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u <br />the £vergreer, <br />CITY OF CONSTRUCTION vcrr�(It <br />everett PERMIT <br />CITV N,7R,SIIS <br />(V(IOtf NaSHPI°ION <br />NMI <br />°`pl°' LI °OIVI1O,YfN1 BUILDING MECHANICAL PI 1INIR , <br />OWNER <br />MI It AUUHES:{ <br />ARCHITECT OR DESIGNER MAIL ADORES <br />- <br />I'nnNl 1_ICENSE NU- <br />GENERAL CONTRACTOR - <br />MAIL ADO EESS <br />_ <br />' .ry <br />0' ('name r I. or;,I.Tr �' 1 I ' .,r..ar <br />runNl LICENSE NO <br />MECHANICALCONTRACTOR--__---- <br />-- <br />MAII. AOORFS- <br />- - _-�- - <br />TLtclet ;reat:a'; <br />1'nu41 LICENSE NO. <br />PLUMBING CONTRACTOR <br />- <br />MAIL ADORES- <br />fd,insna '"luh fir,n ^2b :,U.It.a <br />----'- rnnNl LICENSE NO. <br />W <br />::r(w,. r•L <br />PERMIT <br />^1 <br />CLASS OF WORK <br />- -_--- -- <br />d BUILDING 6 PLUMBING b VIECHANICAL <br />Z <br />}. <br />LJ NEW <br />❑AUDI TIUN Cl ALTERATION ❑REPAIR <br />= <br />VALUATION OF WORK —�---- ---- -- <br />�1 <br />$ ( I•'• '^ ❑DEMOLISN <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />Q <br />DESCRIBE WOpK —" --- <br />W <br />1 <br />Contstruct aingie far.'11Y real :enc,l• <br />- <br />2250 <br />PROPOSE D}1SE <br />rjfl!ile riwLly <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />FOUR (:OpI ESI <br />TYPE OF (UFl QOIL �[N1A9, �1p O, <br />ELEC. - <br />LOT 1 ) BLOCK —OF Kowltaill View ..Iiv. L) <br />ry0• TypE OF EQUIPMENT <br />AIR CONO. UNITS-II.P, EA. S <br />FEE <br />I <br />RE F RIGE RATION UNITSN.P. EA.----�--- <br />BOILERS H.P EA. <br />-- <br />' ---- <br />I <br />GAS FIRED A.f.. UNITS -TONNAGE EA. <br />JOa AODPESS <br />_ _ FORCED AIR SYSTEMS-B.T.U. M EA. <br />91/) i]r] ��l?.H'�' r <br />WALL NEATENS-B.T.U. M <br />UNIT HEATERS- 8. T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />i— <br />CLOTHES DRYERS <br />VENTILATION FAN <br />1. <br />RANGE IIOOD <br />, <br />• _ TYPE OF FIXTURE OR ITEM p E <br />AIR HANDLING UNIT_ C.F.M. <br />IYATER CLOSE T(TOILETI <br />_ S <br />GATHTUS —_-- - <br />INCINERATOR <br />1 <br />LAVATORY WASHBASINI <br />----'— <br />SHOWER <br />DISHWASHER <br />—I SUB TOTAL S <br />I� <br />LANDRY TRAY <br />ULOTHES <br />_ PERMIT <br />CWASHER <br />_ TOTAL FEE $L 1 1'1�? <br />WATER HEATER <br />URINAL ---------I- <br />— <br />-- <br />THIS PERMIT BECOME!. NVL1. AND VOID IF WORK OR CONSTRUE <br />TION AUTHORIZED IS NOT COMMENCED WITHIN <br />DRINKING FOUNTAIN _ <br />__ <br />—I -- <br />120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTEC <br />F LOOP -SINK OR ORAIN <br />j <br />WORK IS COMMENCED. <br />VACUUM BREAKERS <br />�'- <br />I HFREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLI CAI ION AND KNOW THE SAME TO <br />ROOF DRAINS-RAINLEADFFIS <br />—"—+---- <br />BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING <br />_ SINK (SERVICE -BAR, ETC.1 <br />THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />- <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL <br />9UB T TAL <br />THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR. THE PERFORMANCE OF CONSTRUCTION. <br />PE RMI --S <br />- -• <br />-1 <br />_ TOTAL FEE <br />IS _ � . <br />% <br />�v <br />J /77 <br />SIDE YARD SE TRACK STREET SETBACK <br />( <br />REAR YARDSETBAC <br />SIGNATURE OF V!OINT"(A'CT4'A�UTH AGENT DATE. <br />PLAN CHECK NUM9ER <br />•j <br />PLAN CHECK FEE <br />USE ZONE LOTAREA � <br />VA AN SITE <br />FEE RECEIPT NO. <br />%I Tt•, Pl. 1� <br />:'�5 <br />• <br />TYPE Of CQ Ws T, OCCUPANCY GROUP <br />V <br />YE ONO <br />VkLLING <br />FEES VALUATION FEE <br />--- <br />L <br />UNITS <br />uNlrs ] <br />T <br />I <br />SIZE (F BLOO, NO. OF STORIES <br />74 v4ll F;;)lit <br />AX, OC . LOAD <br />BUILDING S lI iJ7. in <br />1 j I):) <br />FIRE OfSE AF-Ni-- <br />.,, <br />IF1E INKL - <br />PLUMBING <br />91�'• <br />s ."artietl <br />RrOUI ED <br />F". <br />DYES LINO <br />MECHANICAL <br />SPECIAL CONDITIONS <br />_ <br />ITHER <br />I <br />1 <br />------ <br />PENELTY SEC. 003'a) <br />1 <br />TOTAL <br />PERMIT VALIDATION <br />- <br />WHEN PROPERLY VALIDATED (IN THIS SPACE TIUS IS YOUR PE gK11T <br />a <br />