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the Evergreen <br />CITY OF <br />everett <br />CITY HAIL 0598885 <br />EVERETT. WASHINGTON <br />98201 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING 111, e �oollil <br />OWNER MAIL ADDRESS ZIP PHONE <br />Its4a0 'ln_,5gtlfjt i jh .12 <br />49047 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENEAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />.R <br />36'iA <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cc <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />8 BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />El NEW ❑ADDITION ALTERATION ❑REPAIR <br />D <br />Z <br />VALUATION OF WORK <br />$0" <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />cr <br />d <br />DESCRIBE WORK <br />Uwu IL•xti _ <br />2316lm Ls b <br />PROPOSED USE <br />.� <br />jeft ��&to, <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑NAT ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OP ATTACH <br />FOU flF�iysl� E�� i,i! p <br />LOT BLOCKOF <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M Eq. <br />I <br />JOB ADDRESS <br />P_aY <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 />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />$ <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTALFEE $ <br />I <br />CLOTHES WASHER <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 />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS -RAIN LEADERS <br />SINK ISERVICE-BAR. ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />SIGNATURE OF CONTRACTOjrOR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <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 />BUILDING <br />$ Wom <br />f►Iyry <br />J }P� <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REDUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />SEC. 303 (R) <br />I <br />TOTAL <br />i. •�V <br />PERMIT VALIDATION <br />WIZEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />APPLICATION ACCEPTED BY: <br />PLANS [NECKED BY: <br />A"ROVEdFOA WANCE BY. <br />�.R <br />