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r <br /> --- <br /> rho ETEry000 <br /> CITY OF CONSTRUCTION everett <br /> everett PERMIT <br /> CITY HALL 01 TRPS <br /> 11.11)TT.LYASHIt1GTGY <br /> NM OF CMMMu 1T <br /> MFYFLCPMIV BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS ZIP PHONE <br /> aser Na ap+ 82]3 Under Way %203 <br /> ARCHITECT I'R DESIGNER MAIL ADDRESS PRONE LICENSE NO. <br /> 22 x} <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> $Ot!lima lOovozogot 13Z 1 3E3 9e13 223 a PSEC <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> EC <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> W <br /> (b <br /> PERMIT CLASS OF WORK <br /> Z <br /> II BUILDING 0 PLUMBING 0 MECHANICAL F- <br /> 0 NEW <br /> ❑NEW ❑ADDITION VALTERATION ❑REPAIR <br /> VALUATION OF WORK �.---- CC <br /> S �yy��y� 0 DEMOLISH ❑FENCE DEIGN ❑SSYIMM1IING POOL a <br /> DESCRIBE WORK j�jp 124 <br /> Mei Yw' t. <br /> PROPOSED USE MECHANICAL <br /> TYPE OF FUEL COIL ❑CAT. ❑LPG, DELEC, --' <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OI)ATTACH <br /> S <br /> FOUR IESI �y 1�I <br /> LOT CO BLOCK * OF .a�4 NO. TYPE OF EQUIPMENT FEE <br /> LAIR COND.UNITS-H.P.EA. S I <br /> REFRIGERATION UNITS-11.P.EA.. I <br /> .�._.__........._ .___ BOILERS=H.P.EA. <br /> __J GAS FIRED A.C.UNITS--TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. <br /> JOB ADDRESS e113WALL HEATERS-B.T,U. - M u . <br /> itnlar Wit UNIT HEATERS-B.T.U. M <br /> EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS <br /> _._.. VENTILATION FAN i <br /> RANGE HOOD I <br /> AIR HANDLING UNIT- C.F.M. I <br /> NO. TYPE OF FIXTURE OR ITEM FEE '--- '--' <br /> WATER CLOSET(TOILET) S INCINERATOR" <br /> BATHTUB } --J- - — -- <br /> -LAVATORY(WASH BASIN) ' <br /> SHOWER _ -1 <br /> KITCHEN SINK P.DISP. I __ SUB TOTAL S <br /> DISHWASHER PERMIT S <br /> LAUNDRY TRAY I _ TOTA1.FEE S <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> _ WATER HEATER ! TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> DRINKING FOUNTAIN PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, <br /> FLOOR-SINK OR DRAIN I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> ~1 VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF DRAINS-RAINLEADERS OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK(SERVICE-OAR,ETC.) 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 /> SUB TOTAL <br /> PERMIT S <br /> TOTAL FEE S 1 ,./V„Ar <br /> SIGNATURE OF CONTRACT OR OR AUTH.AGENT DATE <br /> SIDE YARD SETBACK STREET SETBACK AC Y. REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 1 FEE RECEIPT NO. <br /> USE ZONE SLOT AREA VACANT SITE <br /> DYES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NC).OF DWELLING <br /> UNITS �� r�r� <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD- BUILDING S yL W <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS _ -----l- <br /> RTDUIRED I <br /> DYES ONO MECHANICAL I <br /> - V <br /> SPECIAL CONDITIONS: OTHER II <br /> PENELTY EEC.303(al I <br /> -- - TOTAL 12 110 <br /> -� PERMIT VALIDATION <br /> --- WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> ' API'I.MATIOU ACEPTTO SY; rt11IE55 <br /> BY. APPP9YCO TOE I WCIAIKE BE <br /> tigi 744* <br /> l R <br /> 1 <br />