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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 9591115 <br />EVERETT,%VASHINGTON <br />99701 <br />OEPT. OF COMMUNITY BUILDING <br />0EVELOPMENI <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e <br />OWNER ��rMAIL ADDRESS ZIP nPHONE <br />� iB`:ai kl :- '- .9.T4'2. 25th Avoo V* p• A l59-132+ <br />2i71 &% <br />ARCHITECT OR DESIGNLF MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONT'9ACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cr <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />skm <br />UJ <br />co <br />PERMIT <br />PPam�9,, <br />[]BUILDING CVLUM13ING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ZALTE RATION ❑REPAIR <br />z <br />I" <br />VALUATION OF WORK <br />$' <br />❑DEMOLISH ❑FENCE ❑SIGN [:]SWIMMING POOL <br />0- <br />W <br />LL <br />DESCRIBE WORK �y <br />VX <br />174 w <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR cQgPIIU)) <br />LOT 23LOCK 34,. -Tf Vim• It <br />NO. <br />TYPE OF EQUIPMENT <br />- <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />1 <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYS', EMS-B.T.V. M EA. <br />I <br />JOB ADDRESS �,Lp <br />las <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 />----------- <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />AIR HANDLING UNIT- C.F,M. <br />N <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLCSET(TOILET) <br />g <br />BATHTUB <br />LAVATORY GNASH BASIN) <br />I <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />1 <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />) <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 />CONSTRUETION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CER fIFY 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 />IPERIOD <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADE RS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <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 FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I/�F�L <br />BUILDING <br />1I9�{{yyyy�� <br />$ MOD <br />2q:00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />! :00 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINK LE RS <br />R[OUIREO <br />❑YES ONO <br />MECHANICAL <br />- <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL <br />Yr7 t� <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Q <br />APPLI(:ATION ACCEPTED BY: <br />PUNS CHECKED BY: <br />ISSUANCEBY <br />7VEDFOSS�. <br />1{ A <br />