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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 759818E <br />EVERETT, WASHINGTON <br />SIMI <br />DEPT. DE COKNBHDY BUILDING <br />OEV[IOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e <br />OWNER MAIL ADDRESS ZIP IvuINL <br />quot <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />OE�Lod*TOR MAIL ADDRESS _ _ PHONE M LIC-P�^�NO. <br />GG <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />fr <br />W <br />Ib <br />PERMIT <br />BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />I�NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />2 <br />Z <br />I- <br />VALUATION OF WORK <br />§o19ldjo:7 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />DESCRIBEWORK <br />Ift Ly <br />2058 <br />PROPOSED USE <br />p <br />MECHANICAL <br />TYPEOFFUEL ❑OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOU OPIESI <br />LOT - BLOCK OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR CONE). UNITS-H.P. EA. <br />§ 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA, <br />I <br />GAS FIRED A.L. UNITS -TONNAGE EA, <br />FORCED AIR SYSTEMS-S.T.U. M EA. <br />JOB ADDRESS p�� <br />M � Mx& <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I _ <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />I 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 />I <br />SHOWER <br />KITCHEN SINK & OISP. <br />SUBTOTAL § <br />DISHWASHER <br />PERMIT § <br />LAUNDRY TRAY <br />TOTAL FEE § <br />1 <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 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 l HIS 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 />gof6l? <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 />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />§ <br />SIGNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REARYARDSETBACN <br />PLAN CHECK NUMBER <br />.�,Sq� <br />f�h77 <br />PLAN C:IECK FEE <br />FEE RECEIiTJEpw <br />L7�9i <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 />�.y� �E�L <br />s9#9M,0D <br />��ypl��91qq <br />:IGIyV <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIREZONE <br />BASEMENT <br />IRE SPRINK LERS <br />R[ GUIRED <br />OYES ❑NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />I <br />-- <br />PENELTY <br />SEC. 30316) <br />I <br />TOTAL <br />k <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT <br />Q <br />APPLICATION ACCEPTED BY: <br />.� <br />PLANS CHECKED BY: APPROVED <br />raft ISSUANCE BY. <br />