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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259INS <br />EVERETT. WASHINGTON <br />9l101 <br />DEPT. OF COMMON 1 1 Y <br />BUILDING <br />CEVELOPMENI <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e <br />OWNER MAIL pADDRESS ME�1E'� .��Y�E�1ZIP nPHONE <br />{ Q.. O <br />77-FJ .;L�.P. �i' ^sz <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />ioF <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />, <br />cc <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MIT <br />LU <br />m <br />� <br />PERMIT CLASS <br />BUILDING 2U PLUMBING ❑ MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION 11REPAIR <br />Z <br />F_ <br />VALUATION OF WORK <br />5 /00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />cc <br />UJ <br />a <br />DESCRIBE WORK <br />0982 <br />PROPOSED USE <br />MECHANICAL <br />TYPED F FUEL ❑OIL ❑GAS ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR CgPIESI '�♦,I�i ��7� tT <br />LOTPi BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <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 />------------ <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS <br />XM <br />'� <br />WALL HEATERS-B.T.V. M <br />UNIT HEATERS-R.T.U. M <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN ------------ <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />U <br />TYPE OF FIXTRE 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 S <br />I _ <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE 5 <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CWATER <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAURINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONPERIOD OF 120 DAYS AT ANY TIME AFTERWORK IS CO <br />jA <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPRIVATION 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, T4E 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 />NEATER <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADE RS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />S <br />SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />-VACANT <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNi OS DWELLING <br />BUILDING <br />$ ,� <br />, too <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA%. OCC. LOAD <br />PLUMBING <br />J:11 <br />--�"- <br />1 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />RCOUIRED <br />[]YES ❑NO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENELTY <br />SEC. 3071e) <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />AP -LIGATION ACCEPTED BY. <br />PLA14SCHECKED BY: <br />APPROVCD fO.ISSUANCE BY. <br />