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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 BB85 <br />EVERETT. WASHINGTON <br />98101 <br />DEFT OF <br />EVE"LOPMENT BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />OWNER MAIL ADDRESS LIP PITON[ <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />PHONL LICENSE NO. <br />GENERAL CONTRACTOR <br />MAILADORESS <br />PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />PLUMBING CANTRACTO R <br />;Wi3l' <br />yftoo� two ft <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />LU <br />PERMIT <br />CLASS OF WORK <br />C3 <br />❑ BUILDING PLUMBING ❑ MECHANICAL <br />VALUATION OF WORK <br />❑NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />= <br />c� <br />$ <br />DESCRIBE WORK <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />d <br />PROPOSED USE <br />2169 <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY ISHOW LOW OR ATTACH <br />FOUR COPIES) <br />TYPE OF FUEL ❑OIL ❑GAAS, ❑LPG. ❑ELEC. <br />LOT __ BLOCK —OF <br />_ <br />NO. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. $ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />GAS FIRED A.C. UNITS -TONNAGE EA.. <br />JOp ADDRESS <br />FORCED AIR SYSTEMS-B.T.U. M EA. I <br />.Iryl+ <br />% <br />WALL HEATERS-B.T.U. M <br />.75 ./ <br />VNIT HEATERS-B.T.U. M <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES ORYEF <br />VENTILATION FAN <br />I <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />CLOSET (TOILET) <br />FEE <br />S <br />AIR HANDLING UNIT- C.F.M. <br />INCINERATOR <br />BATHTUB <br />I <br />LAVATORYIWASH BA SIN) <br />SHOWER <br />KITCHEN SINK & P. <br />SUBTOTAL $ <br />I <br />DISHW,Li1fER <br />LAUNDII,V TRAY <br />PERMIT $ <br />CLOTHES NASHER <br />TOTAL FEE $ <br />WATER';EATER <br />URINAE <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />OR WORK IS SUSPENED OR ABANDONED FOR A <br />PERIOD OF 12O0 DAYS AT ANY TIME AFTER WORK SCOMMENCED. <br />1 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 't0 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X L �Pa <br />3-�I I <br />SIG NATURE OF CONTRACTOFORAUTH.AGENT DATE <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />ORINKIIIG. OUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAIN <br />I SE - ,A C.1 <br />SUB TOTAL <br />PERMIT $11 <br />- <br />TOTAL FEE Si <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACt, <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />OYES ❑NO <br />NO. OF DWELLING <br />UNITS <br />FEES <br />VALUATION <br />FEE <br />I <br />SIZE OF SLOG. <br />NO, OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />$ <br />1 <br />I <br />PLUMBING <br />rIM <br />7 W <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />I <br />I <br />OTHER <br />PENELTY <br />SEC. 303 (a) <br />TOTAL <br />S IW <br />_ <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />PUM9 CHECKED BY: <br />APPBOVFDEUPISSUANCE IN <br />IV <br />