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the Evergreen <br />CITY OF <br />CONSTRUCTION <br />everett <br />everett <br />PERMIT <br />CITY HALL 159BUS <br />EVERETT. Al"HINGTON <br />9P101 <br />°`PT oD <br />BUILDING <br />MECHANICAL <br />PLUMBING <br />0[VElOPMFNT <br />DEVELOPMENT <br />�e <br />OWNER <br />MAIL ADDRESS <br />ZIP PHONE <br />J , :'i ,3+tim <br />73 _ f <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />� iv :Si.F 1% <br />77J—T. 61 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />cr <br />IQ <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />m <br />PERMIT <br />CLASS OF WORK <br />Z <br />/� <br />LJBUILDING []PLUMBING []MECHANICAL <br />F- <br />❑NEW <br />P i.. <br />❑ADDITION ALTERATION yE.EPAIR <br />VALUATION OF WORK <br />$f() e—lo <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />S <br />d <br />DESCRIBE WORK g.rm"Ing AAA ra3le <br />Y'rlW1' <br />2553 <br />PROPOSED USE <br />MECHANICAL <br />TYPEOFFUEL ❑OIL ❑NAT. LI LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />GAS <br />AFT <br />347OF QM-rl <br />AMP AM., <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />LOT __ BLOCK <br />AIR COND. UNITS—H.P. EA. <br />$ 1 <br />REFRIGERATION UNITS—H.P. EA. <br />f <br />BOILERS—H.P. EA. <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />FORCED AIR SYSTEMS—B.T.U. M EA. <br />I <br />JOB ADDRESS 1 <br />WALL HEATERS-B.T.U. M <br />UNIT <br />HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />1 <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 />_ <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP, <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY THAN <br />CLOTHES WASHER <br />TOTALFEE $ <br />1 — <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUE <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />URINAL <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR T <br />DRINKING FOUNTAIN <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />FLOOR -SINK OR DRAIN <br />I HEREBY CERTIFY THAI I HAVE READ AND EXAMINED THIS AP <br />VACUUM BREAKERS <br />PLV^ATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />ROOF DRAINS-RAINLEADERS <br />PF 'ISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF .JORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />SINK (SERVICE -BAR, ETC.) <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 />SUB TOTAL <br />PERMIT <br />$1 <br />j <br />TOTAL FEE <br />$ <br />X - <br />SIGN EO AACTOR OR AUTH. AGENT DATE <br />SIDEYAROSETBACK <br />STREETSETBACK <br />REARYARDSETBACK <br />PLAN CHECK -NUMBER <br />PLAN CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />1 <br />UNITS <br />I <br />lI <br />BUILDING <br />5 2900 <br />olit.I <br />S1ZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />SEC. 303 (a) <br />I <br />— <br />TOTAL <br />Im <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />PLANSCNECKEDBY: <br />APPROVED+FDA ISSUANCE BY. <br />M <br />