1 <br /> RANGE HOOD <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. TYPE OF FIXTURE OR ITEM FEE INCINERATOR —� <br /> WATER CLOSET(TOILET) S <br /> I _ <br /> BATHTUB <br /> LAVATORY WASHBASIN) <br /> SHOWER SUBTOTAL S _ <br /> KITCHEN SINK 6 DISP, PERMIT S _ <br /> DISHWASHER TO'i AI FEE S I _ <br /> LAUNDRY TRAY <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST RUC <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IT <br /> CONSTRUCTION OR WORK !9 TIME <br /> OR ABANDONED FOR n <br /> URINAL PERIOD OF 1N0 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I <br /> DRINKING FOUNTAIN I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN'D THIS AP <br /> FLOOR-SINK OR DRAIN PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> _ VACUUM BREAKERS -- PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF DRAINS-RAINIE ADERS__ OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> _ SINK(SERVICE-BAR ETC.) GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR OR THE PER ORMA CE LOCAL CONSTRUCT CONSTRUCTION. CONSTRUCTION <br /> BUS TOTAL <br /> PERMIT _ S <br /> TOTAL FEE $ <br /> x <br /> SIGNATURE OF CONTRACTOROR RUTH.AGENT DATE <br /> PL AN CHECK FEE <br /> tdUE YARUSLTBACK STREET SETBACK REAR YARD SETSACP PLAN CHECK NUMBER FEE RECEIPT NO, <br /> USEZONE LOT AREA VACANT SITE FEE <br /> OYES ❑NO FEES VALUATION <br /> OCCUPANCY GROUP _NO <br /> DWELLING <br /> TYPE OF CONST. UNITS I <br /> S I <br /> SIZE OFF ROD. NO.OF STORIES MA%.OCC. LOAD BUILDING <br /> PLUMBING <br /> BAS T REOUIRF.IDK 5 <br /> FIR <br /> ZONE MECHANICAL <br /> ❑YFS []NO — I <br /> OTHER <br /> SPECIAL CONDITIONS I <br /> PENELTY <br /> BEC. 707(W) — <br /> TOTAL n Loo <br /> PERF1IT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> I <br /> EPPHOVED v0 ISSUENCE IY. <br /> II ICGiIDH Idt[PI[O GY PLWNS CHEClE08Y. 16 o* <br /> a <br />