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The Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598ee9 <br />EVERETT. WASHINGTON <br />98701 <br />°`P`°F MEBUILDING <br />o[VELOPvt[oPH[Nr <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL PLUMBING <br />'•"'�^ MAIL ADDRESS ZIP PHONE <br />FIT 3 W mac <br />ARCHITECT OR DESIGNER MAIL ADDRESS PI10NE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />War? 307.'r AIM.TIM. 6 <br />x <br />m <br />PERMIT <br />❑ BUILDING & PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />NEW ❑ADDITION El RATION �C'PAIR <br />Z <br />~ <br />VALUATION OF WORK <br />$ <br />❑DEMOLIS14 ❑FENCE ❑SIGN ❑SWIMMING POOL <br />cc <br />W <br />1 <br />DESCRIBE WORK <br />753 a <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />TYPE OF FUEL (OIL ❑GAAS. ❑LPG. ❑ ELEC. S <br />NO• <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />S I <br />REFRIGERATION UNITS—H. P. EA. <br />BOILERS—H.P. EA. <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />FORCED AIR SYSTEMS—B.T.V. M EA. <br />I <br />JOB ADDRESS * <br />CI' u A.L <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 />VENTILATION FAN <br />RANGEHOOD <br />I <br />N <br />F <br />TYPE OFIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET I I UILETI <br />S <br />INCINERATOR <br />BATHTUB <br />- q <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK EI DISP. <br />SUB TOTAL 5 <br />,DISHWASHER <br />PERMIT 5 <br />L`UNDRY TRAY <br />CLOTHES WASHER <br />TOTALFEE S <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 I HAVE READ AND EXAMINED THIS AP- I <br />PLICATION AND KNOW THE CAME TO BE TRUE AND CORRECT. ALLY <br />PROVISIONS OF LAWS AND 6RDINANCES 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 i <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION 'I <br />OR THE PERFORMANCE OF CONSTRUCTION. G <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 />$ <br />TOTALFEE <br />S <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARDSETBACK <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 />VACANTSITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF OWELL114G <br />UNITS <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />S <br />I <br />PLUMBING <br />3 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES ❑NO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL <br />33loo <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />PLANSCHECKED BY: APPROVED <br />FDAISSUANCE BY. <br />'Leon <br />