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the Evergreen <br /> CITY OF CONSTRUCTION eve rets <br /> everett PERMIT <br /> CITYHAIL [sf FNN <br /> Ivt RI IT,WMHINGION <br /> RAI <br /> Net 01HIY <br /> UTvilopfIU[NINT BUILDING MECHANICAL PLUMBING Le <br /> OWN[ H MAILADDRESS ZIP M-NL <br /> POWIm Im 353 Ciao <br /> A[^HITECT OR DESIGNER MAIL ADDRESS PHONE LICLNSE NO. <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> ftwill" 911110311m 00ftwmmww 30 "a <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> W <br /> m <br /> PERMIT GLASS OF WORK <br /> BUILDING ❑PLUMBING ❑MECHANICAL z <br /> ❑NEW [I ADDITION INALTERATION ❑REPAIR ~ <br /> VALUATION OF WORK CL <br /> f 7�IYdA/p[4� <br /> [I DEMOLISH (3FENCE ❑SIGN ❑SWIMMING POOL Ut <br /> DESCRIBE WORk 0. <br /> 1%Am ow foot r: cobm 1083 <br /> PROPOSED U E <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH TY E OF FUEL OIL QGAAS. LPG. ELEC. <br /> FOUR COPIES) <br /> LOT--BLOCK—OF NO. TYPE OF EQUIPMENT FEE_ <br /> Alt[COND.UNITS-H.P.EA. S I <br /> REFRIGERATION UNITS-H.P. EA. <br /> BOILERS-HP. EA. I <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B._T.V. M EA. 1 <br /> JOB Alwow WALL HEATERS-R.T.U. M <br /> UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS I <br /> VENTILATION FAN <br /> RANGE HOOD I <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br /> WATER CLOSET(TOILET) S INCINERATOR ) <br /> _ BATHTUB <br /> LAVATORY(WASH BASIN) 1 <br /> SHOWER <br /> KITCHEN SINK d DISP. SUB TOTAL S <br /> DISHWASHER — <br /> 'HERMIT f <br /> LAUNDRY TRAY <br /> TOTAL FEE $ ) <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br /> WATER NEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ASANOON,'D FOR A <br /> DRINKING FOUNTAIN PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMAENCED. <br /> FLOOR-SINK OR DRAIN 1 HERESY CERTIFY THAT 1 14AVE READ AND EXAMINED I HIS AP <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AE'D CORRECT. ALI. <br /> ROOF DRAINS-RAINLEADERS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPI' <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK (SERVICE-BAR, ETC.) OR NOT. THE GRAN'ING 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 /> SUBTOTAL OR THE PERFORMANCE OF CONSTRUCTION. <br /> PERMIT f <br /> TOTAL FEE f SOW" <br /> SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br /> SIDE YARD SETBACK STREET SETBACK REAR YAHO SETBAC PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE IRECEIPT NO. <br /> i <br /> USEZONE LOT AREA VACANT SITE <br /> 0YFS ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP WO—UF—DWELLING <br /> UNITS I <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD BUILDING S W <br /> FIRE NE BASE NT IR RINK PLUMBING i <br /> REQUIRED -- <br /> OYES []NO MECHANICAL l <br /> SPECIAL CONDITIONS: OTHER I <br /> I <br /> -T <br /> PENELTY SEC.OOO IpI <br /> TOTAL w <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VA .IDATED(IN THIS SPACEI THIS IS ♦vJ:. . ^"I11 <br /> n1YlIGTIUN ACCfa[O pY. PLANp LYIFCRlU pY /NPUV[U TU ISSINNCF pY. <br /> 0 <br />