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the EYergmen <br />CITY OF <br />everett <br />On Not A, FNNG <br />[VIA IT <br />I, WASHINGM4 <br />XX11 <br />"IPI NI Cam BUILDING <br />of VO oral Nl <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING IIIe� <br />OWNER MAIL ADDRESS ZIP PHONE <br />IM" CtUlr e t 1=6 2%M mmw 9➢ m a 9caeo 70.2w <br />ARCHITECT OR DESIGNER MAIL ADDRESS HONE LICENSE NO, <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />am <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTS�RNA1CCTyTOR MAIL ADDRESS PHONE LICENSE NO. <br />PkSNLINpNIw <br />cr <br />LU <br />m <br />PERMIT <br />MBUILOING OPLUM13ING SMIECHANICAL <br />CLASS OF WORK <br />•f. EW ❑ADDITION ❑ALTERATION ❑REPAIR <br />l!N <br />Z <br />~ <br />VALUATION OF WORKcc <br />$ <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />DESCRIBE WORK <br />come aim puzz nano 1-1573- <br />PROPOSED USE <br />MECHANICAL <br />TY EOF FUEL OIL NAT. LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />FOUR PIES( <br />LOT BLOCK —OF <br />M <br />=VW= �1 MAT <br />�5RL <br />NQ <br />TYPE OF EQUIPMENT <br />FEE <br />AIR GONG. UNITS—H.P. EA. <br />S I <br />REFRIGERATION UNITS—H.P. EA. <br />BOILERS—H.P. EA. <br />I <br />_ <br />JOB ADDRESS <br />rawV, m,11 0* R <br />GAS FIRED A.C. UNITS —'TONNAGE EA. <br />FORCED AIR SYSTEMS—B.T.U. M EA. <br />I <br />WALL HEATERS—B.T.U. M <br />_ <br />UNIT HEATERS—B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />TIYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M. <br />WATER CLOSET (TOILET) <br />S <br />INCINERATOR <br />I <br />BATHTUB <br />_ <br />LAVATORY WASHBASIN) <br />I <br />ROWER <br />IlOWEN SINK & DISP. <br />SUBTOTAL S <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />TOTALFEE $ <br />I <br />CLOTHES WASHER <br />_. <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON STRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 7AYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMI.NCEO. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL. <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPI <br />OF WORK WILL. BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE. GRANTING OF A PERMIT DOES NOT PRESUME TO <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 />x <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />$ <br />_ <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARDSETBACK <br />STREET SETBACK <br />REAR YAT D SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE r� IRECEIPT <br />�wYiF <br />FEE <br />NO. <br />FEE <br />—T <br />l'y'4 00 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF OW LLING <br />UNITS <br />BUILDING <br />S 3364MCD <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />CD <br />F <br />FIRZONE <br />BAStMENT <br />rin—nPFIINKLERS <br />REOUIRED- <br />❑YES ONO <br />MECHANICAL <br />OTHER <br />_ <br />SPECIAL CONDITIONS: <br />PENELIY <br />SEC. 303 I.) <br />TOTAL <br />I <br />- - - <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THISSPACE) THIS IS YOUR PERMIT <br />nmllfAlipN GCf,FPlF1)PY <br />PL,NNG I.NFfkfO BY 4PPH(OFy <br />I$$llANf.I BY <br />11 <br />