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I <br />the Evergreen CONSTRUCTION <br />CITY OF /o*�' <br />everett PERMIT <br />CITY HALL 250 8745 <br />EVERETT. WA 58201 COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNFR <br />ry 1• 1 uVHtJJ <br />Oconner & Oehler Everett <br />ZIP PHONE <br />-o <br />ARCHITECT OR OCGiGWEH MAIL ADDRESS <br />PHONE LICENGt NO <br />. <br />m <br />GENERAL CONTRACTOR A4AIL ADDRESS <br />PHONE: LICENSE NO. <br />Oconner & Oehler 9610 Evergreen Way Everett WA <br />z <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />c <br />9 <br />Ricketts Meta1SMFG 6720Fleming Rd <br />353-4444 223-01Ev-ER-EH <br />Do <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />PHONE <br />m <br />Fn <br />A263D2 LICENSE NO. <br />�� <br />PERMIT CLASS OF WORK <br />,y � <br />❑ COMBINATION <br />❑ BUILDING ❑ PLUMBING BP MECHANICAL <br />❑NEW <br />❑ADDITION El ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />TYPE OF ENERGY <br />FOUR COPIES) <br />❑GAS ❑ELEC. <br />LOT BLOCK —OF <br />NO• TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS--H.P. EA. <br />2 FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />�✓ <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 />BATH TUBS <br />g <br />CLOTHES WASHER <br />I <br />I <br />DISH WASHERS <br />WATER HEATER _ <br />DRINKING FOUNTAINS <br />I <br />FA C. BUILT FIREPLACE &CHIMNEY <br />I <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />I <br />SUBTOTAL S I Q <br />BAR SINKS <br />I <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />I <br />TOTAL FEE $ <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR <br />SERVICE SINKS <br />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 E%AMINEC THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND COPAECT. 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 />' <br />�r <br />2-153-7 <br />SUMPS -SEWAGE PUMP <br />URINALS <br />I <br />WATER CLOSETS <br />I <br />WATERHEATERS -ELECTRIC <br />1 <br />_ WASH BASINS <br />I <br />LAUNDRY TRAYS <br />SUB TOTAL <br />I <br />PERMIT S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OF CONTRAC�TH. AGENT DATE <br />SIDEYARDSETBACK <br />STREETSETBACK <br />R EAR YARD SETBACK <br />PLAN CHECK NUMRER <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 />MA%. OCC. LOAD <br />BUILDING <br />S <br />I <br />I <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES []NO <br />MECHANICAL <br />I do <br />SPECIAL CONDI'i IONS: <br />OTHER <br />I <br />PENALTY <br />SEC. 703(a) <br />I <br />TOTAL <br />i <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED 11 71af PAC -1J1 WYFt'i�iMl�' <br />1 THANK YOUI'� <br />AI'PLICATIONACCEPTEDBY: <br />PLANS CNECKED BY. <br />APPROVEDFOR ISSUANCE BY. <br />T • <br />ADDRESS FILE <br />14 FS 78 <br />