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the Evergreen <br />CITY OF CONSTRUCTION everett <br />everett PERMIT <br />DIV Hitt B111MS <br />I VF. Of IL WA5HINGTON <br />!UNIT <br />ovr mc <br />BUILDING MECHANICAL PLUMBING <br />OF VFt OFYI"'144NI <br />OWNER 2^ %th yf+1A1L ADDRESS TIP �IIINL <br />6{F 1F' �*MAIL <br />ARC•H.IITTIEFC_T OR DESIGNER ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />^',.. <br />.R ! 1 iyzm6 gW ivrom va YJWVA <br />n11 Cflnr, ICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT CLASS OF WORK <br />_t <br />z <br />tXnUILDING ❑ PLUM13ING []MECHANICAL <br />❑NEW ❑ADDITION mALTERATION ❑REPAIR <br />L <br />VALUATION OF WORK <br />S <br />_ <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOI <br />d <br />DESCRIBE WORKM <br />Mf�i�W <br />441 <br />PROPOSED USE <br />MECHANICAL _ <br />TYPE of FUEL ❑OIL ❑CPO. ❑ <br />❑GAS EL[f- <br />I I c IAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATT ACII <br />I�nln IEBI <br />LOT BLOCK —OF +YAll"4111M196 <br />NO. TYPE OF EQUIPMENT FEL <br />AIR COND. UNITS-H.P. EA. S I <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-B.T.U. M EA, <br />JOB ADDRESS MIE <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />1 <br />6iF <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGE HOOD <br />I <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 />S <br />BATHTUB <br />_ <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />_ <br />SUBTOTAL S7COMMENCED <br />DISHWASHER <br />I <br />PERMIT S <br />LAUNDRY TRAY <br />l <br />TOTAL FEE SCLOTHESWASHER <br />THIS PERMITBECOMES NULL AND VOID IF WOWATER <br />HEATER <br />TION AUTHORIZED IS NOT COMMENCED WITHIURINAL <br />CONSTRUCTION OR WORK IS SUSPENDED OR ADRINKING <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WOR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALI <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPF <br />FOUNTAIN <br />FLOOR—SINK OR DRAIN <br />VACUUM BREAKERS <br />— <br />ROOF DRAINS—RAINLEADE RS <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />SINK (SERVICE BAR, ETC.) <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of <br />—'-- <br />— - <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SUB TOTAL <br />PERMIT S <br />IOTALFEE S <br />SIGNAL URE OF CO NTRACTOn ORAUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YAROSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. OCCU ANCY GROUP NO. OF D LLING <br />UNITS I <br />512E OF BLDO. NO. OF STORIES MAX. OCC. LOAD BUILDING 4 i <br />PLUMBING <br />f IRE ZONE BASEMENT REOUIREDK — RS 1- <br />❑YES []NO MECHANICAL 1 <br />SPECIAL CONDITIONS: OTHER 1 <br />PENELTY SEC. 303(.1 I <br />TOTAL <br />PERMIT VALIDATION <br />- W4EN PROPERLY VAL IDATFD TIN T14I5 SPACE TINS IS YOUR PE RMI I <br />,.VrulntwN nrcfrleo nr PUNSIrIII Reo or_— - _-- •rPHJVl11 Fl1A l[SIIPNtI r, <br />La <br />� e <br />