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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2bSRBF5 <br />EVERETT. WASHINGTON <br />92201 <br />°`°' °DEVELOPMENT BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING e, <br />OWNER MAIL ADDRESS <br />Pe mulm.--ry <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />GENER�ALyC�ONTRACTOR MAIL ADDRESS <br />VF.i+I' <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />PERMIT CLASS OF WORK <br />❑ BUILDING [I PLUMBING =] MECHANICAL <br />CJ NEW <br />VALUATION OF WORK <br />$ ❑DEMOLISH <br />DESCRIBE WORK <br />ZIP PHONE <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />PHONE LICENSE: NO. <br />!]ADDITION ❑ALTERATION []REPAIR <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />tr <br />LU <br />D <br />Z <br />cc <br />LU <br />C_ <br />2471 <br />PROPOSED USE <br />MECHANICAL <br />LEGALDES -RIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPI ESI <br />LOT BLOCK —OF <br />TYPE OF FUEL❑OIL ❑GAAS. ❑LPG. ❑ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS--H.P. EA. <br />JOB ADDRESS Q�N�Q /9EIyEW�� <br />BOILERS-H.P. EA. <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYETEMS-B.T.V. M EA. <br />WALL HEATERS-B.T.U. M <br />I <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <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 />BATHTUB <br />1 <br />LAVATORY (WASH BASIN) <br />SHOI••ER <br />— <br />KITCHEN SINK & DISP. <br />_L_ <br />SUBTOTAL $ <br />DISHWASHER <br />LAUNDRY TRAY <br />PERMIT $ <br />III WR <br />CLOTHES WASHER <br />TOTAL FEE $ <br />WATER HEATER <br />I <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 />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED T14IS AP� <br />PL(CATION 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 O'rHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR. ETU.) <br />SUBTOTAL <br />PERMIT $ <br />TOTALFEE $ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDEYARDSETBACK <br />STREETSETBACK <br />REARYARDSETBACK <br />PLANCHECK NUMBER <br />PLANCHECKFEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />TYPE OF CONST. <br />LOT AREA <br />OCCUPAN';Y GROUP <br />VACANT SITF. <br />❑ves ONO <br />NO. OF DWELLING <br />UNITS <br />FEES <br />_ <br />VALUATION <br />FEE <br />I <br />SIZE OF BLDG. <br />—ZONE <br />NO. OF STORIES <br />MA%. OCC. LOAD <br />BUILDING <br />§ <br />I <br />PLUMBING <br />FIR <br />BASEMENT <br />FIRESPRINK LERS <br />REQUIRED <br />❑YES ❑NEI <br />MECHANICAL <br />1C <br />h•� <br />SPECIAL CONDITIONS' <br />OTHER <br />1 <br />I <br />PENELTY <br />SEC. 303 (N) <br />1 <br />TOTAL <br />I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />PLANS CHECKED BY: <br />APPROVED FOR ISSUANCE BY <br />DIS. <br />M Y IQ <br />