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the Evergreen <br />CITY or CONSTRUCTION everett <br />everett PERMIT" <br />Cqv Nnu Alls,I� <br />E VEKETT, WASHINGTON <br />NNNI <br />DEPT OF COMMON" BUILDING MECHANICAL PLUMBING <br />orvrinwlNl ,e <br />OWNER MAIL ADDHL:45 ZIT' PIIUNL <br />JaMpb Qa t'$Sd 23 �%1 S► D3 <br />�� <br />_ <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL MAIL ADDRESS PHONE L,ILt)SE NO. <br />��C*ONTRACTOR <br />' <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />w <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />ED <br />PERMIT <br />CLASS OF WORK <br />:D <br />Z <br />15B1111.DING ❑PLUMBING ❑MECHANICAL <br />❑NEW ADD)rION ❑A..TERATHIN ❑REPAIR <br />F <br />i; <br />VALUATION OF WORK <br />gWW......y'�.w�i <br />ISI - <br />t ❑DEMOLISH ❑FE14CE ❑SIGN ❑SWIP.IMING POOL <br />LU <br />DESCRIBE WORK iii"T�� <br />a mu for fl-u asl car mte A* <br />1717 <br />I <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑WWT 0 LPG. ❑ELEC. <br />GAB <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR AT T.'C11 <br />FOUR CQPIESI <br />i Al12Yt �. Ti <br />at <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />LOT SLOCK_OF__—__ <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNIT.f-H.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />-- <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS <br />WALL HEATERS-8.T.U. M <br />230 73M <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 />1 <br />AIR HANDLING UNIT— C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />1 <br />WATER CLOSET (TOILET) <br />f <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK b_DISP, <br />_ <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT f <br />LAUNDRY TRAY <br />TOTAL FEE f <br />1 <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />WATER HEATER <br />TION AUT14ORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />URINAL <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 1 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 />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />R.'70F DRAINS —RAIN LEADERS <br />' <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />SO K (SERVICE —BAR, ETC.) <br />' <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />--I <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />_ <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDEVARDSETBACK <br />STREETSETBACK <br />RF:.H YARD SETBACY <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LO1AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. OCCUPANCY GROUP NO.OS DWELLINGUNIT <br />MM <br />SIZE OF BLDG. NO. OF STORI S MAX. OCC, LOAD BUILDING fw <br />PLUMBING <br />71HE ON BASEMENT IR 1 R <br />REQUIRED DYES ONO MECHANICAL <br />SPECIAL CONDITIONS OTHER I <br />_ + <br />- - —'R •4 7 ` NELTY SEC. 303 (W <br />— - __-"-- TOTAL <br />PERMIT VALIDATION <br />— WHEN PROPERLY VALIDAT ED TIN THIS SPACE) THIS IS YOUR PERMIT <br />+FwcnTIONACCH`71ner PLANSCHMK[n HY •mngrfn r0 ISSUNNCE Nr <br />0 <br />