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the Evergreen <br />CII Y Or <br />everett <br />CITY HALL 7598885 <br />EVERETI, WMIUNGTON <br />98201 <br />DEPT, OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBiNG �.e <br />OWNER MAIL _ODHESS ZIP PHONE <br />I m DI AM :� 3 Ay�•L <br />1957-7C <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECr•H��A�E��gNII�CA9EL.�L CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Y �M E & -sfX'.-T <br />ir <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />0] <br />2 <br />FERMIT CLASS OF WORK <br />❑ BUILDING ❑ PLUMBING InMECHANICAL <br />❑NEW ❑ADDITION []ALTERATION REPAIR <br />:D <br />Z <br />~ <br />VALUATION OF WORK <br />$ <br />El DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />w <br />EL <br />DESCRIBE WORK <br />086 6 <br />(j [} <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL C]NAT.❑LPG. ❑ELEC. <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 />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />JOB AOOBCTJ �.1VErt ' 3pa m <br />V7�F .7Y� <br />WALL HEATERS-H.T.U. M <br />TT�� <br />_ <br />UNIT HEATERS-H.T.U. M <br />EVAPORATIVE COOLERS <br />1_ <br />PLUMBING <br />CLOTHES DRYERS <br />I _ <br />--r <br />VENTILATION FAN <br />RANGEHOOD <br />1 <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 />$ <br />(' <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUB TOTAL $ <br />DISHWASHER <br />PERMIT $ <br />Im— <br />LAUNDRY TRAY <br />TOTALFEE $1 <br />EI <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO V,OLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />WATER HEATER <br />URINAL <br />DRINKPERIOD <br />FLOOR SINK OBTAIN <br />FLOOR -SINK OR GRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-R AINLEA DE RS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTALFEE <br />$ <br />SIGNA"FUREOFCONTRACTORORAUTH. 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 />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNI OS DWELLING <br />BUILDING <br />$ <br />I <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />RCOUIRED <br />❑YES ❑NC <br />MECHANICAL <br />/yy <br />71w <br />SPECIAL CONDITIONS: <br />CTHER <br />1 <br />I <br />PENELTY <br />SEC. 303 (a) <br />I <br />TOTAL <br />71001 <br />— <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATIONACCEPTEDBY: <br />PLANICHECKCDBY: <br />APMOVEOFONISUANCEBY. <br />!1 <br />