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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598885 <br />EVERETT. WASHINGTON <br />98201 <br />DEPT, OF COM8111NITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e <br />II�O�yTI�W�NNE�ER{{���������� MAIL ADDRESS ��nZ�IIIP�Pyyy� PHONE <br />rmmu W�E/CTst L'� ;J5J6Wi ".71.� .{L�,7 <br />Mn <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />c <br />GENERAL CONTRACTOR ��yIAAIIL��/LT ADDRESrSr��.�.,���� PHONE <br />��++�}��E/� yy��yy��L��I C��E**.NS-�E11SNfO. <br />J" G.)L.6J ✓� Jtmil!"V 2 ijW> 423mi - JAP-S7- <br />1 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE NSE NO. <br />_ <br />LU <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />P110*00 <br />W <br />m <br />PERMIT <br />imBUILDING @ PLUMBING RMECHANICAL <br />CLASS OF WORK <br />I� <br />ISNEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />D <br />Z <br />F' <br />E <br />VALUATION OF WORK <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />cc <br />W•-= <br />LU <br />DESCRIBE WORK2642 <br />T <br />PROPOSED USE <br />MECHANICAL <br />TYPE <br />OF FUEL ❑OIL ❑GAAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COFIESI 6OSIAMM 30 ��y <br />LOT D BLOCKOFV1��1�ObW woe"1 <br />_ <br />TVPES- EQUIPMENT <br />FEE <br />$ I <br />_NO. <br />_ <br />AIR COND. UNITS-H. P. EA. <br />REFRIGER0.TI ON UNITS-H.P. EA. <br />POILERS-H.P. EA. <br />1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTENIS-B.T.U. M EA. <br />WALL HEATERS-B.T.U. M <br />I <br />- <br />J0,p RESS <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />I <br />=A <br />PLUMBING <br />CLOTHES DRYERS <br />1 awmi <br />-r'iv99 <br />" <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />go.WATER <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />CLOSET (TOILET) <br />$ <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUB TOTAL S <br />I <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />- <br />,r <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZE(( 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 />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />I LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE I <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN I <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO I <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF -I <br />ANY OTHER STATE LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />WATER HEATER <br />URINAL <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 />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YA♦dJSETBACK <br />�i• <br />ST REEI' SE�CK <br />REAR Ygp SETBACK <br />a <br />PLAN CHECK NUMBER <br />�1f11Yf <br />PLAN CHECK FEE <br />FEE e11•A� RECEIPT NO. <br />-T! V' T+7J`IT9 <br />USE ZQN& <br />L jJ1 <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE 0t NST. <br />OCCUPAPfV GROUP <br />DYLLING <br />NO UNITS <br />BUILDING <br />q� ryS <br />26 <br />5 (J9-W <br />�(;�1 <br />`�i1JI 00 <br />B F hfG. <br />S jjli <br />NO.OF S DRIES <br />MAX.00C. LOAD <br />PLUMBING <br />M <br />I w <br />PITY LONE <br />BAS ENT <br />FIRESP I KKL$L,,E,RSRUI <br />OYES NO <br />MECHANICAL <br />OTHER <br />-I __ <br />SPECIAL CONDITIONS: <br />I <br />PENELTY SEC. 303 IF) I <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN TIT IS SPACE) THIS IS YOUR PERMIT <br />3 <br />APPLICATION YACCEPTEDBY: <br />6NV� <br />PLANS CHECKED By <br />BMA�T <br />APPPOVEDAAFO/�PYYISSIIANCE 81 <br />M�F1 <br />