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l <br />the Evergreen <br />CONSTRUCTION <br />CITY OF <br />everett <br />PERMIT <br />CITY HALL 2599885 <br />EVEBETT. WASHINGTON <br />911201 <br />DEPT. OF COMMUNITY <br />BUILDING MECHANICAL <br />DEVELOPMENT <br />everett <br />PLUMBING .e <br />OWNER MAIL ADDRESS ZIP PHONL <br />_;�CHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />ram[ <br />1%-76 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL. CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Y <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICE]NO. <br />QQ me�/µE♦♦��1�t1��yyet�{�� <br />fFrblilWM�Aii/ <br />D]p:.`La <br />Wqyµ. <br />PERMIT CLASS <br />BUILDING L PLUMBING ❑MECHANICAL <br />OF WORK <br />II��I LBM NEW ❑ADDITION ❑ALTERATION ❑RVALUATION <br />OF WORK <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING PO <br />5 <br />DESCRIBE WORK <br />LU <br />0_ <br />Q 5 <br />o V <br />PHOPOSLD USE <br />MECHANICAL <br />❑LPG. ❑ELEC. <br />TYPE OF FUEL ❑OIL [:]NA LPG. <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 />S <br />REFRIGERATION UNITS-H.P. EA. <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 />700 ADDRESS <br />fir,-B.T.U. <br />�� <br />33rd Avao 11 <br />WALL HEATERS M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />WATER CLOSET (TOILETI <br />5 <br />BATHTUB <br />SUBTOTAL 5 <br />PERMIT 5 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN u^^INK. & DISP. _ <br />DISHWASHER <br />LAUNDRY TRAY <br />_.__ <br />TOTAL FEE $ <br />1 <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 />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 SAMETO TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />GI NOT, THE GRANTING A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW PECULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X _.. <br />WATER HEATER <br />URINAL <br />---I <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINlEAOERS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />5 <br />SIGNATURE OF CONT R ACTOR OR AUTH.AGENT DATE <br />SIDEYAROSETBACK <br />STREETSETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />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 />fqO. OF UNITS DWELLING <br />I <br />BUILDING <br />5 <br />I <br />I <br />SIZE. OF BLDG. <br />NO.OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES ❑NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 W <br />TOTAL <br />3. V <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />PLANS CNELNEO BY: <br />0 FOR ISSUANCE BY <br />APPNUVE. <br />