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d2e Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598995 <br />EVERETT, WASHINGTDH <br />9ITY BUILDING <br />DEPT. Of COMM9U201 <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING Lej <br />OWNER V`•L,Y MAIL ADDRESS ZIP PHONE <br />�} <br />F3� '3# PHONE LICENSE NO. <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />CONTRACTOR MAIL ADDRESS PH <br />�NE LICENSE NO. <br />GENERALO <br />LC <br />�-+• <br />f <br />�' f tL <br />cc <br />LU <br />m <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLV MBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT CLASS <br />¢, <br />tBUILDING ❑PLUMBING ❑MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />F- <br />cc <br />y <br />VALUATION OF WORK []DEMOLISH L/FENCE ❑SIGN ❑SWIMMING POOL <br />$ ��� <br />DESCRIBE WORK <br />Lu <br />CL <br />% <br />Z 1 s. <br />PROPOSED USE <br />MECHANICAL <br />TYPEOFFUEL ❑OIL ❑GAS. ❑LPG. ❑ELEC. <br />LEG L DESESIIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />LOT - BLOCK_ --OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />- <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS--B.T.U. M EA. <br />I <br />JOB ADDRESS <br />2b* S3 f'S� ■ <br />MALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />1 <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 />1 <br />WATER CLOSET ITOIL ET) <br />S <br />BATHTUB <br />SUBTOTAL S <br />PERMIT s <br />TOTAL FEE $ <br />I <br />I <br />1 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <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 OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATETOR LOCALELAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />WATER HEATER _ <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR D7AIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />I i <br />SINK (SERVICE —BAR, ETC.) <br />St:B TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />s <br />SIGNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />5'i REET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMB <br />PLAN CHECK <br />FEE <br />FEEER <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES [INC) <br />FEES <br />VALUATION <br />FEE <br />OF CONST. <br />OCCUPANCY GROUP <br />DWELLING <br />WT OFTYPE <br />UNITS <br />BUILDING <br />SI� <br />API <br />SIZE OF BLDG. <br />FIRE ZONE <br />NO. OF STORIES <br />BASEMENT <br />MAX. OCC. LOAD <br />FIRE SPRINKLERS <br />R ❑YESED ❑NO <br />PLUMBING <br />I <br />MECHANICAL <br />1 <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 (a) <br />1 <br />TOTAL <br />1� <br />- <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Q <br />API`LICATION ACCEPTEDBY: <br />PLANSCHECKEO BY: <br />=FOA <br />