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NIEE Fvr,anr•I <br />CA I, ," <br />everett <br />CITY HALL )511R5 <br />EVE MET. WASHINGTON <br />"no <br />O[FI GEOPIDEVLMNBUILDING <br />OWNE Fit <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />cvereti <br />PLUMBING <br />MAIL ADDHtbb <br />:IIIiiO • (�f ppp Jig �� „O _ <br />ARCHITECT OR DESIGN R MAIL ADDRESS <br />fu• _ PHONE <br />r I , n <br />PHONE LICENSE NO. <br />k4b= <br />GENE RqL CONT RAGTOfl <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />J111 <br />CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />PLUMBING CONTRACTOR <br />A1'i f b <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />Ir <br />PERMIT <br />CLASS OF WG:.K <br />m <br />BUILDING ❑PLUMBING []MECHANICAL .aF <br />L.I NEW <br />VALUATION OF WORK <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />� <br />� <br />f t <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />DEOR SCRIBE WK <br />IL <br />fir..%r, ros. <br />2292 <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR rtpIESI <br />LOT CC BLOCK_OF Ps d `O** <br />TYPE OF FUEL OIL NAT. LPG. ELEC. <br />GAS <br />NO• TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. S I_ <br />_ <br />REFRIGERATION UNITS-H.P. EA. --� <br />BOILERS-H.P. EA. I <br />6A3 FIRED A.C. UNITS -TONNAGE EA. <br />JOByAPbDRE55 <br />33 9lat "Iww sr. <br />_ FORCED AIR SYSTEMS-B.T.U. M EA. <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-O.T.U. M <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />TYPE OF FIXTURE OR ITEM <br />EE <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 />SUB TOTAL f <br />DISHWASHER <br />LAUNDRY TRAY <br />PERMIT f <br />CLOTHES WASHER <br />_ <br />FOTALFEE f <br />WATEF. HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF YEE 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 HERESY CERTIFY THAT 1 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 TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />CIVE AUTHOR( TY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR T14E PERFORMANCE OF CONSTRUCTION. <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 S <br />TOTAL FEE <br />$ <br />!�!� <br />X 4-60 f <br />-- <br />SIGNATUREOFCONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYAROSETBACIo <br />PI.AN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />„A <br />FE <br />RF/'FI� NO. <br />ll�/J� <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />❑YES NO <br />NU. OF DWELLI NO <br />UNITS <br />FEES <br />VALUATION <br />FEE <br />IN� <br />SIZE OF BLOC. <br />NO. OF STORIES <br />MAX, OCC. LOAD <br />BUILDING <br />f 34 ! OO <br />X% jW <br />PLUMBING <br />wM lad <br />A•i <br />FIRE ON <br />BAS <br />1 S RI KL <br />R COUIRED <br />❑YES ❑NO <br />MECHANICAL <br />- <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />1 <br />PENELTY <br />SEC. 703EAl <br />I <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />nPfl i[/.11pY rV.1.I M(II IIY <br />PUNS f.111Ck10 NY <br />AMRf VFFFEiF I U/MCFIY <br />!T <br />0 <br />