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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 25941185 <br />EVERETT. WASHINGTON <br />9BN1 <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 />' n 4 f .N, i - <br />• f. it <br />ARCHIT SI ALA '" H E- "- IC NO. <br />n - r <br />GENERAL OR A A R S - O- LICENSE NO. <br />r 1. <br />MECHAN A AC O�Qqa AIC AD ESS PHONE LICENSE NO. <br />li <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />❑ BUILDING []'PLUMBING 'MECHANICAL <br />CLASS OF WORK <br />El NEW ❑ADDITION [I ALTERATION ❑REPAIR <br />� <br />z <br />I" <br />VALUATION OF WORK <br />El DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />m <br />LU <br />DESCRIBE WORK <br />gono�el of intc^ior space for retail store <br />^ ^ <br />22 15 <br />P R G. D S?uuisEr Bpi Telt^n_ lione Parma Mart <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES. <br />LOT BLOCK —OF <br />ND. <br />- <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />S J I <br />REFRIGERATION UNITS—H.P. EA. <br />BOILERS—H.P. EA. <br />I <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />FORCED AIR SYSTEMS—B.T.V. M EA. <br />`S I <br />JOB ADORES. <br />LJIw .`.. EJUt'i :'.roa 3uay <br />WALL HEATERS—B.T.U. M <br />_ <br />I <br />UNIT HEATERS—B.T.U. M <br />PLUMBING <br />VAPORATIVE COOLERS <br />OTHES DRYERSENTILATION <br />FANANGE <br />HOODNO. <br />JAIR <br />HANDLING UNIT— C.F.M. <br />TYPE OF FIY.fURE OR ITEM <br />F <br />i <br />WATER CLOSET(TOILET) <br />g ..CINERATOR <br />BATHTUB <br />" <br />LAVATORY (WAS-1 BASIN) <br />f <br />SHOWER <br />KITCHEN SINK & DISP. <br />_ <br />R <br />SUB <br />.DISHWASHER <br />_ <br />PERMIT $ <br />.f <br />LAUNDRY TRAY <br />TOTAL FEE $ JI !) <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 HA'. E READ AND EXAMINED THIS AP <br />...CATION AND KNOW THE SAME TO BE TRUE AND CORREC"f. 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 />CLOTHES WASHER <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 />�— <br />SUB TOTAL <br />PERMIT <br />$ US <br />TOTAL FEE <br />$ J..J I <br />SIGNATUREOF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAP. YARD SETBACK <br />PLAN CHECK NUMBER <br />%i".J ,.2 <br />,r PLAN CHECK FFEA1E��E1NN <br />FEE g�..�� RE616111 O. <br />tJLJ1 <br />USE ZONE <br />LOT AREA <br />VAIFANT 317E <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />S ?.1 • 7QEJ <br />1271 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />❑'!ES ❑NO <br />MECHANICAL <br />:'21 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />TOTAL <br />SEC. 303 (a) <br />I <br />153 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YUUR PERMIT <br />Q <br />APPL.CATION ACCEPTEDBY: <br />PLANSCHECKED BY: <br />75VEFDFOA ISSUANCE BY. <br />