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the. Evergreen <br />CITY OF <br />everett <br />CITY HALL 75EIMIV <br />EVERETT WASHINOION <br />on, <br />nEPi OfCOMMA IV BUILDING <br />OIVELOPMINI <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />evereti <br />PLUMBING e�� <br />OWNER tMMAIL AUDH1!;5 ZIP PHUNE <br />law now �t w 9b SIM 304rW <br />ARCHITECT OR OESIGNFH MAIL ADDRESS PHONE LICENSE NO. <br />CIENERAL <br />ow"waCTOR MAIL ADORE PHONE_ __.- -- LI___ _ CENSENO` <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE ' LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT CLASS OF WORK <br />❑BUILDING ❑PLUMBING ❑MECHANICAL <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />�IF(vS <br />W <br />m <br />z <br />~ <br />IOFWRK <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />CcVALUATI <br />W <br />654 <br />DESCRIBE_ WqR� a <br />FROPOSEDED USE <br />MECHANICAL <br />T YPE OF FUEL ❑011 G^g. CPO. ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK _OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE_ _ <br />AIR COND. UNITS-H.P. EA. <br />S <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-D.T.U. M EA. <br />I <br />_ <br />JOB&URF55 <br />�Y��RNFFIF lftd <br />WAIL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR 14ANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FI%TURE OR ITEM <br />FEE <br />INCINERATOR <br />1 <br />WATER CLOSET(TOILETI <br />f <br />BATHTUB <br />1- <br />LAVATORY (WASH BASIN) <br />_ <br />SHOWER <br />_ <br />KITCHEN SINK & DISP. <br />SUS TOTAL f <br />1 <br />--T <br />_ <br />DISHWASHER <br />PERMIT S <br />_ <br />LAEINORY TRAY <br />TOTAL FEE S. <br />1 <br />CL-. THES 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 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 />AKf <br />x W� <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT GATE <br />_ - <br />_ <br />_ <br />W TER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS- RAI NLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />—� <br />S <br />TOTAL FEE <br />61 1t. <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT S1TE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCU ANCY GROUP <br />UNO N.I OF OWE LLI G <br />1 <br />BUILDING <br />S <br />is jw <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIR ONE <br />BAS NT <br />gfGUI RED�L <br />DYES [:]No <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS <br />OTHER <br />I <br />I <br />PENELTY <br />SEC. 3071e1 <br />I <br />_ <br />TOTAL <br />g IQi <br />FEAIWEI VALMA NUN <br />WHEN PROPERLY VALIDAY ED (IN THIS SPACE) THIS IS YOUR PERMIT <br />