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the Evergreen <br />CITY OF <br />everett <br />CITY NAIL 2598895 <br />EVE RETI, WASHINGTON <br />9120, <br />DEFT. OF COMMUNITY BUILDING <br />DEVELOPMt III <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING ,e <br />OWNER MAIL ADDRESS ZIP PHONE <br />a�.r.�c r. 2'rt -Mir <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERALCONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDfl ESS PHONE LICENSENO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />EJ�UILOING []PLUMBING ❑ MEC14ANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑gLTE RATION ❑REPAIR <br />❑DEMOLISH ❑FENCE SIGN ❑SWIMPAING POOL <br />_1 <br />z <br />F <br />LU <br />[1 <br />VALUATION /�F�Fy.WOa�RR�NK <br />$ AID olm <br />DESCRIBE WORK <br />r'"ram ni . �g 51,+ <br />,Y <br />-- r, <br />pJ V <br />PROPOSED USE <br />)MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />TYPE OF FVEL ❑OIL ❑GAS. ❑LPG. ❑ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />1 <br />JOB ADDRESS <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />_ <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET (1'OILETI <br />$ <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUB TOTAL $ <br />1 <br />DISHWASHER <br />__ <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEC $ <br />I <br />CLOTHES WASHER <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK 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 HEREBY CERTIFY THAT I 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 />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 <br />$ <br />TOTALFEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />��LEy�EEE <br />S lftoOD <br />pIM <br />91 4iV <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT FIRE <br />SPRINKLERS <br />REQUIRED <br />❑YES ❑NO <br />MECHANICAL <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />- <br />PENELTY <br />SEC. 3031a1 <br />I <br />TOTAL <br />91 m <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THISSPACE) THIS IS YOUR PERMIT <br />Q <br />APPDCATON ACCEPTED BY: IPLANSMECKED:BY <br />APPROVED <br />FDA [MAKE BY <br />1 <br />