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the Evergreen <br />CITY OF <br />everett <br />CITY NALL 2598915 <br />EVENT". WASHINGTON <br />99101 <br />DFPr. OD[ ELLOCYENT BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �.e <br />"'•ten T�gt\ p�9����9(Y�� 22l!tt�� MAIL ADDRESS ZIP PHONE <br />W. SATiti� G41 O 1. 17M <br />./ <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE hp. <br />PHONE I.ICENSE .40. <br />M ECHANICAI CONTRACTOR MAIL ADDRESS VGT <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.� <br />Co <br />PERMIT <br />❑ BUILDING ❑PLUMBING MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION llnrPAIR <br />z <br />= <br />VALUATION OF WORK <br />$ ❑DEMOLISH []FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK y� �`p� — -- -- - - <br />.lta� Yl•t+' <br />W <br />a <br />-- <br />1004 <br />PROPOSED USE - <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <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 />$ 1 <br />REFRIGERATION UNITS-H.P, EA. <br />` <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS M6 MAW <br />CCEE]]ii iir� +/YW3/ <br />PLUMBING <br />_ <br />WALL HEATERS-B.T.U. M <br />I <br />UNIT HEATERS-B.T.U. N' <br />EVAPORATIVE COOLERS <br />I <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR NA HOLING UNIT- C.F.M. <br />WATER CLOSET (TOILET) <br />$ <br />INCINERATOR <br />1 <br />BATHTUB <br />L AVATORY(WASH BASINI <br />SHOWER <br />- <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />- <br />1 <br />DISHWASHER <br />PEq MIT $ <br />LAUNDRY TRAY <br />CLOTHESWASHER <br />TOTALFEE $ <br />I <br />WATER HEATER <br />THIS PERMIT BECOMES NULL ANO 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 IC COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />I ION 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 />x 7/g/i+d <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />I <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR, CTC.) <br />SUB TOTAL <br />PERMIT <br />$ r <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONT RACTOR OR AUTH.AGENT DATE <br />SIOE YARD SETBACK <br />STREET SETBACK <br />REAR VARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />VAX.COCC. LOAD <br />BUILDING <br />S <br />1 <br />I <br />PLUMBING <br />1 <br />--Sim--- <br />1 <br />1 <br />FIRE ZONE <br />BASEMENT <br />—SPRINKLERS <br />Rroui <br />REQUIRED <br />OYES [:]NO <br />MECHANICAL <br />SPECIAL CONDITIONS'. <br />OTHER <br />PENELTY <br />SEC. 3031z1 <br />I <br />TOTAL <br />s l oo <br />PERMIT VALIDATION <br />WHEN PRCPE FLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />APPLICATION ACCEPTEDBY. <br />PLANS Ci1CCKE0 BY. AP <br />PRO% ED EON ISSUANCE BY. <br />I. C. <br />