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Me Evergreen <br /> CITY OF CONSTRUCTION ever•eti <br /> everett PERMIT <br /> RTY 4AU I59FRN <br /> EVIBITT,WNNINOTON <br /> ""I <br /> ODT DI f0W4UNIlY BUILDING MECHANICAL PLUMBING <br /> DEYEIONIFNT <br /> OWNER MAIL ADDRESS ZIP rno Ni <br /> . Twau Cllmmil 25920 Gast . to 9_mm <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE L I G'EN-1 I-TTO 1577-76 <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE y. *11 <br /> ogdsmwt Cama. 06 w000mod Ao k `+b ^ontue 631mulo <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. W <br /> ED <br /> PERMIT CLASS OF WORK <br /> z � <br /> ffBUILDING ❑PLUMBING ❑MECHANICAL <br /> ❑NEW ❑ADDITION ❑ALTERATION REPAIR I <br /> VALUATION OF WORK D- <br /> "./Myf_M — ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL LU <br /> f <br /> %P^^r�w a <br /> DESCRIBE WORK �E <br /> �r Fire � 1 J J <br /> PROPOSED_USE ___ MECHANICAL <br /> rjll _ TYPEOF FUEL ❑Ini �GGAAS. ❑LPG. ❑ELEC <br /> LEGAL DESCRIPTION OI PROPERTY (SHOW BELOW OR ATTACH <br /> FOUR COPIES) - - - - <br /> LOT 3_" BLOCK' S OF PI&-2S7AfARL Q v•N NO. TYPE OF EQUIPMENT _ _ F f[ <br /> AIR COND.UNITS-H.P.EA. <br /> REFRIGERATION UNITS-H P, EA. 1 <br /> BOILERS-H.P. EA. I <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> _ FORCED AIR SYSTEMS-B.T.U. M EA. I <br /> u <br /> 111 ADDRESS WALL HEATERS-B.T.U. M <br /> M � � r%v tact UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS 1 <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> NO. TYPE OF FI%TURF OR ITEM _FEE AIR HANOONG UNIT- C.F.M. <br /> _ WATER CLOSET(TOILET) S INCINERATOR I <br /> BATHTUBLAVATORY(WASH BASINI <br /> SHOWER <br /> KITCHEN SINK&OISP SUBTOTAL S 1 <br /> DISHWASHER PERMIT f _ <br /> LAUNDRY TRAY TOTALFEE f I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOICE IF WORK OR CONSTRUC <br /> WATER HEATER ' TION AUTHORIZED IS NOT COMMENCED WITHIN 140 DAYS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> DRINKING FOUNTAIN PERIOD OF 140 DAYS AT ANY TIME AFTER WORK IS COMMENCED <br /> FLOOR-SINK OR DRAIN I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALI <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF DRAINS-RAINLEADERS OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK (SERVICE-BAR ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THF PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW PEOULATINU CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT f <br /> TOTAL FEE f •w / � <br /> SIGNATURE OF CONTRACTOR OP AUTH.AGENT DATE <br /> SIDE YARD SETBACK STREET SETBACK REAP YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> OYES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCU ANCY GROUP NO—OF—DWELLING <br /> UNITS <br /> SIZE OF BLDG. NO.OF STORIES MAK•OCG. LOAD BUILDING S 00 <br /> PLUMBING 1 <br /> )RIR Z-k�ONS B REGUIREDKL <br /> OYES ONO MECHANICAL I <br /> SPECIAL CONDITIONS: OTHER <br /> I <br /> PENELTY SEC. 303(a) I <br /> TOTAL ,0 W <br /> PERMIT VALIDATION <br /> W14EN PROPERLY VALIDAI ED(IN THIS SPACE) THIS IS YOUR PE RMIT <br /> npPlu nnoN n[CT TfU 9Y PUH,OI[f3FU BY AFT00WO FOA I9UAMT BY <br /> ra <br /> o <br />