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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2599995 <br />EVERETT, WASHINGTON <br />991D1 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e <br />OWNER MAIL ADDRESS ZIP PHONE <br />d. Tr *19 mAlm <br />353�L <br />_ <br />ARCHIMAIL ADDRESS PHONE LICENSE NO. <br />TECT OR DESIGNER <br />GENERAL CON TRACTOR MAILADURESS PHONE LICENSE NO. <br />MECHANICy�AL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />R w G <br />CCPLUMBING <br />CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />BUILDING ❑ PLUMBING :kl MECHANICAL <br />CLASS OF WORK <br />1�I NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />� <br />z <br />~ <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />W <br />CL <br />DESCRIBE WORK <br />p s��urt.'Am; MAM <br />2 5 4 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑ ❑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 />S I <br />REFRIGERATION UNITS-H.P. EA. <br />�— <br />BOILERS-H.P. EA. <br />1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS yy��911 ��L9 ����99�9� <br />,LLIJ t0WID <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGEHOOD <br />1 <br />AIR HANDLING UNIT— C.F.M. <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />S <br />dT S]A[SELT <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />1 <br />SHOWER <br />T <br />KITCHEN SINK & DISP. <br />_ <br />SUB TOTAL b <br />I <br />DISHWASHER <br />PERMIT b <br />LAUNDRY TRAY <br />TOTAL FEE S <br />�'//99RR99 <br />CLOTHES WASHER <br />'THIS PERMIT BECOMES NULL AND VOID IF WORK OR C NS RUC - <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 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 />X _ <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAI N LEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />b <br />TOTAL FEE <br />S <br />_ <br />SIGNATURE OF CONTRACTOR 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 />LOT AREA <br />VACANT SITE <br />[]YES []NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CO HST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />—1 <br />BUILDING <br />S <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. BCC. LOAD <br />PLUMBING <br />1— <br />FIRE ZCNL <br />BASEMENT <br />FIRESPRINKLERS <br />RCOUIRED <br />OYES []NO <br />MECHANICAL <br />:00 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENELTY <br />SEC. 303(B) <br />I <br />TOTAL <br />I <br />5 Ico <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE( THIS IS YOUR PERMI' <br />APPL ICATION ACCEPTED BY: <br />PLANS CHECKED BY: <br />APPROVED FOR ISSUANCE BY. <br />L a. <br />