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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2592115 <br />EVERETT. WASHINGTON <br />98201 <br />DEPT. DI COKIUNITY BUILDING <br />UEVELOPNENi <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />OWNER����yy,.,.�� �.F PR��ELI/ ��jjBBMBABIILL ADDRESS �{{�rr�� ZIP rryy�I�-+T ��jj..,� PHONE <br />• iIUC� M uw - 71=i' �=_ y G7 b7 ft 7 *31 G�W <br />-'r•L:-- <br />.. <br />ARCHITECT OR DESIGNEP MAIL ADDRESS PHONE LICENSENO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PI.UMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />O] <br />PERMIT <br />�I <br />p BUILDING ❑PLU' METING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION IfREPAIR <br />F- <br />VALUATIO O <br />§ <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />1 <br />DESCRIBE WORK <br />`olVe & r, Tram <br />2557 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAS ❑LPG. ❑ELEC. <br />LEGAL DE CRIPTION O OPE PIT Y.(SHOW aB.EI. V qR QTTAC�H <br />FOVR CO� S) a "mtL :r�.A Pj <br />LOT BLOCK —OF <br />NO. <br />TYPE OF <br />FEE <br />AIR COND. UNITS-H.P. H.P, EA. EA. <br />§ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P, EA. <br />I <br />G/ <br />7 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />JOB ADDR?!!$ y <br />�p,J 1 <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M. <br />WATER CLOSET (TOILET) <br />§ <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY(WASH-:ASIN) <br />) <br />SHOWER <br />�_ <br />KITCHEN SINK & DISP. <br />SUB TOTAL § <br />DISHWASHER <br />PERMIT § <br />LAUNDRY TRAY <br />TOTALFEE S <br />I <br />CLOTHES WASHER <br />WATER HEATER <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 ABAND014ED 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 />fl _ <br />+Gff'f3 <br />x <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />I <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />§ <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <br />LOTAREA <br />VACANTSITE <br />OYES 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 />5 i91N <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRESPK I NKLERS <br />REOUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />SEC. 303(a) <br />I <br />' <br />TOTAL <br />I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Q <br />APPLICATION ACCEPTED BY <br />PLANS CHECKED BY: APPHOVED`0 <br />UAUANCE BY. <br />�-lam <br />