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the Evergreen <br />CITY OF <br />everett <br />CITY HALL RS SASS <br />EVERETT. WASHINGTON <br />SSNI <br />O[PI. O ICOISNDNIBUILDING <br />OF V[LOPVENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everetl <br />PLUMBING �e <br />••^�^ MAIL �ADDRESS ZIP PHONE, <br />C1.1 U iKTh iil �Gi., lid'.'(. <br />+i�T(V <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />G ENE RAL CONT RACTOR MAIL AOD RESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />2 <br />W <br />m <br />PERMIT <br />91BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑LADDITION ❑ALTERATION �REPAIH <br />� <br />Z <br />- <br />VALUATIOINO�( <br />$ <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />Z <br />W <br />a <br />DESCRIBE WORK <br />i`i0p�I ^oar• <br />1707 <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />I'OUR COPIES) <br />LOT BLOCK_OF <br />TYPE OFFUEL ❑OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS - <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 />i <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />1 <br />JOB ADDRESS may,. <br />3'+ T <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />1 <br />NO. <br />7V PE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLINC. UNIT— C.F.M. <br />W ATER CLOSET <br />$ <br />INCINERATOR <br />BATHTU13 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />---� <br />KITCHEN SINK & DISP. <br />SUB TOTAL $ <br />DISHWASHER <br />PERMIT $ <br />- — <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />"" <br />TOTAL FEE $ <br />WATER HEATER <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. I] 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 E .ME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE CCt."FLIED 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 OT14ER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X <br />URINAL <br />_ <br />DRINKING FOUNTAIN <br />FLOOR --INK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />_ PERMIT <br />S <br />TOTAL FEE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />SFREET SETBACK <br />REAR YARD7ETE3ACV <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />S1ZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />.N� <br />��NNPPNN <br />PLUMBING <br />I <br />FIRE 20NE <br />)BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />DYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIO!R: <br />OTHER <br />PENELTY <br />SEC. 3031N1 <br />I <br />TOTAL <br />l oo <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN I HIS SPACE) THIS IS YOUR PERMI I' <br />r"ON <br />J <br />PLANS CHECKED RY APRDED <br />FIw�10EYACCEPTEPRY <br />. <br />N <br />