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the Evergreen <br /> CITY OF CONSTRUCTION everett <br /> everett PERMIT <br /> CIIY HALt HARP, <br /> EVIN[H,w"HINGTON <br /> ""I <br /> PIII.Ofmu"INtIY <br /> o[VtLvuomBUILDING MEC) IANICAL PLUMBING <br /> OWNER MAIL ADDRESS ZIP PHONE <br /> JAM A. .STTPP 35,4oMn ui mr; <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> o in <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. LU <br /> W <br /> m <br /> PERMIT CLAS60F WORN <br /> Z <br /> INRUILDING ❑PLUMBING ❑MECHANICAL <br /> If NEW []ADDITION El ALTERATION L7REPAIR <br /> VALUATION OF WORK W <br /> f LLbf M ❑DEMOLISH []FENCE []SIGN ❑SWIMMING POOL a <br /> DESCRIBE WORK <br /> cmlr. OVA(w s F=m Z, am%= 2976 <br /> PROPOSED USE MECHANICAL <br /> TYPE OF FUEL OILNAT. LPG. EIEC. <br /> LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH GAS <br /> F mp <br /> .���� <br /> LOT BLOCK—OF F` 1 NO. TYPE EQUIPMENT FEE <br /> AIR COND.UNITS-H.P. EA. f I <br /> It 1. as 70.6 REFRIGERATION UNITS-H.P.EA. <br /> BOILERS-M.P.EA. I <br /> GAS FIRED A.C.UNITS-TONNAGE EA. <br /> _ FORCED AIR SYSTEMS-B.T.U. M EA. 1 <br /> JOB ADDRESSV_ WALL HEATERS-B.T.U. M <br /> 'L <br /> 36 UNIT HEATERS-B.T.U. M 1 <br /> EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS I <br /> VENTILATION FAN <br /> RANGE HOOD I <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br /> WATER CLOSET(TOILET) f INCINERATOR I <br /> BATHTUB — <br /> LAVATORY(WASH BASIN) I <br /> SHOWER _ <br /> KITCHEN SINK&DISP. SUBTOTAL f 1 <br /> DISHWASHER PERMIT f <br /> LAUNDRY TRAY TOTAL FEE f 1 <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> WATER HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 130 DAYS.OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> DRINKING FOUNTAIN PERIOD 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. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF GRAINS-RAINLEADE RS 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 CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT f � <br /> TOTAL FEE S <br /> X 7 <br /> SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br /> SIDE YARD SETBACK STREETSETBACK REARYARDSETBACX PLAN CHECK NUMBER PLAN CHECK FEE <br /> t■ 7 FEE wow <br /> USE ZONE LOT AREA VACANT SITE A" •j,'? <br /> [IVES 3NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NNITSO—DWELLING <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD BUILDING f �xifAA+ '✓N <br /> PLUMBING <br /> FIR FT0NE BAS NT RFGUIRED �— <br /> ❑YES NO MECHANICAL I <br /> SPECIAL CONDITIONS: OTHER <br /> 1 <br /> PENELTY SEC.303 4) <br /> TOTAL !s FN <br /> PERMIT VALIDATION <br /> __.. - – ----- ----- ---------- WHEN PROPERLY VALIDATED ON THIS SPACE)THIS IS YOUR PERMIT <br /> ARLIC�TI(IN nCfEPiEDBY PlnNS UI![nlU Hr nN'HU'/I H'11�E 1'SUANLI M, <br /> I <br /> I <br /> i <br />