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Nle EYe1`17T011 <br />OF Y OF <br />everett <br />CITY MAIL laws <br />EYIBI IT. WASHINGTON <br />""I <br />°°" OF C04WUNIIV <br />OIV[MOPM[NI BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL PLUMBING <br />OWNER <br />E <br />//�[(E�N ♦ <br />V�V <br />NK � ) RLSS ZIP -PHONL <br />"L7 <br />ARCHITECT OR DESI GNER <br />'Am <br />ill <br />MAIL ADDRESS <br />PHONE ! LICENSE <br />GENERAL CONFRACIOR <br />MAIL l.ODRESS <br />LICENSE NO. <br />PSm HONE - <br />MECHANIC 4L CONTRACTOfl <br />NAII. ADDRESS <br />PHONE LIOEIJSE NO. <br />PLUMw BN I~�CONT R <br />MAIL ADDRESS <br />PHONE LIC EHSE NO. <br />0- <br />LU <br />GLASS OF WORK <br />m <br />ffIIUILOING []PLUMBING ❑ MECHANICAL f� <br />KNEW <br />VALUATION OF WORK <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />~ <br />i <br />]�Q ��� <br />�' <br />DESCRIBE WORK �^ <br />❑DEMOLISH ❑f ENCE ❑SIGN ❑SWIMMING POOL <br />cc <br />LU <br />D• <br />PROSEDU <br />2011 <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW PELOW OR ATTACH <br />FOUR C�PIE6) <br />LOT l 8LOCK_OF Pj" It CCMUW <br />TYPE OFF EL OIL HAT. ❑ LPG. ELEC. <br />OAS <br />NO. TYPE OF_EOUIPMENT FEE <br />AIR C<`vD. UNITS-H.P. EA. 5 I <br />REFRIO ERATION UNITS-H.P. EA. <br />BDILERS-H.P. EA. 1 <br />OAS FIRED A.C. UNITS -TONNAGE EA. <br />- <br />JOB ADDRESS � <br />? g�ilt[N(..� T1.113m <br />—FORCED AIR SYSTEMS-B.T U. M EA. 1 <br />WALL HEATERS-B.T.U. Al <br />^• �!"'W �o J• �� <br />UNIT HEATERS- B. T.U. M <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />N <br />TYPE OF FIXTURE OR ITEM <br />$ <br />_ <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSETITOILET) <br />INCINE ATOR <br />BATHTUB <br />LAVATORY WASH BASIN) <br />SHOWER <br />I <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />SUBTOTAL S <br />I <br />PERMIT S <br />CLOTHES WASHER <br />TOTAL FEE S <br />1 <br />WATER HEATER —'""- <br />THIS PERMIT OECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK '^ SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HEREBY 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 />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 />— <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS -A INLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />BUB TOTAL <br />PERMIT S <br />TOTAL FEE S <br />SIDE YARD SETBACK STREET SETBACK <br />—ZONE <br />REAR YARD SETBACP <br />SIGNATURE OF CONTRACTORORAUTH.AGENT DATE <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE64& ISelm 0. <br />USE <br />LOT AREA <br />VACANT SITE <br />DYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />I <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />"LOG. <br />NO. O STORIES <br />MAX. OCC, LOAD <br />BUILDING <br />S <br />2m W <br />PLUMBING <br />FOREONE <br />BA6 lJ <br />I SPRINKL RS <br />REOUIREO <br />❑YES ❑NO <br />MECHANICAL <br />OTHER <br />'--1--- <br />I <br />I <br />SPECIAL CONDITIONS: <br />PENELTY <br />SEC. 300 fsl <br />—T <br />I <br />--' <br />TOTAL <br />310 00 <br />+�N� <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />A PPI T AT ION ACCEPTED BY <br />P[ANN I'NEJ 1BY <br />APPRDV[I110 IFSNAM[BY. <br />AKIN <br />AL• <br />1Y <br />