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the Evergreen <br />CITY OF <br />everett <br />CITY NAU 259 UIIS <br />EVE RETT. WMNINGTON <br />91201 <br />Of" OF COMMUNITY BUILDING <br />OEVILOPMENL <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e� <br />OWNER MAIL ADDRF"> ZIP PHONE <br />Virginia mannor 3515 8clyt <br />873-77 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />� <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />.m.orgreon State Sheat Metal 252-3113 <br />PLUMBING CONTRACTOR MAIL ADDFIESS PHONE LICENSE NO. <br />W <br />0] <br />2 <br />PERMIT <br />❑BUILDING ❑PLUMBING QMECHANICAL <br />CLASS OF WORK <br />C7 NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />D <br />z <br />~ <br />VALUATION OF WORK <br />$ <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />cc <br />LU <br />a <br />DESCRIBE WORK <br />Install fresh air ilataY.e to uAlla <br />6 O [' <br />2685 <br />vQJ <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑MAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />$ I <br />REFRIGERATION UNITS—H.?. EA. <br />BOILERS—H.P. EA_ <br />I <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />_ <br />FORCED AIR SYSTEMS—B.T.U. M EA. <br />I <br />JOB ADDRESS 3��.J Hoyt <br />1 <br />WALL HEATERS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />i <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT-2e36 G.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />$ <br />BATHTUB <br />LAVATORY (WASH BASINI <br />SHOWER <br />KITCHEN SINK IS, DISP. <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT IS <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />I <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 />1 HERE4Y 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 />619J/7 7 <br />X <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />$ 1 <br />SIGNATURE OF CONT RACTOR OR AUTH. AGENT DATE <br />SIDEYARDSETBACK <br />STREETSETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />-USE ZONE <br />LOTAREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />BUILDING <br />PLUMBING <br />$ <br />1 <br />1 <br />61 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />FI RE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />DYES YES ONO <br />MECHANICAL <br />OTHER <br />SPECIAL CONDITIONS: <br />I <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL <br />1 1 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />8 <br />APPLIUTION ALCEPTFD 9Y: <br />Ilb'IS buECKEO BY: APPROVED TO ISSUANCE II <br />L.C. <br />