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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598885 <br />EVE RETT, WASHINGTON <br />98701 <br />DEPT. OF COMNLINITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />OWNER qq��M��AIL ADDRESS ZIP PHONE/YEEy�e,� <br />t�J � :Qr.n� d_rw HIM, <br />��(( <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />G �EyNEER9AL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />��3i.K' <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUM13ING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />LU <br />co <br />PERMIT <br />RBUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />0 <br />Z <br />I-' <br />VALUATION OF WORK <br />S 2013 !V! <br />❑DEMOLISH FENCE ❑SIGN ❑SWIMMING POOL <br />CL <br />DESCRIBEWORK 1AMMM i 61 rM M �{p USA <br />:+z:�r <br />582 <br />PROP(P'ED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OATTACH <br />R <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 />BOILERS-H.P. F.A. <br />I <br />_ <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS <br />3w pm <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPL'. OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET (TOILET) <br />g <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN <br />1 <br />SHOWER <br />KITCHEN SINK & DISP, <br />SUBTOTAL 5 <br />1 <br />DISHWASHER <br />PERMIT 5 <br />LAUNDRY TRAY <br />TOTAL FEE 5 <br />I <br />CLOTHES WASHER <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 1 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 h/1 /O <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR GRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RgINLEADERS <br />SINK 'SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />5 <br />TOTAL FEE <br />$1 <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />$ 9 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />kASEMENT <br />FIRESPRINKLERS <br />RCOUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL50 <br />1 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />PLIINSCHECKEDBY: APPROVED <br />FOR ISSUANCE BY. <br />it.6cIII, in <br />