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the Evergreen <br />CITY OF <br />everett <br />CITY HALE 2598885 <br />EVERETT. IVASHIN(TON <br />98201 <br />DEPT. OF COMPONENT BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />OWNER MAII ADD <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />ARCHITECT OR DESIGNER <br />GENERAL CONT RACTOR <br />SIM <br />MECHANICAL CONTRACTOR <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />MAIL ADDRESS <br />MAIL ADDRESS <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />o•'- h <br />cc <br />W <br />m <br />PERMIT <br />IJBUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW <br />yI <br />❑ADDITION SALTERATION ❑REPAIR <br />Z <br />VALUATION OF WORK <br />DESCRIB WWORK <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />601 <br />E <br />Im <br />W <br />1 <br />PROPOSED USE <br />MECHANICAL <br />LEGALFOURADESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />L 0 T BLOCK OF <br />TYPE OF FUEL ❑OIL ❑GAS. ❑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 />'— <br />-- JOB ��yAy DD�RESS ----- <br />��y� <br />&M CaMot 4122 GRAND <br />PLUMBING <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 />WALL HEATERS—B.T.U. M <br />I <br />UNIT HEATERS—B.T.U. M <br />EVAPO RA TIV E COOLERS <br />I <br />CLOTHES DRV ERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />TYPE OF FIXTURE OR ITEM <br />F <br />AIR HANDLING UNIT— C.F.M. <br />WA I ER CLOSET(TOILET) <br />$ <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />— <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />--- <br />LAUNDRY TRAY <br />PERMIT S <br />CLOTHES WASHER <br />TOTAL FEE $ <br />I <br />WATER HEATER <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 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 />���y� <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE $ <br />SIGNATU RE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />TYPE OF CONST, <br />LOT —AREA <br />OCCUPANCY GROUP <br />VACANT SITE <br />OYES ONO <br />NO.OF DWELLING <br />UNITS <br />FEES <br />VALUATION <br />FEE <br />512E OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />�}���(/y�F��9rr����//��89�� <br />S 2*M% RSA <br />��I <br />CV w <br />PLUMBING <br />— <br />151 00 <br />FIREZONEZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />DYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENELTY <br />SEC. 303(a) <br />I <br />_ I <br />TOTAL <br />3x 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPIFU Rv <br />Fa4s <br />ol_n,ue C"ECY.ED pY: <br />AFPRGVEDFVH U>UANR MY . <br />X s <br />