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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598915 <br />EVERT". WASNINGTON <br />991D1 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRICTION <br />PERMIT <br />MECHANICAL <br />euerett <br />PLUMBING <br />OWNER MAIL ADDRESS ZIP PHONE <br />lla = <br />9-u-TI <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Star llam 'fr. 3-15-51278 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NC. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />DI <br />PERMIT <br />! <br />❑ BUILDING []PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION r6REPAIR <br />7 <br />z <br />♦- <br />S <br />b ALU ATION OF WORK <br />(!- <br />_ 5r- <br />❑DEMOLISH ❑FENCE []SIGN ❑SWIMMING POOL <br />cr <br />LU <br />D. <br />DESCRIBE WORK <br />Too an r''w cep : lam: <br />2324 <br />PROPOSED USE <br />Ram <br />MECHANICAL <br />TYPE OF FUEL []OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />_ <br />LEGAL (`DESCRIPTION OF PROPERTY IS..H,.OyW�BELOW OR ATTACK <br />LOT`" � BLOCK �OF_ FAQarobt - <br />NO. <br />FEE <br />AIR COND. UNITYPE TS-H.P. EA. <br />$ <br />REFRIGERATION UNITS-H.P. EA. <br />~ <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 />1 <br />JOB ADO FIESS `� <br />1,(A1 vt-,vw� al <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />1 <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I_ <br />VENTILATION FAN <br />RANGEHOOD <br />_ <br />1 <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FED <br />WATER CLOSET (TOILET) <br />$ <br />INCINERATOR <br />I _ <br />BATHTUB <br />_ <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK A DISP. <br />I SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE S <br />I <br />CLOTHES WASHER <br />_ <br />; HIS 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. A, <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 />c <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACJUM SPEAKERS <br />ROOF OF'NINS-AAINLEADERS <br />SINK (SE VICE -BAR, ETC.) <br />- <br />SUBTOTAL <br />PERMIT <br />_ <br />$ <br />TOTAL FEE <br />S <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 FEE <br />FEE (RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES 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 />5ho9moo) <br />' <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />RCOUIRED <br />OYES ONO <br />MECHANICAL <br />1 <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 3031a) <br />------------ <br />I <br />TOTAL <br />32 100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Q <br />APPLICATION ACCEPTED BY <br />PLANS CHECKED By APPROVED <br />FOR ISSUANCE BY: <br />