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The Evergreen <br />CITY OF <br />everett <br />DIT♦ NAIL 159 USS <br />(VE NETT. MASNINGTON <br />RNI <br />DEPT OErDMMM"ITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />OWNER MAIL ADDRESS ZIP PHONE <br />JA" CAcFM C'JM * TT* PO '?* Me 'iJt+i 35541 7600 <br />IOSn-YG <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />0: <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />ro"i, <br />W <br />f <br />PERMIT <br />BUILDING ❑PLUMBING []MECHANICAL <br />CLASS OF WORK <br />Iy,,��FP <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />F' <br />VALUAT13NQF-WAM <br />f <br />❑DEMOLISH OFFENCE ❑SIGN ❑SWIM'!ING POOL <br />d <br />DESCRIBE WORK w• _NIF_n <br />• <br />1000 <br />PROPOSED USE <br />MECHANICAL <br />TYPIEOFFUEL ❑OIL NAT. OLL-G. t3ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOU�iPIES) <br />LOT ~ BLOCK. DF � rt� li"LIT ji�f� 2 <br />.,m •� <br />N0. <br />TYPE 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 />1 <br />_ <br />OAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />1 <br />JOB ADDRESS �-/p��r �N /�.,A • rf't� <br />Ifte, A Z; V OM rJUSSI .� <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 />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />N <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />S <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />KITCHEN SINK d DISP. <br />SUBTOTAL $ <br />I <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />TOTALFEE S <br />I <br />CLOTHES WASHER <br />i_ <br />- — <br />_ <br />- <br />_ <br />— <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 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 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 />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK on DRAIN <br />VACUUM BREAKERS <br />ROOF GRAINS--q WINCE nDE RS <br />SINK (SERVICE- HAR, ETC.) <br />_ <br />SUBTOTAL <br />PERMIT <br />6 <br />TOTAL FEE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARgjETBACK <br />STREEL$��//1TBACK <br />REAR YOSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />oft <br />USE T, U <br />T "PY <br />LOT AREA <br />VACANTSITE <br />EYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF OWE INO <br />UNITS <br />BUILDING <br />M <br />S <br />FBNN1 <br />Ug+M <br />SIZE OF BLDG. <br />NO. Oi STORIES <br />VAX. OCC. LOAD <br />PLUMBING <br />1 <br />I E CrAS <br />i <br />p•� <br />FIREI KL <br />RTOUIRED <br />DYES ❑NO <br />. <br />,HANICAL <br />MLR <br />ri NLLTY <br />I <br />SPECIAL CONDITIONS: <br />1 <br />I <br />_ <br />SEC. 00011) <br />I <br />__— <br />TOTAL <br />ZFv Ioo <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT <br />S <br />IM11CATIONACCEPTEDBY <br />PI ANSOBCKEDBY APPNovru <br />ko I <br />TOD ISHIAWA BY. <br />ke Co /u ce <br />