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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 859 HIS <br />EVERETT, WASHINGTON <br />98831 <br />DEFT, OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />�everett <br />PLUMBING e, <br />OWNER MAIL ADDRESS ZIP I'HJNL <br />w1jr-12 m JoaT M =731 c 7t:ti A'm* 9612tUt Z5­5533 <br />771r_76 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS �PHyO�NyEAA LICENSE NO. <br />'04s Aa EYtmmm &?q2 T:k�"'.�3aTT 3��eyLAAAr� 2223-01+17-V <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />LU <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />�����E(�1f �� <br />♦ LIM <br />W <br />no <br />PERMIT <br />ABUILDING A PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />X1 NEW ❑ADDITION ❑ALTE Ri>TION ❑REPAIR <br />z <br />I-" <br />VALUATION OF WORK <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />-- <br />%C <br />W <br />DESCRIBE WORK <br />G ^ i SZ�Cu1lr qrn R f?'TiT'�c i <br />617 <br />PROPOSED USE <br />MECHANICAL <br />TYPE <br />OF FUEL ❑O'L (]NAT. ❑LPG. <br />❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />��1 <br />UTIT� �""'^ <br />NO. <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 />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS 7LIT ' �� <br />L'h "f°t' 1)� <br />WALL HEATERS-B.T.U. M <br />. UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT— C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />_ <br />INCINERATOR <br />WATER CLOSET (TOILET) <br />$ <br />BATHTUB <br />LAVATORY (WASH 9ASIN) <br />I <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL $ <br />I <br />_ <br />DISHWASIiER <br />PERMIT S <br />LAUNDRY TRAY <br />TOTALFEE S <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 — 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 PRESUMF 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 DRAIN <br />VACUUM BtIEAKERS <br />— <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTALFEE <br />$ <br />SIGNATURE CF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK (STREET <br />SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />7«7 <br />PLAN CHECK FEE <br />FEE _ <br />5 50 RECEIP__TNO. <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 />NO. OF OWELLI NG <br />UNITS <br />BUILDING <br />»»//''���yy�9.Ayy �AP� <br />S 2400Sjsm <br />pp��!!I ��yyEE <br />i47lW <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBINGI� <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />-- <br />PENELTY <br />SEC. 303(a) <br />I <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />9 <br />APPLICATION CCEPTED BY: <br />� . cs <br />PLANS CHECKED BY'. <br />Us co <br />APPROVED SOP 15iUANCEBY: <br />Sr cis <br />