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the Evergreen <br />CITY OF <br />everett <br />CIIV HALL J„NIA <br />[V[r F'1. WASNINGION <br />Net m colT <br />BUILDING <br />o[v[LO"f LowtNl <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />cFvcreti <br />PLUMBING <br />OWNER MAIL ADDHSI'. :III PIUINI. �- <br />dAlat <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE n0. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICEIVSE NO, <br />STAR 9147.. T►R wl"' I'71' 35.3-IK" 223dis+M <br />n <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />LJ <br />ED <br />2 <br />PERMIT <br />BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑ NEW 11ADDITION ❑ALTERATION ❑REPAIR <br />~ <br />VALUATION OF WORK <br />f 3a <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SW IM MIND POOL <br />K <br />UJ <br />a <br />DESCRIBE. WORK mm.im pilmm <br />375 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL—nGAnS. LPG ELEC. <br />FOUR DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />LOT BLOCK --OF— Pn=��� Val <br />aS�NS <br />6pf� a XV 6 <br />NO. <br />TYPE OF EOUIPMENT _ <br />FEE <br />AIR COND, UNITS-H.P. EA. <br />f 1 <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-A.T.U. M EA. <br />I <br />JOB ADDRESS <br />WALL 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 f AN <br />- <br />RANGE HOOD <br />AIR HANDLING UNIT— C.F.M. <br />No. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />WATER CLOSET(TOILET) <br />f <br />— <br />BATHTUR <br />— <br />LAVATORY (WASH BASIN) <br />__ <br />_ <br />SHOWER <br />KITCHEN SINK h DISP. <br />DISHWASHER <br />--- <br />SUBTOTAL S <br />PERMIT f <br />TOTAL FEE f <br />I <br />LAUNDRY TRAY <br />1 <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON5TKUC- <br />TION AUTHORIZED 15 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 EXAMINEDORR THIS ALL <br />PROM ION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES CET HER GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />GI NOT, THE ITT TO I Of A PERMIT DOES NOT PRESUME TO <br />TO VIOLATE OR CANCEL THE PROVISIONS OF <br />GIVE OTHER <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />STATE <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAINAP <br />FLOOR —SINK OR GRAIN <br />VACUUM BREAKERS <br />ROOF GRAINS—RAIR, ETC.) <br />SINK (SERVICE —BAR ETC.) <br />SUB TOTAL <br />PERMIT <br />S <br />TOTALFEE <br />i <br />SIGNI.TUREOFCONTRACTORORAUTH. AGENT DATE <br />SIDEYARDSCTBACK <br />STREETSEIBACK <br />REARYAROSETBAC <br />PLAN CHECK NU"SER <br />WAiq <br />PLAN CHECK <br />FEE 3 Y <br />j <br />FEE <br />RECIJ,P u <br />j. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITSDWELLING <br />I <br />BUILDING <br />fm <br />SIZE OF BLDG. <br />NO. OF STORIES <br />Ax.00C. LOAD <br />—1 <br />PLUMBING <br />1 ON. <br />9ASE T <br />INK RS <br />REQUIRED <br />DYES [:]NO <br />MECHANICAL <br />M <br />I <br />I <br />FPECIALCONDII'I'JNS: <br />OTHER <br />— <br />PENELTY <br />SEC. 00346) <br />TOTAL <br />^ IDATION <br />ER IT VAL <br />VHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT <br />