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the Evergreen <br />CITY OF <br />everett <br />i ITV HALT I999RS <br />[v[Nni, wesNlNrmN <br />9I20I BUILDING <br />U[Pi. OP COMMUNITY u" <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />evereti <br />PLUMBING�e <br />OWNER _..,._. . MAIL ADDRESS ZIP PHONL <br />Imir 1( r)IlJAi%;p"i � <br />ARCHITET OR DESIGNER AIL ADDRESS HONE LICENSE NO. <br />C <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANNIICCAA�L CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />,i.. <br />l <br />2 <br />[U <br />m <br />PERMIT CLASS <br />d BUILDING []PLUMBING []MECHANICAL <br />OF WORK <br />❑ REPAIR <br />NEW ❑ADDITION ❑ALTERATION <br />Z <br />~ <br />� <br />VALUATION OF WORK <br />`�719 WO [I DEMOLISH ❑FENCE []SIGN[]SWIMMINGPOOL <br />om <br />DESCRIBE WORK MAD M <br />tZ <br />W <br />a <br />2832 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL OOIL E3NAT. <br />GAS LPG. 0ELFC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />a j� rT7pttfCRST DIY• D <br />LOT BLOCK_ c <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />gEFRIGE <br />S I <br />ATION-NITS-. <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-P.T.U. M EA. <br />I <br />JOB ADDRESS <br />�L ( <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 />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />__� <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET ITOILETI <br />S <br />BATHTUB <br />SUBTOTAL S <br />PERMIT f <br />TOTAL FEE S <br />I <br />1 <br />I <br />LAVATORY WASHBASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />_ <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <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 />+� <br />N"I •• <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR ETC.) <br />SUBTOTAL <br />PERMI T T6 <br />TOTAL FEE <br />S <br />SIGNATURE OF CUNT FACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SET13AEK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE (RECEIPT <br />FEE <br />NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />T`f E OF CONST. <br />OCCUPANCY GROUP <br />UNIOSF DWELLING <br />BUILDING <br />S MM <br />�p9I <br />PI� <br />SIZE OF SLOG. <br />NO. OF STORIES <br />OCC. LOAD <br />PLUMBING <br />FIRE ON <br />BAI1T <br />R RI KLRS <br />R [[)VIREO <br />YE6 ❑NO <br />MECHANICAL <br />1 <br />, <br />I <br />I <br />_ <br />SPECIAL CONDITIONS: <br />OTHER <br />_ <br />PENELTV <br />SEC. 303(*1 <br />TOTAL <br />nceulr u AI In ATInN <br />�r1 <br />71� <br />ENOP <br />MPRERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />