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the Evergreen <br />CITY or <br />everett <br />CITY HALL 759&US <br />EVENED, WASHINGTON <br />99201 <br />OTTE. OF COMMUNITY BUILDING <br />OEVROPMENI <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />evere" <br />PLUMBING �e <br />OWNER MAIL ADDRESS ZIP PHONE <br />Earl ftlliams <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Damage Repair Sarvicc 337-4222 223-01-DN <br />S 238D3 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />O) <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT <br />❑ BUILDING (]PLUMBING (]MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION MREPAIR <br />Z <br />= <br />VALUATION OF WORK <br />1E5--�O.03 <br />❑DEMOLISH ❑FENCE []SIGN❑SWIMMING POOL <br />0- <br />DESCRIBE WORK <br />rx;lair fire dararle to exterior o!' re. �i'.c ice <br />9 �% <br />b <br />PROPOSED USE <br />singly rend residence <br />MFCHANICAL <br />TYPE OF FUEL ❑OIL ❑GAAS• (LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR GOf lE61i diU Capital LLil%, Addition <br />LOT 11 YI BLOCK _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.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />T�p <br />'p/l 1,L'P "R�E� �1'iI { Z <br />WALL HEATERS-B.T.U. M <br />I <br />UNIT HEATERS-B.T.U. M <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />_ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />1 <br />WATER CLOSET(TOILETI <br />$ <br />BATHTUB <br />_ <br />LAVATORY (WASH BASIN)SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT $ <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 IS COMMENCED. <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 />7/21/77 <br />x <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />_ <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />- <br />SUBTOTAL <br />PERMIT <br />S <br />TOTALFEE <br />S <br />SIGNATURE OF CONTRACTOR OR AUTH. AG ENT DATE <br />SIDE YARD SET3ACK <br />STREET SETBACK <br />REAR YARD SETBACK <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 />OCCVPANCY GROUP <br />UNI OS OENELLING <br />1 <br />BUILDING <br />$ - <br />4 I • E <br />1 <br />512E OF BLDG. <br />NO. OF JTORIES <br />MA%. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES []NOMECHANICAL <br />-- <br />1 <br />SPECIAL CONDITIONS' <br />OTHER <br />1 <br />I <br />PENELTY <br />SEC. 303 IN) <br />I <br />TOTAL <br />'I <br />I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />APPLICATION ACCEPTED OC <br />PLANSCHECKEOBY <br />JART.VE.101 jUqq((��CCF BY: <br />b�2aN <br />