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the Evergreen (CONSTRUCTION everett <br />CITY OF PERMIT <br />everett <br />CITY TT, WAALL 98201 . MECHANICAL • PLUMBING <br />EV ER ETT, WA 9BZB, COMBINATION • BUILDING <br />OWNER MAIL ADDRESS ZIP PHONE <br />James Green 5311 4th Avenue South <br />.0 <br />R7 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />z <br />CI <br />MECHANICALCONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Ricketts Sheet Metal 223-01-EV EA EH A263 DZ <br />WI <br />.r_ m <br />DD <br />PLUMBING CONTRACTOR MAIL ADDRESS PHO JE LICENSE NO. <br />PERMIT CLASS <br />COMBINATION <br />❑ BUILDING ❑ PLUMBING RWECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTEflATION ❑REPAIR <br />VALUATION OF WORK <br />❑DEMOI.ISII ❑FENCE ❑SIGN ❑SWIMMING POOL <br />S <br />DESCRIBE WORK <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENEHI;I❑GAS ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OFEQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-R.T.U. MEA. <br />at T Pump <br />$�I�� <br />JOB ADDRESS <br />5311 4th Avenue South <br />SPACE & WALL HEAT IRS - B.T.U. <br />UNIT HEATERS-R.T.U. <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />1 <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE a CHIMNEY <br />1 <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM. NO OP OUTLETS_ <br />FLOOR DRAINS <br />1 <br />SUB TOTAL S <br />51 00 <br />KITCHEN SINKS & DISP. <br />BAR SINKS <br />PERMIT $ <br />3. 00 <br />ROOF DRAINS -RAIN LEADERS <br />TOTAL FEE SI <br />At 00 <br />SHOWER BATHS <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 />1 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 V10LATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />-�1 // /_ •lam 6/1$/78 <br />X //)M j{t.G,/.(/(� <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />1 <br />WATER HEATERS -ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />I <br />SUB TOTAL <br />In <br />PERMIT <br />S <br />TOTAL EE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATUREOF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YAnDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑vEs ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS <br />1 <br />BUILDING <br />8 <br />1 I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />VAX. OCC. LOAD <br />PLUMBING <br />1 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES []NO <br />MECHANICAL <br />8 100 <br />SPECIAL CONDIITONS: <br />OTHER <br />I <br />I <br />PENALTY <br />SEC. 003(n) <br />1 <br />1 <br />TOTAL <br />B 100 <br />PERMIT VALIDATION .IOATEO IINt1. I?j ACLI d�j I10(OOiw <br />WHEN PROPERLY VMwlpMlP <br />nIF' y 9E'u E1.�. � <br />L 7H,NNK Y.0 Y� <br />B Is.iN7R <br />npPIIMFION ACfaP1FU HY <br />VLANS LNLLKLO tlY [WROVEDCORITSUAMUlly <br />eb <br />ADDRESS FILE , ' F <br />I <br />