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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 154EL65 <br />EVERETT, WASHINGTON <br />NMI <br />DEFT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING .e <br />OWNER MAIL <br />ay{,ry�� q I� MAIL ADDRESS �-I ^J �I 1l ZIP / PHONE <br />V.m :`3lVYll.�il ;,y;Ay Fl* `� ` ( - 1 rJ �.Lli QD ZQJ� <br />f <br />J-' <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 />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />LEI <br />co <br />PERMIT <br />❑ BUILDING ❑ PLUMBING AIECHANICAL <br />CLASS OF WORK <br />aNEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />z <br />F_ <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ❑SIGN [)SWIMMING POOL <br />LU <br />1 O' <br />DESCRIBE WORK t� 7F+REYJ'�.Ttll 110 W 3'fi'iJil{ G7'J9 <br />aw�ai�'n <br />299 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL []OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK_OF <br />NU. <br />TYPE OF EQUIPMENT <br />FEE _ <br />AIR COND. UNITS—H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />- <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS <br />!�712 Iryl�.� �� jr� <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />1 _ <br />VENTILATION FAN <br />RANGE HOODAIR <br />1 <br />HANDLING UNIT- C.F.M. <br />HANDLING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NC <br />I INC <br />I <br />WATER CLOSET (TOILET) <br />$ <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE 3 <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 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�/r <br />WATER HEATER <br />URINAL <br />_ <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAI NLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />2 <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <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 [:]NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNO. OF NITS DWELLING <br />BUILDING <br />$ <br />I <br />I <br />SIZE OF 'BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />SEC. 303 (a) <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />R EOUI RED <br />DYES [:]NO <br />MECHANIC '. <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />I <br />TOTAL <br />Ioo <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 <br />APPLICATION ACCEFTEDBY: <br />IPLAWSCRECKEOW: <br />APPROVED FOP ISSUANCE BY <br />