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the Evergreen <br />CITY OF <br />everett <br />CRY HALL 25%BUS <br />EVERETT. WNSNINGTON <br />Unl <br />DEPT OF COMMUNITY BUILDING <br />OEVFIDPMFNT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING .e. <br />OWNER MAIL ADDH15'; ZIP PHONE <br />4lOws:r ost 3m L4cm- - — <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL �CONTRACTOR <br />N� * MAIL ADDRESS PHONE LICENSE NO. <br />MUM ISTM 80 ✓110MI <br />� <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />03 <br />PERMIT <br />❑BUILDING ❑ PLUMBING X3 MECHANICAL <br />CLASS OF WORK <br />bNEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />~ <br />VALUATION OF WORK <br />S - ❑DEMOLISH []FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />*nls= 2 - 4 rd)=: % at <br />D- <br />— w <br />" <br />� .. <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAS. ❑LPG. ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK _OF <br />NO. <br />TYPE OFEQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P.-H.P.EEA. <br />S 3_ <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.V. M EA. <br />JOB ADDRESS �I R� <br />i' <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 />AIR HANDLING UNIT— C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />S7 <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d OISF. <br />SUBTOTAL S <br />DISHWASHER. <br />PERMIT S <br />LAUNDRY TRAY <br />TOTAL FEE S <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 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 />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUMBREAKERS <br />ROOF ORAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />S <br />TOTALFEE <br />$ <br />SIGNATUREOF CONTRACTOR OR AUTH. AGENT . AAT01 <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 CONSi. <br />OCCUPANCY GROUP <br />NO. OF CWELLING <br />UNITS <br />I <br />BUILDING <br />S <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />VAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE71 <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />DYES ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />SEC. 303 (a) <br />—1 <br />I <br />I <br />TOTAL <br />PERMIT VALIDAT'0% <br />WHEN PROPERLY V NLIDATEO (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />APPLICATIONACCEPTED BY: <br />PLANS CHECKED NY: <br />APPROVED fO ISSUANCE SY. <br />