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the Evergmen <br />CITY OF <br />everett <br />CITY HALL 7599e05 <br />EVE REIT, WASHINGION <br />99N1 <br />DEPT. OF COMMUNITY BUILDING <br />O'..a LOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e� <br />OWNER MAIL ADDRESS ZIP PHONE <br />ro Fw2cm 161E 7imu" <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />4dL.7'"i L <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRES.1 PHONE LICENSE NO. <br />w <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />ZIBUILDING []PLUMBING El MECHANICAL <br />CLASS Of WORK <br />❑NEW ❑ADDITION []ALTERATION RJREPAIR <br />� <br />~ <br />VALUATION OF WORK <br />S yM.M <br />[l JEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />DESCRIBE WORK <br />ftpdr tkrat ,aces P4 bac <br />�N �A <br />1232 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOU <br />LOTWIWBLOCK�: OF lAVQr#bt r' j <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.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS � +e` <br />♦ <br />rm vi�ei' <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 />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET(TOILETI <br />S <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />KITCHEN SINK &DISP. <br />SUBTOTAL 5 <br />I <br />_ <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />TOTAL FEE S <br />I <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 ISCOMMENCED. <br />I HEREBY CERTIFY THAT 1 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 />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF ERS <br />DRAINS EAD <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />S <br />TOTALFEE <br />S <br />SIGNATURE OF CONTRACTOROR ALIT". 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 />USEZONE <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 <br />BUILDING <br />5 <br />/� 5 I yy <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES []NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />1 <br />PENELTY <br />SEC. 3031N) <br />I <br />TOTAL <br />5 I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT <br />8 <br />APPLI CAI ION ACCEPTED BY <br />PLANS CHECKED BY. <br />APPROVEDTOO WUANCC BY. <br />:',H <br />