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the Evergreen <br />CITY OF <br />everett <br />CITY HALL AS 8885 <br />EVERETT. WASHINGTON <br />98201 <br />OCPL OF COMMUNITY <br />DEVELOPMENT BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING ,e <br />OWNER MAIL ADDRESS ZIP PHONE <br />aV °' <br />%MDDRESS <br />ARCHITECT R DESIGNER AIL A PHONE LICENSE NO. <br />G ENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS ��PHHO�NEE LICENSE NIT <br />,y <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />UJ <br />m <br />PERMIT <br />❑ BUILDING ❑ PLUMBING MECHANICAL <br />CLASSOFWORK - <br />®NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />2 <br />Z <br />~ <br />V AI.UATION OF WORK <br />S <br />❑DEMOLI:iH [)FENCE ❑SIGN ❑SWIMMING POOL <br />01 <br />a <br />DESCRIBE WORK ' <br />z 3=0 ^Jrc.troc <br />1538 <br />PROPOSED USE <br />��,�� <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />TYPE OF FUEL ❑OiL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <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 />- <br />}�qP�,��yy� <br />lye. =�r 1: 1N�iiFL4 <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. ME <br />f' I <br />JOB ADDRESS <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 />1 <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M. <br />WATER CLOSET (TOILET) <br />BATHTUB <br />g <br />INCINERATOR <br />I <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />_ <br />KITCHEN SINK & DISP, <br />SUB TOTAL $ <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTALFEE $ <br />I <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 />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 />gg <br />x�� V <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR GRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />S1DE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />$ <br />PLUMBING <br />I <br />FIRE ZONE <br />SAS=MENT <br />FIRESPRINKLERS <br />RCOUIRED <br />❑YES ONO <br />MECHANICAL <br />!00 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />SEC. 203(a) <br />I <br />TOTAL <br />PERMIT VALIDATION <br />WHEN P13OPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 <br />APPLICATION ACCEPTED BY: <br />PLANS CHECKED BY: APPReVEO <br />FDAA ISSUANCE BY: <br />ER� <br />