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APPLICATION FOR MECHANICAL PERMIT <br />(To he filled in completely by applicant) <br />DATE June ?2, <br />NAME (Owner) O1 is Bank PHONE NUMBER 258-4581 <br />CONTRACTOR Evergreen State Sheet Metal, Inc. PHONE NUMBER_ 252-3114 <br />ADDRESS_ _P.O. Box 1508 - 3411 Hayes St. EverettLICENSE NUMBER_Ew-Er-Gs-S302DB TO DO WORK AT THE FOLLOWING ADDRESS42nd and Rucker Ave. Branch Everett, WA. -98203 <br />-- ---- -- .__.._---------- -- ...- --------- --- -- <br />USE OF BUILDING Commerci_al_ _Bank Bldg. [7 New Addition &) Alteration Q Repair <br />DESCRIBE WORK Air Conditioning System Q Oi1 ❑ tlatural Gas Q LPG 10 Electric <br />PERMIT FEES <br />Square Ft. in <br />Note: Fuel piping is not included in this <br />permit. _ _ <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />Forced Air Systems <br />btu_ kw <br />— <br />Floor Furnaces <br />Application accepted Plans checked <br />U_--- by-------- <br />btu kw <br />— <br />Wall Heaters <br />btu---- kw----- <br />— --- <br />.IILDING PERMIT M <br />Unit, heaters <br />btu kw <br />I HEREBY CERTIFY THAT I HAVE READ AND EX- <br />AMINED THIS APPLICATION AND KNOW THE SAME <br />TO BE TRUE AND CORRECT. ALL PROVISIONS OF <br />_ <br />_. <br />LAW AND ORDINANCES COVERING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIF- <br />Range hood (Commercial) <br />IED HEREIN OR NOT. THE GRANTING OF A PER- <br />MIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />Fir Sprinkler Systems <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONST- <br />RUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />-- <br />-- ------ — <br />Fuel Storage Tanks <br />Size in rallons_ <br />--'"-- <br />Roof Units <br />btu kwC. <br />Misc. <br />0 <br />�ture <br />_ <br />for or Authorized Agent <br />--- ------------ <br />—S0o. <br />Two---- <br />Signature of Owner Dana <br />(If owner -builder) <br />J21 <br />9onditl.oni1,9-1_Units. --- <br />Permit fee <br />-- - <br />3 <br />49s9e- <br />==='========================--------- -- - <br />Permit I 1100 <br />Total fee__-8aee� <br />