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M <br />the Evergreen <br />CITY OF <br />everett <br />CITY HA1 259 BUS <br />EVEaETT, HASHMGTON <br />aB}GI <br />BFPr. Bt cam U URITY <br />BEVttOPMENT BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING .e <br />OWNER MAIL ADDRESS LIP PHONE <br />Mr <br />r <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 />iL <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />LU <br />m <br />PERMIT <br />❑BUILDING 11PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />INNEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />� <br />Z <br />~ <br />cc <br />__ <br />VALUATION OF WORK <br />$ <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />K <br />LLI <br />1 <br />DESCRIBEWORK P��aaB� <br />:ILW <br />25Q <br />i V V <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL [-]OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />FEGAL OUR DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <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 />1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />1 <br />JOB ADDRESSww1I <br />.7� nTNRIp[1 <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />PLUMBING <br />EVAPORATIVE COOLERS <br />T— <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />�— <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />$ <br />INCINERATOR <br />I _ <br />BATHTUB <br />1 <br />I __ <br />LAVATORY(WASH BASIN) <br />SHOWER <br />_ <br />KITCHEN SINK & DISP. <br />�— <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE $ I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT <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 .,OT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT -ON <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X 4a�RAAT4 <br />SIGNATOFOKRACTOR <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />Id <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-R AINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />—�— <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTALFEE <br />$ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OSF DWELLING <br />UNIT <br />I <br />BUILDING <br />$ <br />1 <br />i <br />SIZE OF BLDG. <br />_ <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />EIRESPRINKLER'i <br />RrOUIRED <br />OYES ONO <br />_ <br />MECHANICAL <br />1 <br />SPECIAL CONDITIONS. <br />OTHER <br />1 <br />1 <br />PENELTY <br />_ <br />SEC. 303(a) <br />1 <br />TOTAL <br />r <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />APPLICATION ACCEPTED BY <br />PLANS CHECKED BY. APPNOVED <br />FONwISSIIMICE BY. <br />