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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598N5 <br />EVERETT. WASHINGTON <br />98201 <br />DEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �,e <br />OWNERMAIL ADDRESS ZIP PHOE <br />�Myv.%R MLJ .14th, .fvo <br />(u� <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />CENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />mr"I'^7 na:::. <br />_ <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO, <br />W <br />ED <br />PERMIT CLASS <br />&BUILDING ❑PLUMBING ❑MECHANICAL <br />OF WORK <br />❑NEW El ADDITION ❑ALTERATION REPAIR <br />z <br />~ <br />VALUATION OFS11�Ofi+ <br />5 iyy''�b )) 71 IIJSJCIs}JV <br />❑DEMOLISH ❑FENCE [:]SIGN ❑SWIMMING POOL <br />cr <br />a <br />DESCRIBE WORK rmom N �A <br />0973 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR oPl 1 r^r, .,rn <br />LOT BLOCK �"OF V 2` <br />Pn9 <br />r �12 <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. A. <br />5 <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 />1 <br />JOB ADDRESS ++qqp� <br />nT� i1Mca T'�1 <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />�- <br />RANGE HOOD <br />—� <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />WAeOILET) <br />S <br />BA <br />1 <br />LAVATORY BASINI <br />SH <br />KITDISP. <br />SUBTOTAL 5 <br />IDISPERMIT <br />LA <br />S <br />TOTALFEE S <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR'F <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 APPION 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 />GI 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 CO NSTH UCi ION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />t_ <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-R AINLEADERS <br />SINK (SERVICE-BARETC.) <br />, <br />-- <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />S <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />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 />UNITS DWELLING <br />I <br />BUILDING <br />S _ <br />I oP�LoPM <br />ul Ni <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 3031a) <br />1 <br />TOTAL <br />&510) <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />1PLANISCHECKLIJ BY, <br />APPROVED FOR IIZUANCE By. <br />