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the Evergreen <br />CITY OF <br />everett <br />CITY Neu 2598889 <br />EVERETT. WASHINGTON <br />9EH11 <br />DE". OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �.e <br />OWNER MAIL ADDRESS ZIP PHONL <br />a A " Mrtl!. 31 Ssr udiw 353.67% <br />4n-76 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />-CONTRACTOR <br />GENERA MAIL ADDRESS P 4OONNELICENSE NO. <br />y <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cc <br />UJ <br />m <br />PERMIT <br />BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑ NEW ADDITION ❑ALTERATION ❑REPAIR <br />2i <br />z <br />= <br />VALUATION R <br />S <br />❑DEMOLISH El FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />DESCRIBE WORK <br />3 73 <br />PROPOSED USE <br />MECHANICAL <br />LOUEGALDESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />LOT �� BLOCK � OF rilrrccm Air* <br />TYPE OF FUEL ❑OIL QNAT. ❑LPG. ❑ELEC. <br />GAS <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />$ 1 <br />REFRIGERATION UNITS—H.P. EA. <br />- --- <br />BOILERS—H.P. EA. <br />I <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />FORCED AIR SYSTEMS—B.T.U. M EA. <br />I <br />JOB ADDRESS y� • — <br />WALL HEATERS—B.T.U. M <br />_ <br />UNIT HEATERS—B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M._ <br />WATER CLOSET (TOILET) <br />$ <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL 5 <br />DISHWASHER <br />PERMIT $ <br />LAUNDRYTRAY <br />TOTAL FEE $ <br />I <br />CLOTHES WASHER <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUG <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 />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 />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 />S <br />TOTALFEE <br />5 <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARDSETBACK <br />STREETSETBACK <br />REAR YARD SETBACK <br />PLAN CHEF-, NUMBER <br />.26_Ipft <br />/�"•LW <br />PLAN CHECK FEE <br />FEE p� �, RECEjPI(,j <br />4YIl� i7JCLj <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />BUILDING <br />5 <br />��ppI <br />321 VIM <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />-I <br />) <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REOUIRED <br />❑"ES ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />— <br />OTHER <br />I <br />PENELTY <br />SEC. 303(B) <br />I <br />TOTAL <br />32100 <br />PERMIT VALIDATION <br />WHEN PROPE PLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />APPLICATION ACCEPTED BY: <br />PLANSCNECKED BY: MPNOVEDFO <br />ISNUANCEBY: <br />