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Ihe Evergreen <br />CITY OF <br />everett <br />urvuai� t»eeu <br />tv[n[ii r:asmrvGrou <br />98i01 <br />oevr.00eveiovrn�xt BUILDING <br />CONS�RUCTION <br />PERMIT <br />MECHANICAL PLUMBING <br />�verett <br />OWNER MAILADDRE55 ZIP PHONE <br />'.RtM 7'r��f7 �s� <br />73 <br />ARCI..iECT OR DESIGNEF MAIL ADDFE55 PHONE LICENSE NO. <br />GENERAL CONTliACTOR MAII. ADDRESS PHONE LIGENSE NO. <br />MECHANICAL CONTI�ACTOR MAIL AODRESS PHONE LIGENSE NO. <br />PLUMBING CONTRACTOR MAIL ADORESS PHONE LICENSE NO. � <br />W <br />.. . �.T,� ...�ti.:' m <br />PEPMIT ^ CLA55 OF WORK � <br />z <br />❑OVILDING aPLUMpING �MECHANICAL f- <br />�NEW ❑ADUITION ❑ALTEflATION ❑RtPAIfl � <br />VALUATION OF WORK � <br />5 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br />OESCRIBE WORK w ^ � + <br />G V V <br />PROPOSED USE MECHANICAL <br />IEGAL DESCRIPTION OF PFOPERTV (SHOW DELOW OR ATTACH TVPE OF FUEL �OIL �Gn1. �LPG. �ELEC. <br />FOUR COPIE51 <br />Lo7 B�ocK—oF NO. TVPE OF EQUIPMENT FEE <br />AIR COND. UNITS—H.P. EA. $ I <br />RGFFIGERATInN UNITS-H.P. EA. <br />UOILERS-H.P. EA. I <br />GAS FIRED A.C. UNITS-TONNAGE Gl�. <br />FORCED AIR SVSTEiNS-B.T.V. M EA. � <br />!OD AODRESS Mn }�,� � WALL HEATERS-6.T.U. M <br />:�.{.J ^��v1 UNIT IiEATEHS-� T.V. M 1 <br />F.VAPORATIVE COOLERS <br />PLUMBING CLOTHES�RVERS I <br />VENTIIATION FAN <br />RANGEHOOD I <br />NO. TVPE OF FIXT.'�RE OFi ITEM FEE AIR HANDLING UNIT- C.F.M. L <br />WATEfiCLOSETITOILETI 5 INCINERATOF I <br />BATHTUD <br />I.AVATORY IWASH BASIN) I <br />SHOWER <br />KITCHEN SINK & DISP. SUB TOTAL 5 � <br />�ISHWASHEF PERMIT 5 <br />LAUNDiiV TRAV — <br />TOTAL FEE S � <br />CLOTHLS WASHER THIS PERMIT DECOMES NULL AND VOI� IF WORK OR CONSTRUG <br />WATER HEATER TION AUTHORI2ED IS NOT COMMENCE� WITHIN 120 DAVS, OR IF <br />UqINAL CONSTRUCTION OR WORK IS S:15PENDED OR ABANDONED FOR A <br />�RINKING FOUNTAI.'J PEPIOD OF 120 OAVS AT ANV TIME AFTER WORK IS COMMENCFD. <br />FLOOR-�SINK OR DRAIN � HEHE�Y CERTIPY THAT 1 HAVE REAO .4N� E%AMINED THIS �1P <br />VAGUUM �qEAKERS PLICATION AN� KNOW THE SAME TO BE TRUE ANO CORRECT. l�LL <br />— PROVISIONS OF LAWS AND OfiUINANCES GOVERNING THIS TVPE <br />flOOF DRAINS-flAINLEAOERS OF WORK WILL BE COMPLIEO WITN WHETHER SPECIFIED HFHEIN <br />SINK (SEflVICE-DAq, ETC.1 OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br />GIVE A'JTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW FEGULATING CONSTFiUCT10N <br />Ofi THE PERi-ORM11C.NCE OF CONSTRUCTION. <br />SUB TOTI�L <br />PERMIT § <br />TOTAL FEE S �� <br />x <br />SIGNATUREUFCONTRnCTORORAVTH.AGENT ❑ATE <br />SIDE Yl.RD SETDACK STFEET �.TBACK REAR YARDSETBqCK PLAN CHECK NVM6ER PLAN CNECK FEE <br />f"EE RECEIPT NO. <br />USE ZOM1E LOT AREA VACANT SITE <br />❑rEs ❑No FEES VALUATION FEE <br />TVPE OF CONST. OCGUPANCY GPOUP NO.OF OWELLING <br />UNITS I <br />S12E OF BLOG. NO.OF STOFIES MAX.000. LOAD BUILDING 5 � <br />I <br />PLUMBING <br />FIRE ZONE �nSEMENT FIPESPRINKLERS <br />REQUIRED <br />❑VES ❑NO MECHA�JICAL I <br />SPECIA� CONOITIUNS: OTHER � <br />PENELTY SEC.3031a1 I <br />TOTAL i� � <br />PERMIT VALIOATION <br />WHEN PROPEIiLY VALIDATED DN THISSPACE) THIS IS �'OUF PERMIT <br />n�PIiUTiONACCfPTE�9V: PLANSCIIECKE00Y: APPflOVEOFOfiI55UANCEBY. <br />�__ �• r• n . .. . . .. . . , �. . � <br />