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the Evergmen <br />CITY OF <br />everett <br />❑TY HALL 159MU5 <br />EVEBF IT <br />WASHINGTON <br />"m <br />GER. Of COMNONITY BUILDING <br />OEVELOPNFNT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />cTvere" <br />PLUMBING <br />11 <br />OWNER f � 117 T 1• M DI1E�:. 21P 257�' P11(:I�L <br />w , <br />cc <br />ARCHITECT Oq DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CCONMTRXCTOR MAIL ADDRESS PHONE LICENSE NO. <br />Is" 39 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />LLl <br />on <br />PERMIT <br />=JBVILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDIi ION (ALTERATION ❑REPAIR <br />� <br />2 <br />~ <br />2 <br />VALUATION OF WORK <br />S M <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />cr <br />a <br />DESCRIBE WORK Mr-_=—nm(PARWMM) <br />a <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ONAT. ❑ <br />GAS LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPEEOUEP <br />FEE <br />Alfl COND. UNITS-H.P. EA.. <br />S 1 <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 ADDRESS <br />�wi�LY$ <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />1 <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 />1 <br />WATER CLOSET (TOILET) <br />6 <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTALFEE S <br />1 <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 12C 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 HI REIN <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 />DRINK'NG FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />S _ <br />TOTALFEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <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 />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OP DWELLING <br />UNITS <br />BUILDING <br />�N���..LLFF�� �II�� <br />$ V7.AJ.' n <br />N,N� ��pN�.yyl <br />� Ar" <br />SIZE OF SLOG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIREZDNE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYESONO <br />YES <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />1 <br />PENELTY <br />SEC. 303(a) <br />I <br />_ <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />_ <br />APPLICATION ACCEPTED BY <br />PLANS CHECKED BY. <br />APPROVED FOR SSUANCE BY. <br />a. At. <br />