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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2590885 <br />EVERT TT, WASHINGTON <br />98101 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e� <br />OWNER MAIL ADDRESS PHONE <br />JfPl TU YMGJr0 <br />JIY)"j? <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MPHONE LICENSE NO. <br />ECHANICAL CONTRACTOR MAIL ADDRESS <br />cc <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />2 <br />PERMIT <br />13BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />NIREPAIR NI <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR <br />Z <br />i <br />VALUATION OF WORK <br />sIm000 <br />❑DEMOLISH ❑FENCE ❑SIGN []SWIMMING POOL <br />cc <br />W <br />a <br />DESCRIBE WORK <br />2334 <br />PROPOSED USE <br />MECHANICAL <br />TYPEOF-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 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�NE'�� <br />main tvl.ry <br />WALL HEATERS-B.T.V. M <br />UNIT HEATERS-B.T.V. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />_ <br />WATER CLOSET (TOILET) <br />$ <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />TOTALFEE $ <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 A <br />PN AND KNOW THE SAME TO CE TRUE AND CORRECT. ALL <br />PROVISROMS IOONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />pF 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 />'•�yA <br />WATER HEATER <br />URINAL <br />-- <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />I <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />S <br />TOTALFEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YAROSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />ALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />kEE <br />BUILDING <br />II4ANR�7.M <br />99ET�yL����yyyy�+ry�512EOF <br />51 w <br />BLDGNO. <br />—ZONE <br />OFSTORIES <br />1%. OGC. LOAD <br />PLUMBING <br />FIR <br />BASEMENT FIRE RrOUIREKLERS <br />D <br />OYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />PENELTY <br />SEC. 000(8) <br />TOTAL <br />5 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Q <br />APPLICATION ACCEPTED BY: <br />IPLANSCHECKED BY'. <br />AAROVEDf•OL ISSUANCE By <br />