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:he Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598899 <br />EVERETT. WASHINGTON <br />99201 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �.e�� <br />OWNER MAIL ADDRESS ZIP PHONE <br />T-MRRAL tr it'Cy9l:Is4 no ma 2'58 '!a <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERALCONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />lu <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />lucu <br />a <br />PERMIT <br />[BUILDING []PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ALTERATION ❑REPAIR <br />z <br />F' <br />VALUATION OF WORK <br />S 75W_W <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />2 <br />U.1 <br />DESCRIBE WORK �yy�E1LR� <br />LJ.{L'2m FVIJ9J .•L.L <br />121 <br />PROPOSED USE omm <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />l OT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S 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-P.T.U. M EA. <br />I <br />JOB ADDRESS w i._ <br />�7�JJ �ii�7�74� <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 />I <br />VENTILATION FAN <br />T <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT-C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM_ <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />S <br />BATHTUB <br />— <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />SUBTOTAL S <br />KITCHEN SINK & DISP. <br />I <br />DISHWASHER <br />PERMIT S <br />_ <br />LAUNDRY TRAY <br />TOTAL FEE S <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />NON 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 />1 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, T`IE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />%NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />JR THE PERFORMANCE OF CONSTRUCTION. <br />x w C <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />HOOF DRAINS-RAI N LEADERS <br />SINK (SERVICE -BAR, ETC.) <br />'-- <br />SUBTOTAL <br />PERMIT <br />5 <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SF. TBACK <br />STREETSETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />��}.�r <br />1� <br />PLAN CHECK FEE <br />FEE RECEIPTNO. <br />not*"5m <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑Y CS ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNO. OF NITS DWEL:.ING <br />I <br />BUILDING <br />S 1�ooaw <br />SIZE OF BLDG. <br />NO. OF STORIES <br />PRAX.00C. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑ YES ❑NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303(a) <br />I <br />-. <br />TOTAL <br />- --- <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Q <br />_ -.-.-- <br />APPLICATION ACCEEPPT�E "By: <br />Lo <br />PLANS CHECKED By, <br />. <br />to <br />APPROVED FOrA ISSUANCE by. <br />