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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 BUS <br />EVERETT. WASHINGTON <br />98201 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �-e <br />�^ MAIL ADDRESS ZIP PHONE <br />3315 sbare 9mm z L334 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />�y/! <br />JBLV-76- <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAILADDRESS PHONE LICENSF. NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cr <br />W <br />0] <br />PERMIT <br />p BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />NEW []ADDITION ❑gLTERATION ❑REPgIfl <br />F- <br />~ <br />VALUATION OF WORK <br />�Ia y� <br />$ g�11`� <br />- <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL. <br />� <br />d <br />— <br />2 3 Ei i <br />DESCRIBE WORK <br />C=Nrmt wow poet as mtvdow arlw4 a1 z <br />PROPOSED USE <br />- <br />MECHANlCAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK_OF <br />TYPE OF FUEL [TOIL ❑GAAS. ❑LPG. ❑ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P, EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />— - <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 />JOB 4-ree_,GDP <br />(('��'��� .33M Avp• I. <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 />VENTILATION FAN <br />—� <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M. <br />WATER CLOSET (TOILET <br />g <br />INCINERATOR <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHC'Af <br />KITCHEN SINK & DISP. <br />_ __ SUB TOTAL Si <br />PERMIT $ <br />DISHWASHER <br />LAUNDRY TRAY <br />- <br />TOTAL FEE $ <br />CLOTHES WASHER <br />WATER HEATER <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 />! 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 />'IOOF DRAINS-RAI N LEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE' <br />RECEIPT NO. <br />USE ZONE <br />LOTAREA <br />VACANTSITE <br />OYES ONO <br />FEES VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />$ W <br />26100 <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />OTHER <br />I <br />SP CIAL CONDITIONS: <br />I <br />I <br />wadvaiiI <br />PENELTY <br />SEC. 3001B1 <br />I <br />- - <br />----- <br />TOTAL <br />- <br />I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />IC*C <br />PLANSCFEFCr K/E{DBY: APPROVED <br />VOID <br />, OID, <br />FDAISSUANCE BY. <br />z4c* <br />J <br />