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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 258P88S <br />EVERCTT, WASNINUON <br />98201 <br />[I OF COMMUNITY BUILDING <br />DEVCLOPMENI <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />ry FF�K �y ryryy1�}�pp�•M�� pMN MAIL ADUR[ ZIP PHONE <br />N iS V N/KoaVa[K� `� • 34 2l.. � "7-3 <br />.�( <br />llrvr1V <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO, <br />—CONTRACTOR <br />GENERA MAIL ADDRESS PHONE LICENSE NO. <br />am <br />MECHANICAL CONTRACTOfl MgIL ADDRESS PHONE LICENSE NO. <br />P LUgMq��BI��N�G CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />WaY <br />W <br />D3 <br />PERMIT <br />BUILDING PLUMBING [:)MECHANICAL <br />CLASS OF WORK <br />22 <br />❑NEW ❑ADDITION ❑ALTERATION L]T♦EPAIq <br />Z <br />I_ <br />VALUATION OF WORK <br />It <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />cr <br />W <br />a <br />DESCRIBEWORK <br />r a r rtm W wr :sera m <br />1045 <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHO BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />TYPE OF FUEL ❑OIL ON.[:)LPG. ❑ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />- <br />8OILERS-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 />iOB ADORPSS "UMA <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 />VENTILATION FAN <br />RANGEHOOD <br />I <br />N <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />W ATER CLOSET )TOILET) <br />$ <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />TOTAL FEE $ <br />I <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK 011 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 <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />_ <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -OAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBAC <br />PLAN CHECK 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 />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />a <br />51w <br />PLUMBING <br />71(a <br />I <br />FIRE2ONE <br />BASEM T <br />NFIRESPRI <br />NKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL <br />32 10D <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Q <br />-- <br />AMLICATIONACCEPTEDBY <br />PLANS CIIECKED BY. APPPOVfO <br />FONI ANCC BY <br />Ow <br />