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the Evergreen <br />CITY OF <br />everett <br />CITY hALL IC98685 <br />EVERETT, WASHINGTON <br />98HII <br />DEPT. OF COMMUNITY BUILDING <br />OEVEIOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everetl <br />PLUMBING �e <br />OWNER MAIL ADDRESS ZIP PHONE <br />Ff to mrd AWr 'do <br />, <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHMECHANICAL CONTRAL. TOR MAIL ADDRESS PHONE LICENSE NO. <br />S <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />LU <br />m <br />PERMIT <br />❑ BUILDING ❑ PLUMBING I] MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ AR EPAIR <br />z <br />)- <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />Ir <br />d <br />DESCRIBE WORK 224 C Im F� <br />7 $u <br />1759 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAS [I LPG. ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />- <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />AIR COND. LNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED A!R SYSTEMS -B.T.U. M EA. <br />; I <br />JOB ADDRESS � <br />503w X :".1 :EY'• i!w <br />WALL HEATERS-8.1.9 M <br />UNIT HEATERS-B.I.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />$ <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />DISHWASHER <br />PERMIT $ <br />TOTAL FEE $ <br />i I�ILF <br />LAUNDRY TRAY <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 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 />x <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR GRAIN <br />VACUUMBREAKERS <br />ROOF DRAINS-RAINLEAOERS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />S. <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDEYARDSETBACK STREETSETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE ' OT AREA <br />VACANT SITE <br />❑YES (:]NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />$ <br />i <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIREZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES ONO <br />MECHANICAL <br />+p Lva <br />F 1� <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />SEC. 303 (B) <br />I <br />TOTAL <br />7 I <br />--- <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />PLANS CHECKED BY: APPROVED <br />FOR ISSUANCE BY. <br />2. a. <br />