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the Evergreen <br />CITY OF CONSTRUCTION evereti <br />everett PERMIT <br />Orr HAIL )SS JUL <br />EVFRLIT, KASHINGTON <br />semi <br />@FI NI <br />Oolviko YOT BUILDING MECHANICAL PLUMBING ,e <br />OFYf IOPNF <br />OWNER MAIL AODHLSS ZIP PHONE <br />AMOd R MAIL ADDRESS PHONE 30OL E NO. Mow <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />M"ft A CTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT CLASS OF WORK <br />Z <br />DBUI-DING ❑PLUMBING ❑MECHANICAL F. <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR � <br />VALUATION OF WORK <br />❑DEMOLISH WENCE ❑SIGN ❑SWIMMING POOL LU <br />DEBCRI <br />2349 <br />MECHANICAL <br />L D i' OF PROPERTY (SHOW BELOW OR ATTACH TYPE OF FUEL OIL GASNAT. 0 LPG. ❑ELEC. <br />FOUR COPIES) <br />LOn BLOCK —OF NO. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. S 1 <br />REFRIGERATION UNITS-II.P. EA. <br />BOILERS-H.P. EA. I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />RFORCED AIR SYSTEMS -B.T.U. M EA. I <br />JOB ADDRESS WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M I <br />EVAPORATIVE COOLERS <br />PLUMQING CLOTHESDRYERS I <br />VENTILATION FAN _ <br />RANGEHOOD I I <br />NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET(TOILETI S INCINERATOR I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. SUBTOTAL S <br />DISHWASHER <br />LAUNDRY TRAY PERMIT S <br />CLOTHES WASHER TOT^L FEE S I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTPUC. <br />WATER HEATER THIS <br />AUTHORIZED IS NOT COMMENCED WITHIN 120 LAYS, OR IF <br />URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />DRINKING FOUNTAIN PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />FLOOR -SINK OR DRAIN I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP. e <br />VACUUM BREAKERS PLICATION AND KNOW 1"HE SAME TO BE TRUE AND CORRECT. ALL <br />ROOF DRAINS-RgINLEADE RS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />SINK (SERVICE -BAR ETC.) OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />�- GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />SUB TOTAL OR THE PERFORMANCE OF CONSTRUCTION. <br />_ <br />PERMIT 6 <br />TOTAL FEE S 4�rro' <br />1 NATUR O NTRACTOR OR AUTH.AGENTDATE v <br />SIDE YARD SETBACK STREET SETBACK REAR YARDSETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE LOT AREA VACANT SITE <br />OYES ONO FEES VALUATION FEE <br />TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING <br />UNITS I <br />SIZE OF BLDG. NO. OF STORIES MAX OOCC. LOAD BUILDING $ <br />logo <br />I <br />PLUMBING 1 <br />FIR ONE BAS M NT VIML SPRINKL <br />REQUIRED <br />OYES ONO MECHANICAL <br />SPECIAL CONDITIONS: OTHER <br />I <br />PENELTY SEC. 303 Is) 1 <br />TOTAL <br />I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />a <br />nvr l l(.A] ION ACCEPTED BY II"SCHFC00" APPROVED FOBIMtlAACE BY <br />1 <br />