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the Evergreen <br />CITY OF <br />everett <br />LILY HALL 259 SIRS <br />EVERETI. WASHINGTON <br />9l2O1 <br />OLPI. Of COMWNITY BUILDING <br />OEVELONIENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everetl <br />PLUMBING <br />__.._.. <br />ear <br />ZIP ,,,R.YNI�N��PH�O�ONN�E <br />/ ♦•� <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />PHONE LICENSE NO. <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />PLUMBING CONTRACTOR <br />�r.y' <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />cc <br />W <br />0] <br />PERMIT <br />[]BUILDING A PLUM13ING ❑ MECHANICAL <br />CLASS Or WORK <br />❑NEW <br />❑ADDITION ❑gLTERATION JEEPAIR <br />z <br />~ <br />V gLUATION OF WORK <br />g <br />DESCRIBE WORK <br />❑DEMOLItH <br />❑FENCE ❑SIGN []SWIMMING POOL <br />LJ <br />0.Q 1 <br />881 <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY(SI:DW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />TYPE OF FUEL []OIL ❑NAAT. ❑LPG. ❑ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />g <br />REFRIGERATION UNITS—H.P, EA. <br />BOILERS—H.P. EA. <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />f ORCED AIR SYSTEMS—B.T.U. B.T.U. M EA. <br />I <br />JOB ADDRESS �Lw/_ <br />WALL HEATERS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HCOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WA L-R CLOSET (TOILET) <br />$ <br />INCINERATOR <br />BATHTUBORY <br />(WASH LAVATBASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUB TOTAL g <br />1 <br />DISHWASHER <br />LAUNDRY TRAY <br />PERMIT $ <br />CLOTHES WASHER <br />TOTALFEE S <br />WATER HEATER <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 C6 <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR GRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />- <br />SINK (SERVICE —BAP., ETC.) <br />SUB TOTAL <br />PERMIT $ <br />TOTALFEE $ <br />SIGNATUREOF CONTRACTOR OR AUTH.AGENT DATE <br />SIOEVARDSETBACK <br />STREETSETBACK <br />REAR YARD SETBAC <br />PLAN CINECK 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 />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA X. OCC. LOAD <br />BUILDING <br />$ <br />1 <br />I <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIREO <br />DYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENELTV <br />SEC. 300 IB) <br />I <br />TOTAL <br />7 PD <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />APPLICATION ACCEPTED BY <br />PLANSCNECKEO BY: <br />APPRUVED IOR l4UANCE BY. <br />