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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598885 <br />EVERETT. WASHINGTON <br />98291 <br />DEPT. OF CORM UNITY BUILDING <br />^EVELDPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �e <br />OWNER MAIL ADDRESS ZIP PHONE <br />C{,I R OErcSIGNER MAIL ADDRESS PHONE LICENSE NO. <br />ARCHITE/6 <br />ommo <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />av, M. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />as ICK 3 W W <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />5 <br />PERMIT <br />BUILDING ❑ PLUMBING aMECHANICAL <br />CLASS OF WORK <br />s <br />❑NEW ❑ADDITIONALTERATION ❑REPAIR <br />r <br />VALUATION OF WORK <br />5 <br />❑DEMOLISH ❑FENCE ❑SIGN []SWIMMING POOL <br />ac <br />w <br />LU <br />DESCRIBE WORK Fl! <br />(� I (j <br />107O <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SNOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK _OF <br />NO. <br />TYPEEQUIPMENT <br />FEE <br />AIR CORD. UNITS—H.P. P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />}� <br />JOB ADDRESS woo '_Y <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />1 CINERATO <br />I <br />WATER CLOSET(TOILET) <br />BATHTUB <br />$ <br />LAVATORY (WASH BASIN) <br />_ <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />DISHWASHER <br />PERMIT 5 <br />LAUNDRY TRAY <br />TOTALFEE $ <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 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 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 CONSTRUCT ION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAk ERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SEflVICE-BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />5 <br />TOTALFEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE 59#W REDO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />ND.OF DWELLING <br />UNITS <br />BUILDING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SP RINKLERS <br />RrQUIRED <br />❑YES ONO <br />MECHANICAL <br />7 i/M <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTV <br />SEC ,03(a) <br />T <br />I <br />TOTAI. <br />W. bD <br />— <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMI.E <br />3 <br />APPLICATION ACCEPTED RY. <br />PLANS CHECKED BY: APPROVED FOR ISSUANCE BY. <br />