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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598895 <br />EVERETT. WASHINGTOH <br />98201 <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 />JAY 01W 0 z2 OW St. <br />2271 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS �P,�H�OOtNEXE LICENSE NO. <br />rs 34 1 raciloi 2-J�7C7 <br />MECHANICAL CONTRACTOR MAIL AUD RESS PHONE LICENSE NO. <br />fr <br />PLUMBING CONTRACTOR MA.L ADDRESS PHONE LICENSE NO. <br />W <br />0:1 <br />PERMIT <br />pBUILDING [:1 PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION IDREPAIR <br />~ <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />ii <br />U1 <br />Q. <br />DESCRIBEWORK <br />1 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 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 . UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS2yA <br />f3Q.1. <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <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 />INCINERATOR <br />I <br />WATER CLOSET 'LET) <br />S <br />BATHTUB <br />LAVATOF'Y (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL SI <br />I <br />DISHWASHER <br />_ <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />1 <br />CLOTHES WASHER <br />TH.; PERMIT BECOMES NULL AND VOID IF WORK OR CONSTIi <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 ISCOMMENCED. <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 LOCA,. LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />SIGNATURE OF CONTRACTOR OR AUTH. AGEP.T DATE <br />WATER HEATER <br />URINAL <br />UN <br />DRINKING FOUNTAIN <br />FLOOR -SINK GRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS_ <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />S <br />SIDE YARD SETBACK <br />ST REET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />ClO. OF UNITS DWELLING <br />BUILDING <br />PLUMBING <br />S <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />FI RE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES ❑NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />I <br />PENELTY <br />SEC. 3031 <br />lI,, <br />TOTAL <br />.o <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Pi <br />APPLICATION ACCEPTED OV: <br />PLANS CHECKED BY: <br />APPROVED FOR I: IJANCE BY. <br />1S �ir� <br />