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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 1598885 <br />EVERETT. WASHINGTON <br />911201 <br />DEPT. DE COMMUNITY BUILDINGDEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e <br />OWNER TTa9.�. �M�A,�ILP.ttAD.�DDR��NEgqSS yy,.��� ������{{y��II//Z�NIP PHONE <br />;` �,' S, RPrTYVV -au .'aME✓•RT 'xww IIFJI.IC� -' I* AaAV�T1 <br />+� <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAILADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NU. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Moft <br />UJ <br />PERMIT CLASS <br />❑BUILDING tPLUMBING []MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION El ALTERATION ❑REPAIR <br />z <br />~ <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />cc <br />LU <br />Cl <br />DESCRIBE WORK <br />3353 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL OIL ❑GAS ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />h�l. i9 <br />' <br />NO. I <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />5 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.U. M E.D. <br />I <br />JOB ADDRESS <br />a✓9 <br />WALL HEATERS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />1 <br />AIR HANDLING UNIT— C.F.M. <br />N <br />TYPE OF FIXTURE OR ITEM <br />INCINERATOR <br />1 <br />WATER CLOSET (TOILET) <br />$ <br />BATHTUB <br />I <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTALFEE. S <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMFS 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 WOHK 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 />PPOVISIONS 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 />X prmft /;AMnq (I,� 31► <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 />39 <br />SUBTOTAL <br />Jigg <br />PERMIT <br />5 <br />TOTAL FEE <br />S <br />SIGNATURE OFCONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YAFIDSrTSACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNi Os DWELLING <br />I <br />BUILDING <br />5 <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA%. OCC. LOAD <br />PLUMBING <br />�I 00 <br />FIRE ZONE <br />BASEMENT <br />FIRESPHINKLERS <br />REQUIRED <br />❑YES ❑NO <br />MECHANICAL <br />I <br />I <br />i <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL( <br />1 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: PLANS CHECKED 9Y: <br />FOR <br />=10 <br />