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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598385 <br />EVERETT. VIASHINGTON <br />98201 <br />DEPI, Of COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING .e <br />OWNER MAIL <br />yy��� �+ MAIL ADDRESS ZIP �+ y�(+PHONE <br />iNJmu. r -�i+i ik 97 ) 1 V : Itmw 355- -'M <br />) <br />ARCHITECT OR DESIGNER MAIL ADORESS PHONE LICENSE NO. <br />629-76 <br />GENNERAAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />�"'. A1{' <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Er <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />ED <br />co <br />PERMIT <br />[IBUILDING [-]PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />El NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />z <br />~ <br />VALUATION OT R <br />$ <br />❑DEMOLISH 1XFENCE ❑IGN ❑SWIMMING POOL <br />cc <br />LL <br />CLI <br />DESCRIBE WORK <br />�. i . o ir`am v i"vr ar- ;1fm4, um ca r-mar mo;m'ix <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />EfNO* <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 AUUHESS Jit+•l �yyt� woo <br />t.ALL HCATEf`S C.T.U.I.: <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />AIR HANDLING UNIT— G.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />Ni:TER CLOSET(TOILET) <br />$ <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />71SHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE $ <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 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 SAMENA BE TRUE AND CORRECT. ALL <br />THIS TYPE <br />PROVISIONS OF LAWS AND ORDINANCES HER SPECIFIED <br />OF WORK WILL BE COMPLIED WITH WHETHER SPE CI FIFU 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 />j, fnefe(L <br />X �iJ 1( fQ <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADE RS <br />{ <br />SINK (SERVICE -BAR. ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSET13ACK <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 ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />BUILDING <br />PLUMBING <br />S *� <br />x - <br />I <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />DYES ONO <br />MECHANICAL <br />- <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />1 <br />PENELTY <br />SEC. 300 (a) <br />I <br />TOTAL <br />I <br />S <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 <br />APPI ICATION ACCEPTEDOYW <br />PLANS CHECKED BY: <br />APPROVED FOO ISSUANCE BY. <br />1. as <br />