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the Evergreen <br /> CITY OF CONSTRUCTION everett <br /> everett PERMIT <br /> CITY IIAII Ag IEW <br /> FVF.E i t,WNE"IN61ON <br /> „NT BUILDING MECHANICAL PLUMBING <br /> UVi.O( NIIY <br /> DEVELOPM[Nt <br /> OWNER MAIL AL) IM t,!; LIP PHONE 954-77 <br /> Cablevision P.O. Dox 5187 Everett 98206 259-3671 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> Baas <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. LU <br /> W <br /> m <br /> PERMIT CLASS OF WORK D <br /> Z <br /> BUILDING []PLUMBING []MECHANICAL 4t NEW []ADDITION ❑ALTERATION ❑REPAIR ~ <br /> VALUATION OF WORK cc <br /> SrSOO.00 ❑DEMOLISH []FENCE []SIGN (:)SWIMMING POOL LU <br /> f : D. <br /> DescR18Erect ,(fetal Butler Building 25 '25 <br /> PROPOSEDUSEMECHANICAL <br /> souse electronic *VLP AtYPEOF FUEL ❑OI —0G^5. ❑LPO. EIEC. <br /> LEGAL DESCRIPTION U! PROPERTY (SHOW BELOW OR ATTACH <br /> FOUR COR1f61 neverly Acres Tract$ NO. TYPE OF EQUIPMENT FEE <br /> LOT V V BLOCK—OF AIR COND.UNITS-H.P.EA. S I __ <br /> SM S2 71M 23W &48 N•N. REFRIGERATION UNITS-H.P.EA. <br /> BOILERS-H.P.EA. <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> — <br /> FORCED AIR SYSTEMS-B.T.U. M EA. I __ <br /> JOB AQQF�E5�6th street $.Pi. WALL HEATERS-B.T.U. M <br /> jjLL 7 UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS I <br /> VENTILATION FAN <br /> RANOEHOOD I <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br /> WATERCLOSET(TOILET) f INCINERATOR I <br /> BATHTUB ----- �--'— <br /> _ LAVATORY WASHBASIN) <br /> SHOWER <br /> KITCHEN SINKAO DISP. SUB TOTAL S I _ <br /> _ DISHWASHER _ PERMIT $ <br /> LAUNDRY TRAY TOTALFEE f I <br /> _ CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 GRAIN I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br /> VACUUM BREAKERS PLICATION AND KNOW THE SANTE TO BE TRUE AND CORRECT. ALL <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.1 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 /> SUBTOTAL <br /> PERMIT f 6/7/7 <br /> TOTAL FEE f <br /> X <br /> SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br /> SIDE YARD SETBACK FSTREET SETBACK REAR YARDSETBAC PLAN CHECK NUMBER PLAN CHECK FEE <br /> XMIN77/2 E 23.4 RrcI2 T� <br /> USE ZONE REA VACANT S1TE][❑YES ENO FEES VALUATION FEE <br /> TYP OF�Q^Sl. ANCIGROUP UNITE DW 6L LINO I <br /> 0 N (7V34SIZE OF BLDG. 670@IES MAX.OCC. LOAD BUILDING $ I <br /> 9x12 L <br /> PLUMBING <br /> In <br /> Ofr BA6 T- I <br /> .f REOVIREO MECHANICAL 1 <br /> ❑VES []NO <br /> SPECIAL CONDITIONS: OTHER <br /> PENELTY SEC.303(a) 1 <br /> TOTAL I <br /> PERMIT VALIDATION <br /> WHEN PROPE RLY'VALIOATED UN THIS SPACE)THIS IS YOUR PERMIT <br /> I pF <br /> APPIICATIOM ACCFPIFO NY- PCAN5 O1((.OpB�. AH'NOVFOW.. <br /> (O ISS Al BY. <br /> 7..�. <br />