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the Evergreen <br />CITY OF <br />everett <br />CRY HALE 259 BUS <br />EVIRETT, WASHINGTON <br />BB201 <br />°`° °"°°N°LAITY BUILDING <br />)EVILOPMINT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />Ri <br />everett <br />PLUMBING <br />O}}WWyN��ER�II� ��yy���,� MAIL ADDHE55 ��NB[ZZIyIPBPN�� ��N�M1�EN P�H(�I��N(E� <br />ai• FA Di�iJ 00a 252 �+Yi/J <br />ARCHITECT OR DESIGNER MAIL ADDRESS PIIONl LICLNSENO.� <br />GENERAL CONTRACTOR MAIL ADDRESSPHO�NN LICENSE NO. <br />ti.s iO IL� ocall � cllf�f7 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOfl MAIL ADDRESS PHONE LICENSE NO. <br />W <br />DO <br />PERMIT <br />YABUILDING [:)PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW NADOITION ❑ALTERATION ❑REPAIR <br />Z <br />~ <br />VALUATION OFWORK <br />S Woom <br />OR _ <br />❑DEMOLISH []FENCE ❑SIGN ❑SWIMMING POOL <br />� <br />W <br />a <br />DESCRIBE WORK <br />uw ompooLum root <br />1327 <br />FROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION Dl PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPI ESV <br />LOT BLOCK --OF <br />TYPE OF FUEL ❑OIL ❑GAT. ❑LPG. ❑ ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ 1 <br />REFRIGERATION UNITS-H.P. EA.-- <br />_ <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 <br />"^ <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 />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET (TOILET) <br />$ <br />INCINERATOR <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP, <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />C LOT HES WASHER <br />TOTAL FEE $ <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN t20 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORT' 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 />N <br />UOR <br />FLOOR -SINK DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <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 YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT -SITE <br />❑VES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />1 <br />SIZE WOF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />R�NNPPNN <br />/�yy�i <br />PLUMBING <br />1 <br />FIRE ZONE <br />BASEMENT FIRESPRINKLERS <br />REQUIRED <br />❑YES ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />PENELTY <br />SEC. 303 (A) <br />1 <br />TOTAL' <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />APPLICATION ACCEPTED BY: <br />�W� <br />[LANS CHECKED BY: APPBOV``EO <br />f//O.�p IS'DANCE BY. <br />YWL <br />