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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 8598885 <br />EVERETT. WASHINGTON <br />9 <br />8 <br />80I BUILDING <br />DEPT. OF C - <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING ,e <br />OWNER MAIL ADDRESS ZIP PHONE <br />tuft Ja. ulma 73D tl7o TAM t= 3�3"1 ' <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />ME//CeeHHA�,A�NN��ICAL CLNTRACTOR s� (�.� MAIL ADDRESS �L/��P.�H/ONE LICENSE NO. <br />1 wt; 'V Di � '� or 252-MD <br />PLUMBING CONTRACTOR °FAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />❑BUILDING ❑PLUMBING MECHANICAL <br />CLASS OF WORK <br />19 EW ❑ADDITION ❑ALTERATION ❑REPAIR <br />L'�'1 <br />� <br />z <br />L <br />VALUATION OF WORK <br />$ <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />uj <br />W <br />a <br />DESCRIBE WORK <br />T� rw each wit Qt8 <br />/ <br />4 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR C IES) EP��LOCK—OF i"" <br />LOT B <br />NO. <br />TYPEEQUIPMENT <br />FEE <br />_ <br />AIR COND. UNITS—H.P. EA. <br />$ 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 EA. <br />I <br />JOB ADDRESS <br />LMr� tawr PlUm N A K I$ <br />�v''77���N M484 -'�T�/ i[ <br />WALL HEATERS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />elm wn it <br />I <br />WATER CLOSET (TOILET) <br />BATHTUB <br />$ <br />LAVATORY (WASH BASIN) <br />07 <br />SHOWER <br />-_ <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />boo <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE $ <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 />x �76 <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-HAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTALFEE <br />$ <br />SIGNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />[]YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE VF CONST. <br />OCCUPANCY GROUP <br />U40. OF NITS DWELLING <br />I <br />BUILDING <br />$ <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIREZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />[:]YES []NOMECHANICAL <br />9100 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENELTY <br />SEC. 303 (B) <br />I <br />TOTAL <br />I <br />9100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCL?TED BY: PLANS CHECKED BY: <br />APPROVED FOR ISSUANCE BY: <br />