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the Evergreen <br /> CITY OF CONSTRUCTION everett <br /> everett PERMIT <br /> CITY HALL 251 BOM <br /> EVEBITI.WASHINGTON <br /> NBNI <br /> nnt.DE COMOU41TYBUILDING MECHANICAL PLUMBING <br /> DEVELDPMENT ,e <br /> OWNER MAIL AUUIIE55 IIP 14uWL <br /> CA"L I"" 3543 ,E390 .7 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> a <br /> MECH NICAL CONTRA TOR MAIL AOCHE55 PHONE T.ICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. LU <br /> m <br /> S <br /> PERMIT CLASS OF WORK <br /> Z <br /> BUILDING U PLUMBING ❑MECHANICALr <br /> ❑NEW ❑ADDITION ALTERATION ❑REPAIR <br /> VALUATION OF WORK <br /> M � <br /> OM []DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL LU <br /> DESCRIBE WORK <br /> A'HTylPDGI "1<i: °`AdU I Td!7'4Xxl4 )Wil W:+'f'E'N? 2451 <br /> PROPOSED USE MECHANICAL <br /> TYP OF F_UE_L7_0 OILNAT. LPG. ELEC. <br /> LEGAL DESCRIPTION OF PRC PE FIT (SHOW BELOW OR AT TACH OAS <br /> FOUR-PIES) <br /> � M WeNO. TYPE EQUIPMENT FEE <br /> LOT BLOCK_OFT-1 <br /> AIR COND.UNITS-M.P. EA. f I _ <br /> REFRIGERATION UNITS—H.P.EA. <br /> BOILERS—H.P. EA. I <br /> OAS FIRED A.C.UNITS—TONNAGE EA. <br /> - FORCED AIR SYSTEMS—B.T.U. M EA. I <br /> TOR ADDRESS may • WALL HEATERS—B.T.U. M <br /> /ft Se UNIT HEATERS—B.T.U. M I <br /> EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS I <br /> VENTILATION FAN I <br /> RANGE HOOD I I <br /> Nd- TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br /> INCINERATOR <br /> WATER CLOSET ITOILETI 5 1 <br /> BATHTUB <br /> LAVATORY(WASH BASIN)4 1 <br /> SHOWER <br /> KITCHEN SINK d DISP. SUB TOTAL S I <br /> DISHWASHER PERMIT $ <br /> LAUNDRY TRAY TOTAL FEE $ I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL ANU VOID IF WORK OR CONSTRUC <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 170 DAYS,OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> DRINKING FOUNTAIN PEF110D OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED, <br /> FLOOR-SINK OR DRAIN I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AL1. <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF DRAINS-RAINLEADERS 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 /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF NST RUCTIO N. <br /> SUB TOTAL <br /> PERMIT S <br /> TOTALFEE _ f <br /> SIG TURC DF NTRACTOR OR RUTH.AGENT DATE <br /> SIOEVQLBD SETBACK STREEI9FyTBACK REAY5RD SETBACK PL � MBER FEE gX00 CHECK EE <br /> USE ZOWE LOT AREA VACAANS7T•SITE <br /> ❑VES INNO FEES VALUATION FEE <br /> TYPE OF CUNST. OCCUPANCY GROUP UNITS DWELLING *II <br /> A%.OCC. LOAD BUILDING f iE(Nweee�wP I`'j'��NNPLW <br /> SIZE OF BLDG. NO.OF STJRIES <br /> PLUMBING X71w <br /> FIRE ZO E HAS REOUIREDK R <br /> OYES I�NO MECHANICAL I <br /> SPECIAL CONUITIONS: OTHCR <br /> 1 <br /> _ PENELTY SEC. 7071.) 1 <br /> TOTAL XVIN <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> nnRl¢ATION ACLfITED BY' PLAM CNELkEDBY: APIROWDFO ISSUANLEBY <br /> I <br /> R <br />