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the Evergreen <br />CITY OF <br />eve rett <br />CRY HALL E548985 <br />EVERETT, WASHINGTON <br />yATY BUILDING <br />DFPi, Of <br />DCOMMUNIT <br />EVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />evere" <br />PLUMBING �e,. <br />OWNER♦♦�I�P�}�T�A,..� MAIL ADDRESS ZIP PHONE <br />r, Uil�xL:!16Aj, <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />ttr � <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />ui <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />rT_ TV • 17TIM1111, <br />W <br />BQ <br />� <br />PERMIT CLASS <br />❑BUILDING ,PLUMBING ❑MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION YOREPAIH <br />Z <br />~ <br />VALUATION OF WORK <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIh1MING POOL <br />LU <br />CL O. <br />DESCRIBE WORK <br />2325 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAS. ❑LPG. ❑ELEC. <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 />$ <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 EA. <br />I <br />JOB ADDRESS <br />♦ n t <br />•�3. <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 />I <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT- C.F.M. <br />OF FIXTURE OR ITEMFEE <br />INCINERATOR <br />kNO.TYPE <br />SET(TOILETI(YIASH <br />BASIN)NK <br />DDISP. <br />DISHWASR <br />SUBTOTAL S <br />PERMIT S <br />1 <br />LAUNDRY TRAY <br />TOTAL FEE S <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 HEREON CERTIFY THAT I HAVE READ AND EXAMINED THIS APPRIVATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />THIS TYPE <br />PROVISIONS OF LAWS AND ORDINANCES HER SPECIFIED <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-RAINLEA DE RS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />5 <br />TOTALFEE <br />$ <br />SIGNATURE 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 />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />FYPE O'r CONST. <br />OCCU PANCV GROUP <br />NO. OF OWEILING <br />UNITS <br />I <br />BUILDING <br />5 <br />I <br />I <br />SIZE OF BLDG. <br />NO. of STORIES <br />MAX. OCC. LOAD <br />PLUMBING500 <br />PIREZONE <br />BASEMENT <br />REQUIRED KLERS <br />OYES ONO <br />MECHANICAL <br />I <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303(a) <br />I <br />TOTAL <br />1' <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Q <br />JAPPLI"ATIONACCE"EVIVY: <br />PLANS CHECKED DY: <br />APPROVED TOPISSUANCC BY. <br />2. ce <br />