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the Evergreen <br />CITY OF <br />ojerett <br />CITY HALL 2598985 <br />EVERETT. WASHINGTON <br />98201 <br />DEPT. OF COM M UNITY <br />DEVELOPMENT BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL PLUMBING <br />everett <br />OWNER MAIL ADDRESS ZIP PHONE <br />Dr. :ti2li+tm P. 6ru$t S1)30 TToyt Swite 103, 98201 252-3522 <br />1111-77 <br />ARCHITECT OROESIGNE R MAIL ADDRESS PHONE LICENSE NO. <br />GENERALCONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Dr. William P. Brust <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE N0. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cc <br />IL <br />m <br />PERMIT <br />❑ BUILDING ❑ PLUMBING []MECHANICAL <br />CLASS OF WORK <br />❑NEW Cl ADDITION ❑ALl'ERATION ❑REPAIR <br />z <br />~ <br />VALUATION OF,5WORK <br />S 7Q.V0 <br />ClDEMOLISH [I ❑SIGN ❑SWIMMING POOL <br />cc <br />cc <br />1 <br />DESCRIBE WORK <br />excavation <br />ee�� <br />L 82 7 <br />PROPOSED USE <br />MECHANICAL <br />LEEGAR C EESISRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUPIELOT BLOCK_OF <br />TYPE OF FUEL []OIL r❑NAT. ❑LPG. ❑ELED. <br />GAS <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />$ 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 />I <br />JOB ADDRESS <br />1700 41st Strpat <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 />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 5 <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />CLOTHESWASHER <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 IS 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 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 THRFO RMA NCE OF CONSTRUCTION. <br />''�Q 1 7/22/77 <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />§ <br />TOTAL FEE <br />S. <br />SG ATUREOF CONTRACTOROR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ON <br />FEES VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />§ • <br />( ) 7� <br />1 <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRELERS <br />REQUIRED <br />❑YES ❑NO <br />MECHANICAL <br />OTHER <br />) <br />SPECIAL CONDITIONS. <br />This t is Ta id o—n yP :Or a'. n <br />PENE Y <br />SEC. 303(a) <br />-- <br />I <br />jpTA_ <br />j Tj <br />snail pQ clone barore d OUNUmij go—m <br />EWT VALIDATION <br />WHEN?ROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PE RM.IT <br />APPLICATION ACCEPTED BY: <br />PLANSCNECKED{B,Y: y(�� APPROVED <br />FDAISSUANCE BY. <br />