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i <br /> the Ev:rgreen <br /> CITY OF CONSTRUCTION everet'. <br /> everett PERMIT <br /> CITY KILL JSIIMS <br /> (VERIM YOMNINGTIIN <br /> NE/I .e <br /> otR.Dru[vtLowtxrccNNlRnr BUILDING MECHANICAL PLUMBING <br /> OWNER �1P� .N�Eyf Mnn_ .�I ini'_ ZIP 3..��It A l,fyy- <br /> no Re OAR WZ Ely. m 0 3 �jq(j�jp Miss E <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> GENE�IRRA�L�CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> MECHAN CAL CONTRA.'TOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. W <br /> m <br /> PERMIT CLASS OF WORK <br /> F• <br /> BUILDING ❑PLUMBING ❑MECHANICAL �1 <br /> ffI NEW ❑ADDITION ❑ALTERATION ❑REPAIR i; <br /> Q <br /> VALUATION OF WORK_ _ W <br /> TO.MIr_}1r1 ❑OEMOLI511 ❑FENCE ❑SIGN ❑SWIMMING POOL d <br /> f <br /> DESCRIBEWORK ( .,yN,M drxlufl� alwrE. 0940 <br /> PROPOSED USE -1131 -SVS �• E7t�M1x� ��@.SSVV MECHANICAL <br /> TYPE OF FU L OIL NAAT. LPG. ELEC. <br /> LEGA C ESCR OPTION OF PROPERTY(SHOW BELOW OR ATTACH <br /> FOURNWIRZ mm Sir 930 = NO. TYPE OF EOUIPMENT FEE <br /> LOT BLOCK—OF-- AIR COND.UNITS-H.P. EA. f <br /> REFRIGERATION UNITS-H.P. EA. <br /> BOILERS-H.P.EA. 1 <br /> GAS FIRED AC.UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. I <br /> JOB ADDRESS WALL HEATERS-B.T.U. M <br /> ' D"'F` 2Ze, 1% UNIT HEATERS-B.T.U. M <br /> EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERR <br /> VENTILATION FAN <br /> RANGEHOOD _ I I <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. TYPE OF FIXTURE OR ITEM FEE INCINERATOR <br /> WATER CLOSET ITOILETI f <br /> BATHTUB I <br /> LAVATORY(WASH BASIN) <br /> SHOWER SUBTOTAL f I <br /> KITCHEN SINK d DISP. PERMIT S <br /> DISHWASHER <br /> LAUNDRY TRAY TOTAL FEE S I <br /> IS <br /> CLOTHES WASHER THPERMIT BECOMES NULL AND VOID IF WORK OR CONST RUC <br /> WATER HEAT' TION AUTHORIZED IS NOT COMMENCED WITHIN 170 DAYS, OR IF <br /> URINAL _— CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> PERIOD OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> DRINKING FOUNTAIN I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br /> _ FLOOR-SINK OR DRAIN I-- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> VACUUM BREAKERS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF GRAINS--RAINLEAOERS OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> MIT DOES NOT PRESUME TO <br /> SINK(SERVICE-BAR ETC.) p\�E AUTHORITVTHE GRANTING <br /> TO IV DILATE ORF A RCANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RECO EATING CONSTRUCTION <br /> -- OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT f <br /> TOTAL FEE f <br /> SIGNATURE OF CONTRACTOROR AUTH.AGENT DATE <br /> SIDE YARD SETBACK STREET SETBACK nt:ARYARDSETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> ��• FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE M➢� �II�M� �1c/ElN ._ -- <br /> OYES ONO FEES VALUATION FEE <br /> _ T__ <br /> TYPE OF CONST. OCC ANCY GROUP UNITS DWELLING 1 <br /> ���� _��5N1r�� 1---YT <br /> 512E OF BLDG. NO.OF STOR -RFA IESX.OCG. LOAD BUILDING f 71{xlNgvxR _-yj I^' <br /> PLUMBING <br /> FIRE ZON B S T ORES RI KL <br /> R❑YESED ONO MECHANICAL <br /> 1 <br /> SPECIAL CONDITIONS: OTHER I <br /> PENELTY SEC. 303(N) <br /> L-- <br /> I <br /> TOTAL Yj PD <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED ION THIS SPACE)THIS IS YOUR PERMIT <br /> ♦MIj�TIDxQEITED BY ^UNSCHECx[QUY.�. APPOVFD RY <br /> iO. I �ML[ <br />