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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598885 <br />EVERETT, WMHINGTON <br />99281 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING ,e <br />OWNER � MAIL ADDRESS ZIP PHONE <br />y} <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />p <br />T <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE ll': ENSE NO. <br />PERMIT CLASS <br />�� <br />0 BUILDING I] PLUMBING ❑ MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION Cl ALTERATION ❑REPAIR <br />7 <br />F- <br />ii <br />VALUATION OF WORK <br />S )Nrjo N po <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />W <br />a <br />DESCRIBE WORK <br />r 2647 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OFFUEL []OIL ❑GAS ❑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 CLING. UNITS-H.P. EA. <br />B 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTE NIS-B.T.U. M EA. <br />I <br />JOB ADDRESS ,FIB �y�l.m <br />ify; a. wyZil�9+8i <br />WALL HE.. ERS-B.T.U. M <br />UNIT HEATERS-R.T.U. M <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I _ <br />VENTILATION FAN <br />- <br />RANGE HOOD <br />1 <br />AIR HANDLING UNIT- C.F.M. <br />N <br />TV PE OF FIXTURE OR ITEM <br />FEE <br />INCINC RATOR <br />1 <br />WATER CLOSET IT OIL ET) <br />S <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHENSINK&DISP. <br />DISHWASHER <br />SUBTOTAL $ <br />PERMIT S <br />I <br />LAUNDRY TRAY <br />TOTALFEE $ <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 I HAVE READ AND EXAMINED THIS AP <br />PLICATION 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 />iFfA <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 />SUB TOTAL <br />PERMIT <br />$ <br />TOTALFEE <br />$JA <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE �wN �w<r <br />jjj�JJ-JJ <br />FEE <br />RECjJ. <br />LL <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 />UNITS DWELLING <br />BUILDING <br />YYIID� <br />S W <br />'�f�1 <br />7-itonS <br />SIZE OF BLDG. <br />NO. OF STORIES <br />AX. OCC. LOAD <br />MAX. <br />PLUMBING <br />( lW <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES [:)NO <br />MECHANICAL <br />I <br />I <br />1 <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 30318) <br />TOTAL <br />I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />n <br />APPLICATION ACCEPTED VY: <br />PLANS CHECKED BY: <br />APPROVED FOP. ISSUANCE BY. <br />10 imp <br />