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t Evergreen <br />CIiY OP <br />everett <br />CITY HALL 25S ISIS <br />EVERETT. WASHINGTON <br />95201 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />eves eltf <br />PLUMBING �.e <br />OWNER MAIL ADDRESS ZIP PHONE <br />IT.,% ����.�. Fe �,� rim"N Avr. w �i 7TJ"11Y� <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />.176 0"JaLt-:11 3?i'. :`txr.'a: AAs Myr'9y 223-mmelTza <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />2aa22L=r "lQ7'. '. 3 fni4r. t, G57' <br />P LUJ{'rA NtN•:+..IIR PHONE LICENSE NO. <br />,1 4 A t ANNYW <br />W <br />m <br />PERMIT <br />913UILDING 19PLUMBING PMECHANICAL <br />CLASS OF WORK <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />2 <br />7 <br />F. <br />VALUA1TION OF WORK <br />§clji.r�� <br />El DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DI <br />CL <br />DESCRIBE WORK <br />Z�'.'E7 `il131:iQtX:�'�i�Q.tl;',:M" '-0'J• <br />���� <br />PROPOSED USE <br />MECHANICAL <br />TYPE 'IF FUEL ❑OIL ❑FIAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR JjOFIES) <br />LOT- BLOCK 7 OF lbor_ a 'Amurt `p 'O �" �' <br />A 2jyl. r, <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 />_J6 <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 />JI <br />JOB ADDRESS <br />33-d ='iQat —wivtt <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />_ <br />I <br />VENTILATION FAN <br />4 <br />RANGE HOOD <br />I <br />O. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET (TOILET) <br />§ <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />-- <br />_ <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT § <br />LAUNDRY TRAY <br />TOTAL FEE S <br />CLOTHES WASHER <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS -RUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FJR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTEP 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 THE PERFORMANCE OF CONSTRUCTION. <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 />_ <br />PERMIT <br />_ <br />§ <br />TOTALFEE <br />_ <br />S <br />SIGNATURE OI: CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />d# <br />REARYAROSETBACK <br />PLAN CHECK NUMBER <br />�� .pE;�� <br />fY�L�y-3% <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />920 <br />USE ZONE <br />LOT AREA <br />VA NTSITE <br />ES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />TooSIZE <br />OCCUPANCY GROUP <br />T <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />$ j71/7, <br />-.2 <br />OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />q <br />J <br />BASEMENT <br />r <br />` <br />FIRESPRINKLERS <br />RF.D UI RED L <br />OYES MIND <br />MECHANICAL <br />EC. <br />U j <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENELTY <br />SEC. 3031.) <br />1 <br />TOTAL <br />— <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />iF <br />PLANS CHECKED BY: APPROVE♦DFDA <br />v <br />ISSUANCE BY <br />!Ju <br />