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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 299 ages <br />EVERETT, WASHINGTON <br />91201 <br />DEPT, OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />OWNER MAIL ADDRESS ZIP PHONE <br />Pr, '4C0 4w N J1*-flemm 1za 2591-ea Q <br />z0?%75 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHA�NICpAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />+ t%il 00 <br />, <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />U2 <br />m <br />PERMIT <br />❑ BUILDING ❑ PLUMBING MECHANICAL <br />CLASS OF WORK <br />�( <br />❑NEW ❑ADDITION ❑ALTERATION 1513EPAIR <br />z <br />~ <br />VALUATION OF WORK <br />s <br />❑DEMOLISH []FENCE ❑SIGN ❑SWIMMING POOL <br />UJ <br />a <br />DESCRIBE WORK <br />I A Lei A <br />1809 <br />♦(� v J <br />PROPOSED USA. <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑NAAT. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />s I <br />REFRIGERATION UNITS-H.P. <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 <br />�' LT.G'.dIi 1'�1Y <br />_ <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />1 <br />WATER CLOSET (TOILET) <br />S <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT 5 <br />LAUNDRY TRAY <br />TOTAL FEE 5 <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 />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 EXAM INED THIS A <br />PION 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 7/! <br />6 <br />WATER HEATER <br />URINAL - <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-R AINLEADE RS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />S <br />' <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <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 />UNO. OF NITS DWELLING <br />BUILDING <br />S <br />I <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />[]YES []NO <br />MECHANICAL <br />71♦ <br />SPECIAL CONDITIONS: <br />OTHER <br />I 1 <br />PENELTY <br />SEC. 303(R) <br />TOTAL <br />y1rE. <br />`1w <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />/� <br />APPLICATIOII ACCEPTED BY: <br />. <br />PLAN9 CIIECKED BY: <br />APPROVEDFO ISSUANCE BY: <br />