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6917 EVERGREEN WAY 2018-01-02 MF Import
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6917 EVERGREEN WAY 2018-01-02 MF Import
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Last modified
2/3/2022 10:04:32 AM
Creation date
2/9/2017 11:05:37 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
6917
Imported From Microfiche
Yes
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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 8598885 <br />EVERETT. WASHINGTON <br />UNI98TBUILDING <br />DEPT. OF COMMTYY <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e <br />OWNER SS ZIP PHONE <br />r.00-76 <br />Rb 33fF1 o M? .Ply <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />MAIL ADDRESS PHONE LIC ENSE NO. <br />G E N ERA Lrf,�T R(j('.TO R�� <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cc <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT CLASS <br />OF WORK <br />Z <br />BUILDING []PLUMBING ❑MECHANICAL <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIfl <br />E <br />VALUATION OF WORK <br />CXGN ❑SWIMMING POOL <br />cc <br />LU <br />[I DEMOLISH [)FENCE <br />S <br />$ <br />DESCRIBE WORK <br />+` <br />.i.��� <br />PROPOSED USE <br />MECHANICAL <br />_ <br />TYPE OF FUEL []OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL IN DESCRPTIOOF PROPERTY (SHOW BELOW OR ATTACH <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />FOUR COPIES) <br />AIR COND- UNITS-H.P. EA. <br />S I <br />LOT BLOCK —OF <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />- <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />WALL HEATERS-B.T.U. M <br />JOB ADDRESS ,wYnnnl2lYiU 12f� <br />I <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />-,— <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT— C.F.M. <br />OF FIXTURE OR ITEM <br />FEE <br />INCINERATORET <br />(TOILET) <br />SASii <br />Njj <br />BASINI <br />SUBTOTAL S <br />& DISP. <br />5 <br />PERMIT <br />LAUNDRY TRAY <br />TOTALFEE S <br />1 <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />WATER HEATER <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />URINAL <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HEREBY CERTIFY THAT 1 HAVE HEAD 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 />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 />TOTAL FEE <br />5 <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SL CBACK <br />ST REETSETBACK <br />REARYARDSETBAC <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />ET <br />FEE <br />S NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />❑YES []NO <br />NST. <br />OCCUPANCY GR.1 UP <br />UNI OS DWELLING <br />TYPE OF CO <br />S <br />uM <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />tRAielNA/ <br />PLUMBING <br />BASEMENT <br />FIRESPRINKLERS <br />F IRE ZONE <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />_ <br />PENELTY <br />SEC. 303 (a) <br />_ <br />TOTAL <br />o[CMIT VAT IDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />
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