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the Evergreen <br />CITY OF <br />everett <br />CITY NAIL RFIUS <br />EVF 'fit. 11NUINGTON <br />FUOI <br />Of". OF COIINONIIY BUILDING <br />Oi vuarufwr <br />CONSTRUCTION, <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />OWNER MAIL ADDRESS ZIP PHHOONNE� <br />nrA ai A � mT4NPEV <br />61,70-77 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />(Z <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Ul <br />DO <br />PERMIT <br />(IBUILDING ❑PLUMBING ❑MECHANICAL <br />CLADS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION 41REPAIR <br />Z <br />H <br />5 <br />VALUATION O W� ORK <br />w�{A <br />s <br />❑DEMOLISII ❑FENCE ❑BIGN ❑SWIMMING POOL <br />LU <br />� <br />DESCRIBE WORK <br />RMAr, WIM, nA It ;nlT_VFM W.T= <br />2461 <br />PROPOSED USE <br />MECHANICAL <br />TY E OF FUEL ❑OIL OWAT PG EJELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY ISHOW RE LOW OR ATTACH <br />Foua cD I <br />LOT �BLOCK_OF 84 Cr"' <br />NO. <br />TVPEO <br />FEE <br />H.P. EA. <br />AIR COND. UNITS-H.P. EA. <br />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 />1 <br />JOB ADDRESS fte •w; <br />WALL HEATERS-B.T.U. M <br />— <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />I _- <br />PLUMBING <br />CLOTHES DRYERS <br />1 <br />- <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />AIR HANDLING UNIT— C.F.M. <br />NO. <br />I TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />E <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK B DISP. <br />SUB TOTAL S <br />I <br />DISHWASHER <br />LAUNDRY TRAY <br />PERMIT E <br />TOTAL FEE E <br />I <br />CLOTHES 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 EX. MNED THIS AP <br />PLICATION AND KNOW THF.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 Or 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 />tt_ <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR-SINKDRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS- RAI NLEADERS <br />SINK (SERVICE -BAR ETC.) <br />SUB TOTAL <br />PERMIT <br />S <br />TOTALFEE <br />E <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT GATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYAROSETRACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO --OF DW )LING <br />UNITS <br />T— <br />J <br />BUILDING <br />PLUMBING <br />E <br />SIZE OF BLDG, <br />NO.OF STORIES <br />MARK.,CU. LOAD <br />FIR ZON <br />A i <br />INKL <br />RE I <br />YES <br />❑VES ONO R <br />MECHANICAL <br />_ <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />- <br />PENELTY <br />SEC. 303(N) <br />T <br />I <br />TOTAL <br />— <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />A <br />AN'14ATIONACCTPTfOBY <br />PLANSOIECKEONV •MROVFO <br />IO Rcm�NCE NY <br />