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Ebr. Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 BUS <br />EVERETT, WASHINGTON <br />$12O1 <br />COT, OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everei.1 <br />PLUMBING <br />OVVrv.Ri/VESM yMMAIL ADDRESS ZIP PHONE <br />��M1fiPfq-- <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />ULNERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MEC}}HH9EAAy)NNy �II 2C�'AP��L �C2ypO���.NTTyR�AAqCCTOR MAIL ADDRESS PHONE LICENSE NO. <br />rC'l,iaJ4{ LF Li_iL1Ni <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />O] <br />PERMIT <br />❑ BUILDING ❑ PLUMBING MECHANICAL <br />CLASS OF WORK <br />• <br />IJ NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />2 <br />N <br />VALUATION OF WORKcc <br />IS <br />_ <br />El DEMOLISH [3FENCE G'IIGN ❑SWIMMING POOL <br />W <br />a <br />D ESCRIBE WORK <br />alJ�:lBP yp <br />439 <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DE';CRIHTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COTES) <br />LOT BLOCK —OF— <br />TYPE OF FUEL OIL C]NAT. LPG. �EL[C. <br />GAS <br />NO. <br />TYPE OF EQUIPMENT <br />_ <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />$ I <br />REFRIGERATION UNITS—H.P. EA. <br />BOILERS—H.P. EA. <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />FORCED AIR SYSTEMS—B.T.U. M EA. <br />1 <br />JOB ADDRESS _�� <br />j) <br />W"4K6 <br />_� <br />WALL HEATERS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />I <br />PLUMBING <br />— <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I _ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M. <br />WATER CLOSET (TOILET) <br />g <br />INCINERATOR <br />I <br />BATHTUB <br />— <br />LAVATORY (WASH BASIN) <br />—T <br />SHOWER _ <br />KITCHEN SINK & OISP. <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />TOTAL FEE IS <br />II <br />CLOTHES WASHER <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS`TF1UC <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 1 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 />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAIA J—RAINLEADERS <br />SINK (3ERVICE—BAH ETC.) <br />SUBTOTAL <br />.� <br />PERMIT <br />$ T <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />$ <br />I <br />I <br />— <br />j [„ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT FIRE <br />LERS <br />REQUIRED <br />RED <br />❑YES ON <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 W <br />I <br />TOTAL <br />EpI) <br />r 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS '. ACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />PLANSCHECKED BY: APPROVED <br />FAO I�SSOANGE OY. <br />