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` 9 FUOET F11ES0 ` [..Nll <br />file Evergreen CONSTRUCTION ® everett <br />CITY OF 0 PERMIT <br />everett <br />CITY HALL 2.9 BN6 BUILDING MECHANICAL • PLUMBING <br />CVERETT. WA 98701 COMBINATION <br />UW NE MAIL AUDNL '5 211` PHONE <br />Wig, lTc F .S cCr/ N / 4 � ,+ .� 7l ,�/ <br />rr a.r U Htn rL ire // �G <br />/ <br />^ILNJy5 HAL TCO'N/TRACTOry9 �9 MAIL A ONLSS 1.11 NE LICENSE NO. <br />T ,c Az, �C? nx/b[l2, S_[_c_7_/ lUk.9�/�� 2Z3'of J";CbE/L[3l/f%F <br />Ifs/ l kcrc;//sdl�&,.j/, <br />MECHANICAL CONTRACTOR MAIL ADOHLSS <br />PHONE LICENSE NO. <br />CIm e 'F «,3 <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />I Irc L� Lle [e olJ♦l-�L- <br />PEHMIT <br />CLASS OF WOIIK <br />❑COMBINATION <br />❑ BUILDING [:)PLUMBING ❑ MECHANICAL <br />❑ NEW <br />�I-� <br />❑ADDITIONALTERATION ❑REPAIR <br />1 <br />VALUATION OF WORK <br />e� <br />t J/�1 LT <br />❑DEMOLISH <br />❑1 CNCE ❑SIGN ❑S\'IIMMING POOL <br />DESCRIBE WORK r <br />/VI`i� �['G.:•}p, ��(L Y'/%/d.VS £i ��'DIZS <br />1 <br />PIIOPOSED USE <br />MECHANICAL ' <br />LLGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATT AEI/ <br />TYPE OF ENERGY <br />[JGAS ❑ELEC. <br />I OUR COPIES) <br />-. <br />NO. TY'PE OF EQUIPMENT FEE <br />LOT BLOCK— OF <br />___ <br />AIR COND. UNITS-H.P. EA. f I <br />TIE FR IGE Il A T 10 N UN I TS II,P, EA. <br />BOILERS -II.P. EA. I <br />,{ <br />ZBC�`--� <br />FORCED AIR SYSTEMS-B.T.U. MEA, i- <br />JOB ADDRESS <br />SPACE L WALL HEATERS - B.T.U. <br />1 <br />UNIT HEATERS- ILT.U. <br />I <br />EVAI`014ATIVE COOLE_HS <br />T— <br />PLUMBING <br />CLO TIIFS URVERS_ <br />VENTILATIUNFAN <br />� <br />RANGE HOOD __ <br />I <br />NO. <br />TYPE OF FIXTURE ON ITEM --JJ <br />FEE <br />AIII HANDLING UNIT- C.F.M. <br />BATH TUBS <br />f <br />- <br />WATCH 14EATEII <br />CLOTI/ES WASHER <br />1 <br />DISH WASHERS <br />I <br />I <br />_ <br />FAD. MOTET FIREPLACE A CHIMNEY <br />SYSTEM NO OP OUTLETS <br />GAS. S—"— <br />---—"—"-- <br />SUn totnl f <br />UNII.'K ING FOUNTAINS <br />I <br />J-- <br />_FLOOR DRAINS . --- <br />--r— <br />—' <br />I <br />KITCHEN SINKS h OIS <br />I <br />—�.--— <br />-'-"- PERMIi <br />_ <br />SINKS <br />TOT FEE f <br />_BAN <br />ROOI DHAINF - HAIN LEADE HS <br />—~—_ <br />I <br />SHOVJE II BATHS <br />__ <br />FE I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUE <br />110N AUTIIOI112CD IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CUNSTIIUCI ION Oil WOIIK IS SUSPENDED OR ABANDONED FOR A <br />PEIIIOD OF 120 DAYS AT ANY TIME AFTER WORK ISCOMMENCED. <br />SEHVIC[ FINKS <br />$AMPS -SEWAGE PUMP <br />URINALS <br />I IIERCIIY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP.. <br />WATER CLOSE T$ <br />1 <br />_ <br />PLtCA71ON AND KNOW TIIC SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L AWS ANO OIIUINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. TIIE GRANTING OF A PERMIT DUES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY O111Ell STATE Oil LOCAL LAW REGULATING CONSTRUCTION <br />OR TIIE PEIIFORMANCE Of CONSTRUCTION. <br />WATER HEATERS -ELECTRIC <br />1 <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />! <br />':.ATER SERVICE SIZE BLDG. SUPPLY SIZE ,S GNATUIIC OP CON RACTOR OR —AU IL AGENT DATE <br />510L YARDSLTUACK STREET SETBACK RE AR V AHU S EIIIACf, PLANCIIEC NUMIIER PLAN :IIEZKFEE <br />/i� FEE Cam' RECEIPT NO. <br />J.L 2ONL LOT AREA VACANT 517E- <br />❑YES ONO FEES VALUATION FEE <br />I YPL OF CONST. OCCUPANCY GROUP NO.OF OWLL LI NG --I <br />I <br />SIZE OF BLDG. <br />1111E ZONE <br />NO, OF STORIES <br />BASEMENT <br />T <br />MAX. OCC. LOAD <br />IHL SPHINX Lkily <br />REOIIHiEU <br />OYES ONO <br />BUILDING <br />PLUMBING <br />------+- <br />1 <br />__ <br />M6CIIANICAI, <br />: d'LCIAL CONDITIONS: <br />OTHER <br />I <br />PENALTY <br />SEC. 7071M <br />I <br />lS Iwvy /�i/QjCj TO �Lc <br />TOTAL <br />PERMIT VALIDATION <br />WHEN P11111'(.HLY VALIDAT 10 (IN THIS SPACE) THIS IS YOUR PLRMIT <br />, <br />+uli1.G11U1. /.11l" It,., <br />V I LNS LI I I IC I U by. <br />'1} W M <br />AIP110VlB H P111WA-th' <br />