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the Evergreen <br />CITY OF <br />everett <br />CITY NALL 1598885 <br />EVENETT, WASHINGTON <br />95101 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PL.UMBING <br />OWNER MAIL ADDRESS ZIP I'HONL <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICLID-O. <br />w�7£" <br />�t�� <br />L#00 <br />G�rEE�N,�EERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MME•CHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Ui <br />C3 <br />2 <br />PERMIT CLASS <br />Z BUILDING ❑ PLUMBING ❑ MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />D <br />z <br />= <br />L <br />VALUATION OF WORK <br />5 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />W <br />d <br />DESCRIBE WORKyI., <br />camtr=t <br />1326 <br />PROPOSED USE <br />MECHANICAL <br />TYPEOFFUEL ❑OIL ❑GAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT _.— BLOCK —OF <br />Np, <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />5 <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 />W 2"fG1. AVR• Z�..1. <br />l t+.y `+�M <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLEflS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT— C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />WATER CLOSET -TOILET) <br />$ <br />BATHTUB <br />I <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />SUBTOTAL S <br />PERMIT 5 <br />TOTALFEE $ <br />I <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TIOIJ 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 APPION 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 REGUI ATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTROC' <br />X ayGr <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />SIGNATURE OF CONTRACTOR OR AUTM.AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITOS DWELLING <br />I <br />BUILDING <br />$ iM�Rw <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA%. OCC. LOAD <br />PLUMBING <br />FIR —ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />RCOUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />I <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />_ <br />PENELTY <br />SEC. 303(a) <br />TOTAL <br />it 00 <br />-- <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED aV: <br />PLANS CHECKED BY: <br />APPNOVEO FOA ISSUANCE By <br />