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the Evergreen <br />CITY OF <br />everett <br />CITY HILL 2598985 <br />EVEBETT. IYASHINCTON <br />91201 <br />CEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />evereft <br />PLUMBING �e� <br />OWNER MAIL ADDRESS LIP PHONE <br />$ TIM, l:oF1Rm Qp7� F'IFLIp# ""i I 03 <br />323.-?fi <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PI/ONE LICENSE NO. <br />Ali u4 oLso ET.;. r- _rt r i3Pi'+m ; 95-334 223 ,FrI,325y, <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS FTIONE LICENSE NO. <br />W <br />m <br />PERMIT <br />513UILDING ❑PLUMBING []MECHANICAL <br />CLASS OF WORK <br />NElN ❑ADDITION ❑ALTERATION ❑REPAIR <br />[INEW <br />� <br />Z <br />F <br />VALUATION OF WORK <br />Cl DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />a <br />DESCRIBE WORK _... 71,.rii ?1a!"S"71iJ <br />224 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />_ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK—oF <br />y,1yE_L <br />aP7Y'egA <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. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />1 <br />_ <br />JOB ADDRESS T' ^..Y <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />AIR HANDLING UNIT— C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />S <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />_ <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />I <br />_ <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />1 <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 OP 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 />X We/1a <br />WATER HEATER <br />URINAL <br />_ <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUMBREAKERS <br />ROOF GRAINS—R AINL EA DE RS <br />I <br />SINK (SERVICE —BAR, ETC.) <br />T <br />_ <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTALFEE <br />$ <br />SIGNATURE OF. INTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />151 <br />STREETSETBACK <br />� <br />REAR YARDSETBACK <br />}�$ <br />PLAN CHECK NUMBER <br />1� <br />PLAN CHECK FEE <br />FEE h2oW RECEIPTNO <br />6 NJ Id'i7VC <br />USE ZONE <br />NIS <br />LOT AREA <br />VACANT SITE <br />VES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE Oi CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />1 <br />BUILDING <br />t m <br />$ 47+1+�F�!1 OD <br />�}�, <br />a4 : W <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />i <br />1 <br />FIRE ZONE <br />3 <br />BASEMENT <br />yy� <br />p✓ <br />FIRESPRINKLERS <br />REQUIR <br />❑VEED <br />r <br />S }]NO <br />MECHANICAL <br />OTHER <br />I <br />I <br />SPECIAL CONDITIONS: <br />— -. <br />- <br />I <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />APPLICATIONACCEPTEOB'Y;7PLPA5CHUC_lLDel. <br />Ime*to <br />APPROVEDFO <br />( . <br />ISSUANCE BY. <br />Ew co <br />