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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 7:34US <br />EVERETT. WASHINGTON <br />BUOI <br />OUT OF <br />CONNNN ITV BUILDING <br />BEVELOMENi <br />CONSTRUCTION <br />PERMIT <br />MECHAr4lCAL <br />everett <br />PLUMBING �,e� <br />OWNER.�-p vMAIL ADDRESS ZIP PHONE <br />lrywa <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO <br />sp . <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cr <br />LU <br />Co <br />PERMIT <br />❑ BUILDING PLUMBING <br />❑ [�/dECHANICAL <br />CLASS OF WORK <br />NEW [AUDITION ❑ALTERATION ❑REPAIR <br />Z <br />~ <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />x <br />W <br />DESCRIBE WORK T.ItX * STAB ITTT7,ACS <br />iNv` WNe N►rwPu4wV <br />-� <br />2009 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAS ❑LPG. ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EIIUIPPAENT <br />FEE <br />AIR COND. UNITS-H.P. EA, <br />_ <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />GAS FIRED A C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T,U. M EA. <br />1 <br />.IOR ADDRESS <br />WALL HEATERS-B.T.U. M <br />—1 <br />UNIT HEATERS-B.T.V. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />------------ <br />RANGEHOOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET (TOILET) <br />S <br />INCINERATOR -_ <br />1 <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />�— <br />I <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />IL I <br />DISHWASHER <br />I <br />PERMIT S <br />LAUNDRY TRAY <br />TOTALFEE 5 <br />I <br />CLOTHES WASHER <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRIIC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDEI. 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 />PLACATION 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 1�R+• <br />URINAL <br />DRINKING FOUNTAIN <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 />TOTAL FEE <br />S <br />SIGNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />READ YAPDSETRACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <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 />BUILDING <br />S <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINT: LERS <br />REGUIRED <br />DYES ❑NO <br />MECHANICAL <br />7I00 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />SEC. 303 (B) <br />I <br />-� ---- -- <br />TOTAL <br />PERMIT VALIDATION <br />V:HEH PAGPERLY VALIDATED (IN IHIS SPACE) THIS IS YOUR PERMIT <br />Q <br />APPLICATION ACCEPTED BY: <br />PLANSCHECKEO BY: APPPOV[D <br />fO ISSUANCE By <br />L a. <br />