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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 1598885 <br />EVERETT. WASHINGTON <br />98201 <br />EIEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />OWNER MAIL ADDRESS ZIP PHONE <br />)�+L <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cc <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />PERMIT <br />[:)BUILDING 6 PLUMBING FI MECHANICAL <br />CLASS OF WORK <br />❑NEW []ADDITION ❑ALTERATION ❑PEPAIR <br />Z <br />F <br />VALUATION OF WORK <br />$ <br />❑DEMOLISH ❑FENCE ❑SIGN [:]SWIMMING POOL <br />CL <br />al <br />1 <br />w 8 AVV A <br />1 "V! <br />DESCRIBE WORK <br />PROPOSED USE <br />MECHANICAL <br />_ <br />7YPEOFFUEL ❑OIL ❑NAT. LPG. ❑FLEA. <br />GAS <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 />$ I <br />REFRIGERATION UNITS—H.P. EA. <br />BOILERS—H.P. EA. <br />_ <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 />Aft � �� <br />WALL HEATERS—B.T.U. M <br />�— <br />UNIT HEATERS—B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <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 (TOILET) <br />S <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />I <br />SHOWER <br />_ <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTALFEE $1 <br />1 <br />CLOTHES WASHER <br />+. <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />WATER HEATER <br />URINAL <br />I <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUMBREAKERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />_ <br />$ <br />SIGNATURE OF CONTRACTOROR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE 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 />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />S <br />1 <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />rj1� <br />FIRE ZONE <br />BASEMENT <br />FIRESPHINKLERS <br />REQUIRED <br />OYES [:)NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />_ <br />OTHER <br />1 <br />1 <br />PENELTY <br />SEC. 303(a) <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 <br />APPLICATION ACCEPTED BY: <br />PLANSCHECKEOBY: <br />APPROVED FOR ISSUANCE OY. <br />