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?the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />OWNER MAIL ADDRESS ZIP PHONE <br />m <br />�.35g-//35 <br />p�llp <br />ARCHITECT OR D SIGNER MAIL ADDRESS PHONE LICENSE NO <br />7� <br />-I <br />GENERAL CONTR^ACTO`R MAIL ADDRESS PHONE NS LICE ­ENO <br />Z <br />•TR���O�y MAIL AODflE5AN <br />MECHANICAL CONTRACTOR PHONE <br />MECHANICAL CONTRACLICENSE NO.oj <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO, <br />PERMIT CLASS <br />OF WORK <br />(COMBINATION <br />013UILDING []PLUMBING []MECHANICAL <br />51.14EW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />^ ❑DEMOLISH _fFENCE ❑SIGN ❑SW IIAMING POOL <br />S co. � <br />DFSCRIBE WORK <br />efCAJ!!5�6 7- <br />PROPOSED USE <br />MECHANICAL <br />OF ENERGY <br />❑GAS ❑ELEC. <br />TYPE <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />NO• <br />TYPE OF EQUIPMENT <br />FEE <br />FOUR t;Qr1 E51 v S <br />AIR COND. UNITS-H.P. EA. <br />S 1 <br />LOT —C•�{— BLOCK —OF- - <br />REFRIGERATION UNITS-H.P. EA. <br />_ <br />LECfj TjH S ?�i `� e rr �F774 <br />BOILERS-H.P. EA. <br />FORCED AIR SYSTEMS-B.T.U. IAEA. <br />W s4no T i ce= �-= <br />JOB ADDRESS <br />SPACE b WALL HEATERS -B.T.U. <br />UNIT HEATERS-B.T.U. <br />�_� <br />SBoS A �: Gug4 (Jg <br />EVAPORATIVE COOLERS <br />PLUMBING <br />I/_ <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />NO, <br />TYPE OF FIXTUGE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />1 <br />CLOTHES WASHER <br />WATER HEATER <br />DISH WASHERS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />SUB TOTAL S <br />KITCHEN SINKS & DISP. <br />1 <br />PERMIT S <br />BAR SINKS <br />TOTAL FEE S ( I cwo <br />THIS PERMIT 6ECOM ES -NULL VOID IF WORK OR CONST RUC <br />ROOF DRAINS - RAIN LEADERS <br />1 <br />SHOWER BATHS <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />URINALS <br />WATER CLOSETS <br />I <br />PLICATION AND KNOW THE SAME TO GE T"RUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WI L BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, T BEOF A PERMIT DOES NOT PRESUME TO <br />GRITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />IVE AUTH <br />ANY OTHE STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE P FORMA NCE OF CO TR CTION. <br />'7 l <br />//� / 7 <br />X <br />WATER HEATERS -ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAY$ <br />1 <br />SUB TOTAL <br />PERMIT <br />S 3 - 0 <br />'OTAL FEE <br />- <br />IL B LOG, SUPPLY SIZE( 11 <br />51GNATUR OF CONTRACTOROR AV H. AGENT ATE <br />WATER SERVICE SIZE <br />SIDE YARD SETBACK STREET SETBACK REARYARD SETBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />RECEIPT NO. <br />FEE �t <br />� / 1/ TT ��1 c- <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEE <br />17� <br />ROES ❑NO <br />FEES <br />VALUATION <br />TYPES OF CONST. <br />OCCUPANCY GROUP <br />NO. OS DWELLINGUNIT <br />I <br />BUILDING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC4LOAD <br />PLUMBING <br />1 <br />3a, Oo <br />Z <br />�SPRIN <br />FIRE ZONE BASEMENT TIRE <br />REQUIREDKLERS <br />Zt Rao <br />3 /`v O ❑YES MITO <br />MECHANICAL <br />I <br />ECIAL CONDITIONS: <br />OTHER <br />I <br />PENALTY <br />SEC. 303(e) <br />I <br />T,. <br />I <br />_ <br />P RMIT VALI AT.ON 1] SQI <br />WHEN PROPERLY VALIDATED II }l�IjSPAC H R PER MI'1 <br />R i to 71 nn <br />'�'_� — <br />UR RECEIPT <br />, <br />YOUR RECHPT.,, <br />. -THANK <br />YOU <br />THANK YOU I-T) <br />�_ <br />imu By1r <br />APVLILgTIQB gL' LANS411LCK Y'F APPNOVI Il 10P LLSIiAN'A 11Y <br />{Tj{yrEANB <br />env 71 <br />. <br />1;;. 14 WV 11 .. <br />1 ADDRL-S. FI[.E _ <br />