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the Evergreen <br />CITY OF <br />everett <br />CITY NAEE 259III5 <br />EVIRI D, WASHINGTON <br />SINT <br />DEPT OICDMMUNITY BUILDING <br />o[VEIOPMENT <br />CONSTRUCTiION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING .e <br />OWNER /y..,�,� MAIL ADDRESS ZIP PHONE <br />ARCHITECTF TOfiGNER MAIL D RESS• PHONE IICEN5E N0. <br />GENERAL CONTRACTOR MAIL ADDRESS Ptlfj(11E�n5lrq LICENSE NO. <br />low M — r4,2 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />QfQalte rkctrr Pl UO QrmAto Pb Ila 3j "*- , <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />BUILDING ❑ PLUMBING []MECHANICAL <br />CLASS OF WORK <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />D <br />Z <br />1_ <br />VALUATION OF WORK <br />$ <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />cc <br />UJ <br />a <br />WORK <br />DESCR,ram <br />m ,� <br />130 JQ <br />PROPOSED �USE 'r <br />'�.ltaif✓f�irNE <br />MECHANICAL <br />TYPEOFFUEL ❑OIL ❑GAT. [-]LPG.❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FO ) nh,C[l�d2"C(X] 13:. 4-up <br />LO Lq,�CY. _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 />GAS FIRED A.G. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />a IUD <br />JOB ADDRESS <br />.L <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />r" <br />VENTILATION FANINV <br />RANGE HOOD <br />4 <br />AIR HANDLING UNIT- C.F.M. <br />I_ <br />TYPE OF FIXTURE OR ITEM <br />EE <br />INCINERATOR <br />WATER CLOSET TOILET) <br />$ <br />BATHTUBLIM <br />LAVATORY (WASH BASIN) <br />1 <br />SHOWER <br />A_ <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />DISHWASHER <br />_ <br />PERMIT $ <br />LAUNDRY TRAY <br />IT <br />TOTALFEE $ <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 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 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 L1v <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADE_RS <br />SINK (SERVICE —BAR. ETC.1 <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE JARD SETBACK <br />STREaEaTraSETBACK <br />o/ <br />REAR YI�AEaRDSETBAC <br />20 <br />PLAN CHECK NUMBER <br />(1/'40 <br />PLAN CHECK FEE <br />FEE�N��I `0 RECEIPT NO <br />im =77 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />BUILDING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />pig <br />27 100 <br />FIRE ZONE <br />' <br />BASEMENT <br />REOUIR INK LERS <br />R D DYES ❑NO <br />YES <br />MECHANICAL <br />OTHER <br />2y I/�E�W <br />SPECIAL CONDITIONS: <br />"- <br />- <br />.—. - <br />I <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL <br />1� <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />LICATION ACCEPTED CY. <br />'tlG <br />r <br />PLANSCHECKED BY. <br />FTI <br />"ROVED FDA ISSUANCE DY <br />T-R <br />