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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 1S9e695 <br />EVE REEL, PIAW114GION <br />98201 <br />GEPI. OF C°MNUNI FY <br />BUILDING <br />DLVELOWENr <br />CONSTkUCTiON <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e <br />OWNER MAIL ADDRESS /W PHONE <br />^c 0".. 3Wv""x <br />ARCHITECT OR DESIGNER MAII ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />SNE <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />K <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />EL <br />m <br />PERMIT CLASS <br />N BUILDING []PLUMBING ❑ MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR <br />:D <br />z <br />~ <br />VALUATION OF WORK <br />`�N 00 <br />5 �NMW <br />❑DEMOLISH ❑FENCE []SIGN ❑SWIMMING POOI <br />Ll <br />a <br />DESCRIBE WORK <br />hF1'1-, <br />-I <br />1044 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FVEL ❑OIL ❑GAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLUCK._ —OF <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />q EFRIGERATION 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 />I <br />JOB ADDRESS .9�9�99/��9FF{{�� <br />dwu +1NMEOF9 <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />1 <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />1 <br />WATER CLOSET (TOILET) <br />S <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK& DISP. <br />SUBTOTAL S <br />-- <br />I <br />DISHWASHER <br />LAUNDRY TRAY <br />PERMIT S <br />TOTAL FEE S <br />1 <br />CLOTHES WASHER <br />t <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMI.IENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUS 'ENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TINE AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A PION 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 />GI NOT, THE GRANTING LA A OR CA DOES NOT PRESUME TO <br />F <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />ry� <br />x �7� •v <br />WATER HEATER <br />URINAL <br />DRINKING FUUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS- RAIN LETC.) <br />SINK )SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />S _ <br />TOTAL FEE <br />S <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY 6ROVP <br />VO VNIOS DWELLING <br />BUILDING <br />��Aq1� //yN(NN <br />S NY!♦W <br />�+I <br />71w <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />F IIRL ZONE <br />BASEMENT <br />RrQUI RINKLERS <br />REDUIRED <br />❑YES ONO <br />MECHANICAL <br />OTHER <br />1 <br />I <br />SPECIAL CONDITIONS: <br />- - - <br />PENELTY <br />SEC. 303(A) <br />1 <br />TOTAL <br />51� <br />FRAP <br />IDATED (IN TH IS SPACE) THIS IS YOUR PERMIT <br />a <br />APPLICAIIUN ACCLPTLD DY <br />PLAN561K6NL D.1 <br />APPROVED FOR ELIAACL <br />L c: <br />